By eSigning you are agreeing to the following:
I understand the contents of this form.
I declare that the information provided is true, correct and complete.
I understand that if I make a false declaration, or fail to disclose all information material to my application, I could be fined up to $2,500.00 CBD and/or prison.
I agree to a full and complete background check.
In accordance with Federal civil rights law and Citizenship and Immigration Boshka (CIB) civil rights regulations and policies, CIB, its Agencies, offices, and employees, and institutions participating in or administering CIB programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by CIB (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
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