IMPORTANT: Applicants for this position are required to submit responses to the following supplemental questions.
By selecting yes below, you certify your understanding that all applicants must meet minimum qualifications in order to move forward in the process. Do you understand the above statement?
Yes
No
1
Please indicate if you have ever been convicted of murder.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
2
Please indicate if you have ever been convicted of unlawful sexual intercourse.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
3
Please indicate if you have ever been convicted of rape.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
4
Please indicate if you have ever been convicted of spousal battery.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
5
Please indicate if you have ever been convicted of robbery.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
6
Please indicate if you have ever been convicted of burglary.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
7
Please indicate if you have ever been convicted of arson.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
8
Please indicate if you have ever been convicted of grand theft.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
9
Please indicate if you have ever been convicted of forgery.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
10
Please indicate if you have ever been convicted of kidnapping.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
11
Please indicate if you have ever been convicted of embezzlement.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
12
Please indicate if you have ever been convicted of any sexual activity with a child.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
13
Please indicate if you have ever been convicted of other forcible sex acts.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
14
Please indicate if you have ever been convicted of possession of a controlled substance.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
15
Please indicate if you have ever been convicted of child abuse.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
16
Please indicate if you have ever been convicted of possession for sale or sale of controlled substances.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
17
Please indicate if you have ever been convicted of aggravated assault.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
18
Please indicate if you have ever been convicted of a hit and run with injury.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
19
Please indicate if you have ever been convicted of domestic abuse.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
20
Please indicate if you have ever been convicted of auto theft.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
21
Please indicate if you have ever been convicted of the manufacturing/cultivating of a controlled substance.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
22
Please indicate if you have ever been convicted of driving under the influence of alcohol or drugs.
Yes
No
If you answered yes, please give the date (mm/dd/yyyy).
23
Have you ever been detained for investigation or arrested for a violation of any criminal act. If so, when?
24
Have you used any controlled substances, including marijuana and/or prescription drugs (not prescribed to you), in the last five (5) years? (If so, what controlled substances and when?)
25
Have you ever been placed on probation? If so, when and where?
26
How many vehicle citation convictions and vehicle accidents do you have combined in the last three (3) years?
27
Have you ever failed to appear for court? If so, when?
28
Has your California Driver's License ever been suspended, revoked, or restricted? If so, when?
29
Have you ever declared bankruptcy? If so, when?
30
Do you currently have any outstanding warrants or active restraining orders against you?
31
I hereby certify that all statements made in this pre-investigative questionnaire are true and complete. I understand that any misstatement or omission of material facts may disqualify me from the hiring process and/or be grounds for the termination of my employment?