Apply for Staff Licensed Practical Nurse (LPN) - Hernando County Sheriff's Office

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Apply for Staff Licensed Practical Nurse (LPN)

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Staff Licensed Practical Nurse (LPN)
ID:	1371
Department:	Judicial Services Bureau
Salary Range:	Starting Salary $47,873.00

Resume
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Social Security Number:
* Date of Birth:
* Place of Birth:
* Were you previously employed with an FRS employer?:	Yes No Unknown
* In the past 12 months, have you retired from a FRS employer?:	Yes No
Opt-In Confirmation
	I authorize recruiters from Hernando County Sheriff's Office to send text messages from 8663190685 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Application for Employment (Long Form)

PERSONAL INFORMATION

Mailing Address (if different than above)

Address	City	State	Zip

List all other names used (If not applicable, enter N/A on the first line or select Not Applicable on the first line):

Name Used	Circumstances (Please select one)	Dates Used
*	*	*

* U.S. Citizen:

Yes No

If Naturalized, list date and place:

Naturalization number:

The Hernando County Sheriff's Office rewards all full-time employees for their recruitment efforts. If you were recruited by an existing employee, please list their name. This will allow us to reward them accordingly.

RESIDENCES

List chronologically ALL residences for the past 10 years.

From Mo/Yr	To Mo/Yr	APT / Unit #	Street Mailing Address	City	County	State	Zip
*	*	*	*	*	*	*	*

EDUCATION/TRAINING

Please list below all high school, college, or other schools attended (i.e. trade, vocational, business or military):

School Name	Complete Mailing Address of School / Institution	Years Completed	Credit Hours Earned	Diploma or Degree	Course of Study
*	*	*	*	* Yes No	*
				Yes No
				Yes No
				Yes No

* List any extra-curricular activities and honors received while attending school and/or training (List N/A if not applicable):

* Describe any special abilities, interests, or honors received while attending school and/or training (List N/A if not applicable):

Indicate any foreign languages you can speak, read or write (if not applicable, enter N/A or select Not Applicable on the first line):

Language
*	* NA Speak Read Write	* NA Fluent Good Fair
	Speak Read Write	Fluent Good Fair
	Speak Read Write	Fluent Good Fair

* Do you currently hold any special licenses such as: pilot, radio operator, Florida Public Safety Telecommunicator certification, notary public, etc.:

Yes No

If so, list type of license, date of issue and expiration date:

Type of License	Date of Issue	Expiration Date

Certified / sworn applicants only:
Indicate below any Law Enforcement education and/or training (as it relates to your certification. If not applicable, please enter N/A on the first line.)

Type of Training	Date of Completion	Certificate Number
*	*	*

* Has your law enforcement or corrections certificate ever been suspended, revoked, relinquished, or subject to discipline or investigation by CJSTC?

Yes No

If yes, please explain:

EMPLOYMENT HISTORY

List chronologically all employment for the last 15 years to include summer, part-time, and all periods of unemployment. All time must be accounted for. ALL employment references will be contacted.

EMPLOYER 1

Dates Employed	Employer Name & Address	Employer Phone
From: * To: *	* *	*
Job Title	Supervisor Name & Title	Salary/Hourly Rate
*	* *	Start: * End: *
Human Resource Contact Information (Phone number or email)	Reason for Leaving
*	*

EMPLOYER 2

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 3

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 4

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 5

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 6

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 7

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 8

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 9

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 10

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 11

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 12

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 13

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 14

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

EMPLOYER 15

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	Salary/Hourly Rate
		Start: End:
Human Resource Contact Information (Phone number or email)	Reason for Leaving

* In your life, have you ever been dismissed or asked to resign from any employment or position you have held?

Yes No

If yes, please explain:

* In your life, have you ever had any disciplinary action taken against you from any employment or position you have held?

Yes No

If yes, please explain:

* Have you ever resigned, or left a job by mutual agreement following allegations of misconduct or unsatisfactory job performance?

Yes No

If yes, please explain:

* Have you ever applied to or performed paid or unpaid services for a law enforcement agency not listed as an employer?

Yes No

If yes, please provide name of agency and date of application or service:

* Do you own a business, or are you a partner or corporate officer in ANY business or organization not listed previously?

Yes No

If yes, list below:

Name of Business/Corporation	Address	Relationship

ORGANIZATION MEMBERSHIP

List all clubs, societies of which you are a member (if not applicable, enter N/A on the first line or select Not Applicable):

Name	City & State	Position Held
*	*	*	*

* Are you now or have you ever contributed (monetarily or materially) or been a member of any foreign or domestic organization, association, movement, group or combination of persons which has adopted, or shows a policy of advocating or approving the commission of acts of force or violence to deny other persons their rights under the constitution of the United States, or which seeks to alter the form of government of the United States by unconstitutional means?

Yes No

If not applicable, enter N/A on the first line:

Name of Organization	Location	Activity Type
*	*	*

* At the time of your membership, participation, or contribution, did you know of any unlawful aims of the organization?

Yes No NA

ARREST HISTORY / COURT DATA

* Have you ever been arrested, charged or received a notice or summons to appear, convicted, pled nolo contendere or pled guilty to any criminal violation, regardless if the record was sealed or expunged?

Yes No

If yes, please list below (If not applicable, enter N/A on the first line):

Date	Place and Department	Court & Place	Disposition
*	*	*	*

* Have you ever been detained by any law enforcement officer for investigative purposes or to your knowledge have you ever been the subject of, or a suspect in any criminal investigation?

Yes No

If yes, please explain:

* Have you ever in your life received a ticket or been charged with a traffic violation (exclude parking tickets)?

Yes No

If yes, please list below:

Date	Place and Department	Charge	Court & Place	Disposition

* To your knowledge has any member of your immediate family ever been arrested or incarcerated?

Yes No

If yes, please list below:

Relative's Name	Date of Arrest	Charge	Name of Facility	Relationship

CHARACTER REFERENCES

List six persons not related to you whom you have known at least three (3) years. ALL character references will be contacted by email, so please enter a valid email address for each of your references.

Name	Email Address	Phone Number	Occupation	Years Known
*	*	*	*	*
*	*	*	*	*
*	*	*	*	*
*	*	*	*	*
*	*	*	*	*
*	*	*	*	*

* Do you have any friends or relatives who work HCSO?

Yes No

If yes, list below:

Name	Relationship

* Have you ever applied with the Hernando County Sheriff's Office before?

Yes No

If yes, list below:

Dates of Application	Position Applied For

* Have you ever submitted an application to another law enforcement agency (including corrections)?

Yes No

* Have you worked for the Hernando County Sheriff's Office before?

Yes No

(If more than 3, please indicate remaining agencies in the notes section.)

If yes, list below:

Agency/Position	Approximate Date of Application

Notes:

DRIVING HISTORY

* Do you currently have a valid Florida drivers license?

Yes No

* Do you have or have you ever held a drivers license in another state?

Yes No

If yes, explain below:

State	Name Used	Approximate date license (s) were held.

* Have you ever been denied issuance of a license or have you ever had a license suspended or revoked?

Yes No

If yes, provide complete details:

* Have you ever had automobile insurance refused, withdrawn, or revoked?

Yes No

If yes, provide complete details:

MILITARY SERVICE

* Are you a current member or veteran of the US Military Service?

Yes No

If yes, list service history below:

Branch of Service	Dates of Service	Type of Discharge

* Were you ever disciplined while you were in the service?

Yes No

* If yes, please provide a detailed description of the circumstances. If no, please list N/A.

NOTE: Under Florida law, if a numerically based selection process is used, points shall be added to the earned ratings of persons included in #1-7 above, as set forth in section 295.07, Florida Statutes. If a numerically based selection process is not used, preference in appointment shall be given first to those persons included in # 1 and #2 above, and second to those persons included in #3 through #7 above. If an applicant claiming veterans’ preference for a vacant position is not selected for the vacant position, he/she may file a complaint with the Florida Department of Veterans’ Affairs, 11351 Ulmerton Road, Suite 311-K, Largo, FL 33778-1630.

CREDIT DATA

The Hernando County Sheriff's Office may conduct a pre-employment credit check. If you are denied employment because of information gained from the Credit History Report, you will be provided the name and address of the credit bureau making the report.

* Do you or your spouse have any debt that is past due?

Yes No

If yes, please list any debt where payment is past due regardless of amount (If not applicable, please enter N/A on the first line.):

Creditor	Address	Amount
*	*	*

Have you or your spouse?		If yes, please provide details:
* Filed for bankruptcy?	Yes No
* Declared bankruptcy?	Yes No
* Had a legal judgement rendered against you for debt?	Yes No
* Been subject to a tax lien?	Yes No

SOCIAL MEDIA

* Do you now have, or have you ever had, an account with Facebook, Instagram, Blog, or any other similar website under your name or any fictitious name?

Yes No

Web Address	Name Used

BODY MODIFICATIONS / TATTOOS

* Do you currently bear any scar, insignia, tattoo or other bodily marking?

Yes No

If yes, please describe:

DRUG HISTORY

The Hernando County Sheriff's Office is a drug free workplace and employees and applicants are subject to random drug testing.

The information contained herein MAY BE a confidential medical record under the Americans with Disabilities Act if the applicant is a rehabilitated drug or alcohol abuser or under F.S. 119.071(4)(b) if the medical information, if disclosed, would identify the applicant.

* Have you ever used, abused, tried, experimented with, or ever in your life possessed any drug regulated by Chapter 893, F.S., which is also known as the Florida Comprehensive Drug Abuse Prevention and Control Act, and which was not specifically prescribed for your personal use by a licensed physician?

Yes No

Please complete chart below:

Have you EVER used/sold/possessed/purchased		Last time used/sold/possessed/purchased
Substance		Past Yr (MM/YYYY)	1-10 Yrs (MM/YYYY)	10+ Yrs ago (YYYY)
* Amphetamines (Uppers)	Yes No
* Barbiturates (Downers)	Yes No
* Cocaine powder	Yes No
* Crack cocaine	Yes No
* Ecstasy (MDMA)	Yes No
* GHB/GBL	Yes No
* Hashish	Yes No
* Heroin	Yes No
* Inhalants/Whippets	Yes No
* LSD/ Hallucinogens	Yes No
* Marijuana/THC	Yes No
* Mushrooms	Yes No
* Opium	Yes No
* PCP/Angel Dust	Yes No
* Quaaludes	Yes No
* Rohypnol/Roofies	Yes No
* Speedballs	Yes No
* Steroids	Yes No
* Other: (If other, Must Complete Chart Below)	Yes No

If you chose "Other" above you must complete chart below:

If not applicable, enter N/A on the first line or select Not Applicable on the first line. For date fields enter MM/YYYY for past year and 1-10 Yrs and YYYY for 10+ Yrs if not applicable on the first line:

Have you EVER used/sold/possessed/purchased	Last time used/sold/possessed/purchased
Substance	Past Yr (MM/YYYY)	1-10 Yrs (MM/YYYY)	10+ Yrs ago (YYYY)
*

Answering no to these drug questions when you have knowingly used, abused, possessed, tried, experimented with or in any way had contact with any drugs will constitute false information on this application.

APPLICANT'S CERTIFICATION

(Please read and initial each section below)

*	I understand that my appointment or employment will be contingent upon the results of a complete background investigation. I am aware that any omission, falsification, misstatement or misrepresentation will be the basis for my disqualification as an applicant or my dismissal from the Sheriff's Office. I further fully understand and consent to a computer voice stress analysis examination concerning the truthfulness of my responses to the information requested on this application or which is discovered as a result of the background investigation, or any physical examination or drug test. I also understand that I will be fingerprinted. I understand that this employment application shall become the property of the Sheriff's Office and that it and the information received in response to the background examination are public records.
*	I further understand and agree that if applying for a special risk or mandatory testing position, my employment or appointment will be contingent upon the results of a complete drug test and that I may be required to take drug tests during the term of my employment or appointment with the Sheriff's Office.
*	I understand that the use of drugs or alcohol is not permitted, during work or duty time, whether paid or unpaid, in all areas, including vehicles, where work is performed by employees or appointees.
*	I understand that all Candidates for employment are prohibited from the use of any tobacco products. Tobacco products include cigarettes, electronic cigarettes, cigars, vape devices, pipes, and smokeless tobacco, including chewing tobacco and snuff. Candidates shall sign an agreement affirming that they do not now, and will not in the future use ANY tobacco products.
*	I understand that my continued employment or appointment may be contingent upon the results of medical or psychological examinations that I may be required to take during the term of my employment, and the maintenance of personal physical fitness, to the degree necessary, to satisfactorily perform the duties of my position or assignment with the Sheriff's Office.
*	I further authorize the Sheriff's Office or agent of the Sheriff's Office, without need of further authorization, to obtain medical records allowed by law if I claim rights to payment or receipt of any benefit pursuant to state or federal law.
*	I further agree to execute any authorization as may be required by the Health Insurance Portability Accountability Act of 1996 (HIPAA) for health care providers to release the necessary medical information to process my application for employment.
*	I authorize any of the persons or organizations referenced in this application to furnish information, personal or otherwise, regarding my ability and fitness for employment or appointment with the Sheriff's Office and I release all such parties from any and all liability for any damage that might result from furnishing such information to the Sheriff's Office.
*	I agree to conform to the rules, regulations and orders of the Sheriff's Office and acknowledge that these rules, regulations and orders may be changed, interpreted, withdrawn or added to by the Sheriff's Office, at its discretion, at any time and without any prior notice to me.
*	I understand an investigation will be conducted on all of the information listed on this application.

By my electronic signature, I certify that all statements made by me on this application are true, correct and complete, to the best of my knowledge.

* Signature

* Date

1. Appearance and Tattoo policy

* Hernando County Sheriff's Office Appearance General Order

PURPOSE:
The purpose of this general order is to establish general appearance guidelines for personnel of the Hernando County Sheriff's Office.

SCOPE:
This order will apply to all personnel.

DISCUSSION:
It is the policy of the Hernando County Sheriff's Office that all personnel, whether civilian or sworn officers, shall present a neat, clean and professional appearance to the public while representing this office.

PROCEDURES:
• Clothing, whether uniform or civilian, will be clean and neatly pressed and free of tears or worn areas.
• Shoes and/or leather will be polished.
• Insignia or other emblems will be properly placed and shined.

PERSONAL APPEARANCE:
• Employees will use personal hygiene practices.
• Mustaches, if worn, will be neatly groomed and in keeping with a professional appearance. Mustaches shall not extend more than 1/4 " horizontally below the corner of the mouth, nor shall it extend over the upper lip. Extreme styles are not permitted.
• Beards or any facial hairstyles are prohibited for sworn and non-sworn uniformed personnel or personnel having public contact. Only exceptions to the rule are those limited assignments as approved by the Sheriff, i.e. Vice and SEU.
• Beards or goatees, if worn, will be neatly groomed and in keeping with a professional appearance unless previous approval has been obtained according to assignment as noted above.
• Tattoos are prohibited in a visible location on the neck, face, head or hands of employees. As of October 1, 2016 candidates for employment/new employees shall not have tattoos of any extremist, indecent, sexist or racist content in a visible location.
• Tattoos located on the arms or other non-restricted areas that may be visible shall be covered when in a teaching (e.g. SRO, etc.) or public speaking capacity, including internal activities.
• If the tattoo is below the elbow, it shall be covered when assigned to any position involving calls for service or investigation.

The employee may choose to cover the tattoo(s) by wearing:
• a long sleeve uniform shirt
• a long sleeve under shirt (no logos or apparel names)
• long pants
• an approved arm sleeve tattoo cover
• arm sleeve tattoo covers shall either be black to match the undershirt, or a color which closely resembles the wearer's natural skin tone

Employees shall not wear any item of ornamentation in their nose, eyebrow, tongue or any other location of their body that is visible during duty hours or any duty-related function, with the exception of permitted earrings (refer to C, below). Ornamentation shall include body piercing jewelry, intentional body mutilation or scarring, or foreign objects inserted in/under the skin.

JEWELRY AND ACCESSORIES:
Earrings:
• Sworn male personnel are prohibited from wearing earrings while on duty.
• Uniformed sworn female personnel may wear plain, small, close-fitting, post-type earrings, limited to two (2) per ear. All earrings shall be worn in the earlobes. Hoops or dangling earrings are not permitted while in uniform.

Hair Accessories:
• Male employees are prohibited from wearing hair accessories while on duty.
• Female employees: Hair clasps, barrettes or fasteners worn while in uniform will be functional, not decorative.
• Teeth, whether natural, capped or veneer, will not be ornamented with designs, jewels, initials, etc.

Hair Styles:
• Hair will be neatly groomed and in keeping with good taste and safety. Fashions must conform to generally accepted standards for the law enforcement community. The acceptability of an employee's hair will be based upon the criteria in this policy, and not upon the style in which the employee chooses to wear his/her hair.
• Sworn personnel, male: Hairstyles shall present a neat, conservative and professional appearance. Hair length shall not be over the ears or longer than the top of the uniform collar.
• Sworn personnel, female: Hairstyles shall be neat and professional in appearance. If medium or long hair is preferred, the hair shall be worn "up" and shall not fall below the collar. Ponytails are prohibited. Hairstyles shall not interfere with the proper positioning/wearing of the uniform hat.
• Exceptions to the above stated rules may only be allowed for specialized assignments and with the approval of the Bureau Commander or Sheriff.

PERSONAL BUSINESS:
• Employees shall not wear the Sheriff's Office uniform, nor use their official ID, for personal gain or special consideration when conducting personal business.
• Employees shall not conduct personal business while in uniform, on or off-duty, in any manner which is intended to influence the other party. This includes, but is not limited to:
- Buying vehicles, property, or other major
purchases.
- Requesting loans or other banking business, other
than routine deposits or withdrawals.
- Routine shopping at retail or other outlets.
• Employees in uniform are not prohibited from shopping for or buying items for immediate consumption, such as meals, gum, snacks or other small items.

Al Nienhuis, Sheriff

By signing below, I have read and agree to the terms of this document

2. Prison Rape Elimination Act Compliance

To remain compliant with the Department of Justice Standards, particularly the Prison Rape Elimination Act, the following questions are required for all internal and external positions posted (to include promotions) for the Hernando County Sheriff Office.

* Have you ever engaged in sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or other institution (as defined in 42 U.S.C. 1997)?

	Yes
	No

* Have you ever been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse?

	Yes
	No

* Have you ever been civilly or administratively adjudicated to have engaged in the activity as described in the question above?

	Yes
	No

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

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	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
	Black or African American (Not Hispanic or Latino) A person having origins in any of the Black racial groups of Africa
	Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
	Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
	White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races
	I Choose Not to Respond

	Individual with a Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
	Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
	Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
	War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
	Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
	Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
	I Choose Not to Respond