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DRUG-FREE POLICY FORM & ACKNOWLEDGMENT

Do you currently use illegal drugs?This question is required.
This question is required.
DRUG-FREE POLICY FORM & ACKNOWLEDGMENT

Do you currently use illegal drugs?This question is required. *



KeyY
Yes

KeyN
No

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If you do. what type of the below illegal drugs do you currently use?•This
question is required.
This question is required.
If you do. what type of the below illegal drugs do you currently use?•This
question is required. *



KeyA
Cocaine

KeyB
Marijuana

KeyC
Crack Cocaine

KeyD
Ecstacy

KeyE
Heroin

KeyF
Meth

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