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#21-000936-0001
Supplemental Questionnaire

Last Name
First Name

 

Answer all questions truthfully.  Applicants are reminded that all information will be investigated and verified through a background investigation and polygraph examination.  Any statements or omissions, whether written or verbal, that are given by an applicant with the intent to deceive will result in rejection from further consideration for employment.


1

Are you at least 21 years of age?

Yes No
 

If no, when do you turn 21?

2.

Are you currently a citizen of the United States?

Yes No
3.

Have you ever formally renounced your United States citizenship?

Yes No
4.

Did you successfully complete a high school education or equivalent (GED)?

Yes No
5.
Do you possess a valid driver's license?
Yes No
6.
Have you ever been discharged from the United States Armed Forces under dishonorable conditions?
Yes No
7.
Have you ever been convicted in any court of a crime punishable by imprisonment for a term exceeding one year?
Yes No
8.
Have you ever been convicted of a felony?
Yes No
9.
Have you ever been convicted of a crime of domestic violence?
Yes No
10.
Are you currently the subject of a court order that restrains you from harassing, stalking, or threatening an intimate partner or child of such intimate partner?
Yes No
11.
Have you ever been convicted or otherwise found guilty of selling, manufacturing, or distributing a controlled dangerous substance, narcotic drug, or marijuana?
Yes No
12.
Have you ever illegally sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana?
Yes No
13.

Have you ever illegally used a controlled dangerous substance, narcotic drug, or marijuana while employed to enforce federal, State, or local law by any government entity?

Yes No
14.

Have you ever used Heroin, Phencyclodine (PCP), or Lysergic acid diethylamide (LSD)?

Yes No
15.

Other than heroin, PCP, LSD, or marijuana, have you ever illegally used any controlled dangerous substance or narcotic drug, or any combination of controlled dangerous substances or narcotic drugs that exceeds a total of five times, or one time since becoming 21 years of age?

Yes No
16.

Have you used a controlled dangerous substance, narcotic drug or marijuana for any purpose within the pass 36 months?

Yes No
17.
If you are or were previously a certified police officer in Maryland, have you ever illegally used, ingested, possessed, sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana on or after the date of your initial certification as a police officer?
Yes
No
Not Applicable
18.

If you are currently or have ever been certified by the Maryland Police Correctional Training Commission as a Police Officer, please provide your certification number and expiration date below.  (If this does not apply to you, write N/A.)


 

NEW: Candidates must be willing and able to perform the below essential job functions of a Natural Resources Police Officer. Please indicate your ability or willingness to perform or work under the following conditions:


19.

I will be able to attend a 7+ month live-in Police Academy returning home on weekends unless otherwise directed.

Yes No
20.

I am willing and able to work outside in extreme/adverse weather conditions both day and night.

Yes No
21.

I am willing and able to wear a bullet proof vest daily, even in extreme heat.

Yes No
22.

I am willing and able to handle deceased wildlife.

Yes No
23.

I am willing and able to enforce laws by issuing citations/warnings or making full custody arrests.

Yes No
24.

After being properly trained, I am willing and able to deal with hostile, armed, aggressive and/or intoxicated persons in remote areas as the need arises. 

Yes No
25.

I am willing and able to shoot an animal to euthanize or protect others from harm.

Yes No
26.

I understand that due to the nature of this job, I may face exposure to blood borne pathogens and other infectious diseases.

Yes No
27.

I am willing and able to work on large bodies of water in a patrol vessel in restricted visibility, in extreme sea conditions and work alone in remote areas.  

Yes No
28.

I am willing and able to work weekends and holidays with varying shifts and days of the week off.

Yes No
29.

I understand that due to the nature of this job, I will be faced with having to handle incidents involving deceased persons. 

Yes No
30.

I understand I will be responsible for all of the law enforcement duties, responsibilities, and risk associated with being a law enforcement officer including public criticism and scrutiny of my job performance.

Yes No
31.

If hired, I understand I could be stationed anywhere in the state.

Yes No
32.

I understand that I may be required to use lethal force to protect myself and other persons from serious injury or death.

Yes No

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