Police Officer Supplemental Questionnaire

Police work, while highly regarding, is subject to serious stresses and adverse situations that may make it an unacceptable career choice for many people. Please read the items listed below and carefully consider them before submitting your application. As a Police officer you may:
Have to kill someone.
Work daily with angry, disrespectful, manipulative and unpleasant people.
Deal with people who are of ethnic, religious, moral, and/or educational background far different from your own.
Spend your career working shift schedules that differ completely from that of your family and friends.
Be faced with temptations to bend or break the law.
Be hurt by people with whom you come in contact.
Be held to a higher standard of conduct by the public.
Be subjected to stresses and situations that your family and friends will not understand.
Be put in situations that require you to make serious decisions with little or no time for thought.
Find yourself unable to socialize with some friends or family members because of their activities.
Find that some people scorn or dislike you for your career choice.
Be in assignments that make you unable to go into public places with your family or friends.
Be subject to extra, overtime, or on-call work that means canceling personal plans.
Work on holidays, weekends, nights or other times you may be used to having for personal time.
Be subject to having the public second guess your decisions long after you have made them.
I hereby certify that my information provided in this supplemental questionnaire is true and correct to the best of my knowledge. I understand that any misrepresentation or falsification of information may result in my failure to receive an offer of employment, or if I am hired, may result in discharge from employment. I agree that any of the statement I have made herein may be verified by the City of Chowchilla.

1. How did you hear of this job opening?

2. Why did you choose to apply for this position?

3. Do you carry auto insurance, or the legal equivalent, on all vehicles that you own?

Yes

4. Have you ever been convicted of a felony?

Yes

5. Have you ever committed a serious theft as an adult?

Yes

6. Have you had any driving-related convictions in the last five years.

Yes

7. If answered yes from previous question - How Many?

8. Have you ever been rejected as a job applicant because of issues raised in a background or polygraph examination?

Yes

9. Have you ever had a government subsidized educational loan that became delinquent?

Yes

10. In the past five years, have you had any of the following financial problems:

Bankruptcy

Referred to a collection agency

Had property repossessed for non-payment

Had your wages garnisheed or attached

11. Have you ever failed to complete any term of military enlistment?

Yes

12. Have you used illegal drugs in the past five years?

Yes

13. Have you ever slapped, punched, hit, kicked or otherwise injured a spouse or romantic partner?

Yes

14. Have you ever been a member of, or supported financially or otherwise, any organization which advocates, advises or supports the use of force or other unlawful means to deny other persons their rights under the Constitution of the United States?

Yes

15. Are you currently delinquent with any child support payments, or have you ever failed to make child support payments that you were legally required to make?

Yes

16. Have you ever committed a sexual crime, including rape, molesting a child, self-exposure, obscene phone calls, or of being a peeping tom?

Yes

17. Have you ever unlawfully caused harm to another person?

Yes

18. Have you ever committed a burglary?

Yes

19. In the past three years, have you driven a motor vehicle under the influence of alcohol?

Yes

20. Have you been on court probation as an adult?

Yes

21. As an adult, have you ever stolen items valued more than $25 from an employer or business?

Yes

22. Have you ever left the scene of an accident in which you were involved without providing the required information to the other party?

Yes

23. Have you ever resigned from a job to avoid being fired?

Yes

24. In the past year, have you ever called in sick to work when you really weren't?

Yes