5th YEAR Failure to disclose accurate information may be grounds for dismissal termination or disbarment from participating in the program. DD FORM 2981 MAY 2014 Adobe Designer 9. A. SIGNATURE DD FORM 2981 BACK MAY 2014 b. DATE SIGNED INSTRUCTIONS FOR COMPLETING DD FORM 2981 This Department of Defense Form is to be completed by prospective employees and/or volunteers upon application for any position within a Department of Defense Child or Youth Program. The form will be utilized for initial and annual certification that said employee/ volunteer has not been arrested charged or convicted by Federal State or other Law enforcement authorities for any violation of any Federal law Military law State law County or Municipal law Regulation or Ordinance nor have they been arrested charged or held by Federal State or Other Law Enforcement Authorities for any crime or offense involving any of the following Crime involving a child sex crime drug or alcohol offense domestic violence violent crime....
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