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Please list for references (please, no relatives), Complete ALL information requested. Please type or print. |
By typing my signature below, I acknowledge that the above information is true and complete to the best of my knowledge. It also authorizes KCSL to contact my references, and any other person or agency named in this application. I understand that I cannot volunteer at Kansas Children's Service League in direct service to children and families, if I have a felony record, a validated case of child abuse, or have had a child removed due to child abuse or neglect. I further state that none of the above conditions apply. I am willing to submit my name for the security clearance necessary for employment (DCF Child Abuse Registry and/or KBI check.) |
Any contributions to the cost of performing required background screens are appreciated. |
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