I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. According to Section 1100.3 Appendix V, of Texas Minimum Standard of Child Placing Agencies; “No one who has been convicted within the preceding ten years of any felony classified as an offense against the person or family, or of public indecency or of violation of the Texas Controlled Substances Act, or any misdemeanor classified as an offense against the person or family or a public indecency, may serve as a foster parent or as an employee in an agency home unless the Director of Licensing has ruled that proof of rehabilitation has been established”. In order for the Texas Boys Ranch to meet this requirement, will you please sign the following statement? “I have not been convicted within the preceding ten years of any felony or misdemeanor as classified in the above statement." In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.