| |
Have you ever served in the armed forces? |
|
|
Have you ever been charged, convicted, or forfeited bond or bail in any court proceeding of a criminal nature including major traffic offenses and records that have been cleared, dismissed, or expunged? |
|
|
Have you ever been dismissed from, suspended by, or subjected to disciplinary sanctions or reprimands of any kind by any school, college, university, or medical school? |
|
|
Have you ever been denied an initial professional license or request for renewal, or have you had an existing license suspended or revoked by any licensing authority? |
|
|