GENERAL INFORMATION

1. Have you ever committed a felony for which you were never arrested or convicted? Yes No
2. Have you ever been placed on or served in a criminal diversion type program that led to the eventual dismissal of any criminal charges? Yes No
3. Have you ever been convicted of a felony? Yes No
4. Have you ever been convicted of a misdemeanor that had been reduced from original felony charges? Yes No
5. Have you ever been convicted of any criminal offense including serious traffic offenses? Yes No
6. Have you ever been committed to any penal institution as a result of either a felony or misdemeanor conviction? Yes No
7. Are you presently under indictment or a defendant in any pending criminal, traffic, or civil action? Yes No