Official SealHuman Resources


#190930-802000-001
Supplemental Questionnaire

Last Name
First Name

1

Above and beyond any other consideration, truthfulness is the most important factor in the employment process and in a law enforcement career.  Any indication that an applicant is not completely truthful, open, and candid on any application form, in the interviews, or in a phase of the application process, will result in immediate disqualification.

 

*The date of application should be used as the basis to answer the following questions, below.


2

Within the last twenty four (24) months, have you used marijuana in any forms?

Yes, within the last twenty four (24) months, I have used marijuana in any form.
No, within the last twenty four (24) months, I have NOT used marijuana in any form.
3

Within the last two (2) years, have you used any other illegal drugs? Please check all that apply. 

cocaine
crack
heroin
ecstasy
spice
amphetamines
barbiturates
steroids
ISD
PCP
THC
hashish
designer drugs
any other illegal drugs
None of the above - I have NEVER used ANY drugs