Official SealHuman Resource Services Department


#17-8601-01
Supplemental Questionnaire

Last Name
First Name

 

Thank you for your interest in the position of Deputy Sheriff's Recruit, Exam #17-8601-01.  Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to further verify minimum qualifications.  Failure to answer these questions truthfully may result in disqualification from the examination process.


1.

Did you graduate from high school in the United States?

Yes, I have graduated from high school in the United States.
No, I have not graduated from high school in the United States.
No, I have not graduated from high school in the United States, but I have a qualifying GED.
2.

Are you, or will you be, at least 20 years of age by January 29, 2018?

Yes No
3.

Are you a United States citizen?

Yes, I am a United States citizen.
No, I am not a United States citizen.
No, I am not a United States citizen, but I have filed for citizenship at least one year before applying for this position.
4.

Do you possess a valid California Driver's License?  If yes, please ensure this information is indicated on your application.

Yes No

 

The following questions, #5 through #7, are required in accordance with the Federal Prison Rape Elimination Act (PREA) of 2003, Standard 115.7/115.117/115.217/113.317.

Have you ever?


5.

Engaged in sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or other institution (as defined by 42 U.S.C 1997)?

Yes No
6.

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
7.

Been civilly or administratively adjudicated to have engaged in the acitivity described in question #6?

Yes No