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Get HI DOE OHR 600-004 2012

_______________ If arrested, were you charged? If charged, please specify what you were charged with and the disposition (outcome) of the charge: 4. Have you at any time had a professional license or certification (for example, attorney, nurse, psychologist, teacher, school administrator, etc.) suspended, revoked, denied or not renewed? If yes, please explain: (Note: Conviction or termination from employment will not necessarily disqualify an applicant) Distribution: 1. Original - Personnel Reg.

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