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The Commission shall request from each applicant all of the following information:

A. Full name, other names used (oral or written), social security number(s), birth date, place of birth, citizenship, gender, all languages (spoken or written);

B. Currently and for the previous five years business and employment positions held, ownership interests in those businesses, business and residence addresses, and driver’s license numbers;

C. The names and current addresses of at least three personal references, including one personal reference who was acquainted with the applicant during each period of residence listed under subsection (B) of this section;

D. Current business and residence telephone numbers;

E. A description of any existing and previous business relationships with Indian tribes, including ownership interests in those businesses;

F. A description of any existing and previous business relationships with the gaming industry generally, including ownership interests in those businesses;

G. The name and address of any licensing or regulatory agency with which the person has filed an application for a license or permit related to gaming, whether or not such license or permit was granted;

H. For each felony for which there is an ongoing prosecution or a conviction, the charge, the name and address of the court involved, and the date and disposition if any;

I. For each misdemeanor conviction or ongoing misdemeanor prosecution (excluding minor traffic violations), within 10 years of the date of the application, the name and address of the court involved and the date and disposition;

J. For each criminal charge (excluding minor traffic charges), whether or not there is a conviction, if such criminal charge is within 10 years of the date of the application and is not otherwise listed pursuant to subsections (H) or (I) of this section, the criminal charge, the name and address of the court involved and the date and disposition;

K. The name and address of any licensing or regulatory agency with which the person has filed an application for an occupational license or permit, whether or not such license or permit was granted;

L. A current photograph;

M. Any other information the Commission deems relevant; and

N. Fingerprints consistent with procedures adopted by the Commission according to 25 C.F.R. § 522.2(h). [Amended 4/12/04; Ord. 08-03 Art. IX § 9, approved 11/8/03.]