***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***
1
Truthfulness Statement
One of the most critically important issues that defines the effectiveness of any organization is the perception that it is credible. Central to that image is the integrity and truthfulness of the Department's employees. Members must know that public support can quickly erode where there is a lack of credibility in existence within our organization.
The very basis of an individual's integrity, as perceived by the public, friends and fellow workers is at stake whenever the truth is not told. The loss of integrity by an individual or group of individuals can quickly spread throughout the Department.
As Chief of Police, it is my responsibility to maintain the effectiveness of the Department of General Services Maryland Capitol Police as a viable law enforcement agency. This document serves as a notice that lying of any kind will not be tolerated by any member of this department, including applicants. You are, therefore, advised that all information disclosed during the application process may be verified.
Any statements or omissions, either written or verbal, that are given by any applicant with the intent to deceive will result in rejection from further consideration for employment with the Department of General Services Maryland Capitol Police and be subject to the penalties of perjury under Maryland Law. There is no substitute for the truth.
By checking this box, I hereby acknowledge that I have read and considered the preceding statement and agree that all information that I supply during my processing, either written or verbal, will be answered honestly and truthfully. I will not intentionally omit any information with the intent to deceive.
I agree
Yes
No
2
Are you a US citizen?
Yes
No
3
Are you at least 21 years of age?
Yes
No
4
Do you have permanent tattoos on your face, neck, or hands?
Yes
No
5
Do you have any felony convictions? If yes, please include the following details in the box below. If you do not have any felony convictions, type N/A in the box below.
- Date of arrest or court order (you must be specific MM/DD/YY) - Charge(s) - Police Agency involved - Location (City/State) - Disposition of Case - Specific details of the arrest
6
Do you have any serious misdemeanor convictions that would carry more than 1-year incarceration? If yes, please include the following details in the box below. If you do not have any misdemeanor convictions, type N/A in the box below.
- Date of arrest or court order (you must be specific MM/DD/YY) - Charge(s) - Police Agency involved - Location (City/State) - Disposition of Case - Specific details of the arrest
7
Have you ever illegally sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana? If yes, please include the following details in the box below. If you have not sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana, type N/A in the box below.
- Date - Type of drug - Location of incident
8
Have you ever used heroin, phencyclidine (PCP), or lysergic acid diethylamide (LSD)? If yes, please include the following details in the box below. If you have not used heroin, phencyclidine (PCP), or lysergic acid diethylamide (LSD), type N/A in the box below.
- Date - Type of narcotic - Last date of usage
9
Have you used any controlled dangerous substances (including marijuana) in the last 3 years? If yes, please include the following details in the box below. If you have not used any controlled dangerous substances, including marijuana, in the last 3 years, type N/A in the box below.
- Date - Type of controlled dangerous substances (including marijuana) - Last date of usage
10
Have you used any controlled dangerous substances more than 4 times and after the age of 21 (not including marijuana)? If yes, please include the following details in the box below. If you have not used any controlled dangerous substances more than 4 times after the age of 21, type N/A in the box below.
- Date - Type of controlled dangerous substances (not including marijuana) - Last date of usage
11
Have you used marijuana for any purpose within the last 12 months? If yes, please include the following details in the box below. If you have not used marijuana within the last 12 months, type N/A in the box below.
- Date - Last date of usage - Number of times used
12
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? If yes, please include the following details in the box below. If you have not used a controlled dangerous substance, narcotic drug, or marijuana while employed to enforce federal, state, or local law by any government entity, type N/A in the box below.
- Date - Type of controlled dangerous substance or narcotic (including marijuana) - Last date of usage
13
Please list contact information (name, phone number and/or e-mail address) for 3-5 personal references.
14
Please list contact information (name, phone number and/or e-mail address) for 1-2 professional references.
Department of Budget and Management