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Get and Sign Cleveland Clinic Background Information Release Form 2009-2022
Liability
whatsoever for issuing the requested information. I am aware that the clearance process will include fingerprinting.
PLEASE READ CAREFULLY BEFORE SIGNING: Have you ever been convicted of or pled guilty to any
criminal offense (other then minor traffic offenses)? (A yes answer will not automatically disqualify you form
consideration.)
YES
NO
If you have answered yes, please explain:...
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