Supplemental Questionnaire

	Human Resources Department

	#21-513010-01
	Supplemental Questionnaire


Last Name	First Name

I certify that I have read and understand the information provided in the Special Requirements section regarding the Peace Officer Standard & Training (POST) Background Investigation.

Yes No

Have you completed the California Board of State and Community Corrections Adult Corrections Officer Core Course?

Yes No

If yes, will you submit a copy of the certificate for this application?

Yes No