Have you ever been convicted of a crime, including misdemeanors and/or felonies, other than petty traffic offenses?

    If YES, list EACH misdemeanors and/or felonies below. Include each date, and check the nature and type of conviction. The existence of criminal record does not create an automatic bar to employment. Sealed or expunged records/convictions do not need to be disclosed. A false response to this question will result in immidiate termination.

    Date of conviction:

    Nature of conviction:

    Type of conviction:

    Explain (Provide any mitigating circumstances if any):