NAF Application Continuation Form

1. Applicants for positions that require working with children under the age of 18 must complete the following:

   A. Have you ever been arrested for or charged with a crime involving a child?

   □ YES          □ NO

   B. If your answer is YES, provide a description of the disposition of the arrest or charge:
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


   C. Have you ever been arrested for or charged with a crime involving drugs or alcohol?

   □ YES          □ NO

   D. If your answer is YES, provide a description of the disposition of the arrest or charge: _____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


   E. This is to advise you that if you are accepted for employment, the Air Force is required to request a State Criminal History Repository Check as a condition of employment. You have a right to obtain a copy of the criminal history report and to challenge the accuracy and completeness of any information contained in the report.

2. You are signing this application under penalty of perjury. The penalty of perjury is a $2,000 fine, or years in jail, or both.




______________________________________________   _____________________
Signature                                                                Date


November 96