FDLE Electronic Fingerprinting/Level 2
FBI Identity History Report
Are You A U.S. Citizen?YesNo
Have You Ever Been Convicted Of A Felony?YesNo
If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test?YesNo
Position You Are Applying For
Available Start Date
Employment DesiredFull TimePart TimeSeasonal/Temporary
Starting Pay Rate
Ending Pay Rate
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Name (Please Print)
idu LiveScan Services, LLC.