Midpeninsula Regional Open Space District: Ranger Recruit/Ranger (20714846) 1. I understand that the Ranger Recruit/Ranger qualifying process requires completion of a pre-employment background investigation including but not limited to: personal, work & credit history; education, and fingerprinting & conviction record. Upon receiving a conditional offer of employment, a psychological evaluation & pre-employment medical examination with drug testing is required. Any falsification of information I provide or any failure to meet required standards will result in disqualification from the selection process. Yes No 2. I have reviewed the POST website (Background/Hiring section) at www.post.ca.gov/forms.aspx. and understand that I will need to complete Form 2-251 Peace Officer Personal History Statement (27 pages) in the event I am notified by Midpen that I am advancing to the background process, along with supporting documentation related to, but not limited to: personal, work & credit history, education and fingerprint & conviction record. If selected to advance in the process, I agree to be responsible to obtain all of the required documentation to complete the Personal History Statement by Wednesday, June 17, 2026 and will be available to attend an in-person meeting with the background investigator on Friday, June 19, 2026. Yes No 3. I further understand some of the potential reasons for disqualification from the selection process include: o Conviction of a felony, sex crime, or larceny o Involvement in a crime, the nature of which would impair my credibility or cause embarrassment to the Open Space District o Use of illegal drugs either recently or extensively o Failure to disclose prior drug use (excluding the use of cannabis off the job and away from the workplace) o Failure to possess a valid Class C driver’s license with a satisfactory driving record o Poor employment record o Falsification of any required application or report o Failure to have a high school diploma, G.E.D. or equivalent o Inability to meet physical or psychological standards o Failure to fully cooperate with the background investigation Yes No 4. I certify that I possess the following qualifications required by the Open Space District to be appointed as a Peace Officer in the capacity of Ranger: •High School Diploma, G.E.D. or equivalent •Legal authorization to work in the United States under federal law •Possession of a valid Driver's License (and the ability to obtain a California Driver's License) and a satisfactory driving record •Age 18 by date of appointment •Physical capacity to meet standards established by the Open Space District •Visual acuity to judge distances of 20 feet or more & ability to distinguish color Yes No
