Get PA Sexual Misconduct/Abuse Disclosure Release
WITH CHILDREN) Employing Entity receipt date____________________ Received by_______________________ Contact telephone #_________________ Dates of employment of Applicant: _______________________________ To the best of your knowledge, has Applicant ever: Yes____ No_____ Been the subject of an abuse or sexual misconduct investigation by any employer, state licensing agency, law enforcement agency or child protective services agency (unless the investigation resulted in a finding that the allegat.
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