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Reference 1 Reference 3 Section 7: Additional Questions The information requested below is needed for a legally permissible reason including, but no limited to: Have you been convicted of any of the following: Are you subject to any pending criminal charges? Do you have a valid driver's license? Release Authorization and Certification Please read the following section carefully before signing! For this type of employment, state law requires a criminal background check as a condition of employment.

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Signature of applicant: The Commission recognizes meritorious individuals who have improved the lives of Floridians and that have served as positive role models for women and girls in their community. Their goal is to provide communication, promotion, and collaboration among hundreds of organizations working in all 67 counties focused on women's welfare.

Nominees are recognized for outstanding achievement from a wide variety of areas including but not limited to: WestCare Georgia: TRAP classes teach women about safe sex practices and support them in finding resources to build a happy and healthy life. WestCare Wisconsin: Youth participating in Earn and Learna partnership with Employ Milwaukee and the City of Milwaukee, enjoy a field trip to the Milwaukee Public Museum to learn about culture and community. WestCare California: All donations supported the Central California Blood Center. WestCare Puerto Rico:

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