PDF-I. TO BE COMPLETED BY APPLICANT (type or print) Please allow four

Male Female Last Name First Name Middle Name Maiden Name City Background Information Attach a written explanation on 8 12 x 11 pape. Applicant information TYPE OR PRINT Name Last First Middle Date of birth Residence address City State ZIP code Area code Home telephone number Citizenship US citizen Resident alien Social Security number Used for child support enforcement Kept on 64 Please fill out the Explanation of Background Screening Findings form for EACH finding reported in your background screening 2 One 1 sponsorship letter from a current employer If you are unable to obtain a sponsorship letter submit 3 character refer Under the Family Education Rights and Privacy Act of 1974 Buckley Amendment which gives students the right to inspect and review their education records students waive their right to see speci64257c con64257dential statements and letters of recommen be completed and signed by medical school official responsible for student disability services Applicant Name USMLE ID I certify that has officially approved and continuously Name of School provided the following accommodations for th e a APPLICANT Completed by applicant Name Date of Birth Last First MI Los Rio s ID if known Age Grade Level Phone Current School Attending Applicant This completed form must be uploaded to your application when prompted to do so for consideration as having come from a disadvantaged background The NHSC cannot accept faxed or emailed copies Name Last 4 digits SSN CRITERIA FOR DISADVANTA Applicant Submission Type of Application: Locksmith Code assigned by DOJ Job Title or Type of License, Certification or Permit: Agency Address Set Contributing Agency: Bureau of Security & Investigat Please type or print legibly in ink the answers to the following questions. Each question Date of Birth: Place of Birth: HOME PHONE NUMBER: BUSINESS PHONE NUMBER: William G.J. Halfond . and . Alessandro . Orso. Georgia Institute of Technology. Example Web Application. 2. Web . Server. End Users. Initial Visit. Web . Application. searchpage.jsp. dosearch.jsp. Search Results. Applicant Submission Type of Application: Security Guard w/FirearmCode assigned by DOJ Job Title or Type of License, Certification or Permit: Agency Address Set Contributing Agency: Bureau of Securi Applicant Submission Type of Application: Private Investigator Code assigned by DOJ Job Title or Type of License, Certification or Permit: Agency Address Set Contributing Agency: Bureau of Security & ID AA PD RIC/CS GPA SATCR SATM SATW ACTC TOTAL Last Name First Middle Initial Permanent Home Mailing Address Apartment City State/Province ZIP/Postal Code Country Telepho CFPBOctober 2015ECOA For fair lending scoping and examination procedures the CFPB is temporarily adopting the FFIEC Interagency Fair Lending Examination Procedures thatare referenced in the examinatio DART PROGRAMMING. Contents. Setup. Fundamentals. Data Types. String. Type Conversion. Constant. Null. Operators. Loops. Collection [List, Set, Map]. Function . Class. Exception Handling. Setup Dart SDK.