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Applicant Information

Professional Information

Industry Licensure

Please provide license(s) numbers.

Contact Information

Contact Information

I Certify That, to the Best of My Knowledge, the Facts Contained Herein Are True and Complete. I Understand That the Information Supplied Will Be Investigated for Truthfulness and That, If Accepted, Falsified Statements on this Application Shall Be Grounds for Expulsion. I Authorize the Investigation of All Statements Contained Herein and Prior Employer’s Listed Are to Cooperate in Giving Any and All Information Concerning My Previous Employment along with Any Pertinent Information They May Have, Personal or Otherwise, and I Release All Parties from Any Liability for Any Damages That May Result from Them Furnishing Same to the Associated Detectives of Illinois, Inc.

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