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    Person Making Request

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    I hereby release all information pertaining to my criminal, credit, military and work history to Loss Prevention Group. I am aware that all of the above references, as well as my credit report may be reviewed to determine my suitability for employment. I also understand that Loss Prevention Group may perform a background check on me at any time.

    Have you ever been convicted of a crime? YesNo If yes, please provide details and location below:
    *A YES answer will not necessarily disqualify you for employment.

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