Personal Police History Form PDF Details

Embarking on a career in law enforcement requires a comprehensive vetting process to ensure the suitability and integrity of candidates. The Personal Police History form, meticulously designed by the San Diego Police Department, serves as a crucial component in this intricate procedure. Tasked with the mission of gathering detailed personal, educational, and employment histories, this form stands as a testament to the department's commitment to upholding the highest standards of public trust and safety. Applicants are urged to provide thorough and accurate information, spanning from basic personal details, citizenship status, and educational achievements to exhaustive employment records over the last twenty years, including any periods of unemployment. Significant emphasis is placed on the completeness and accuracy of the data provided, with instructions for detailing residences, contact information, academic credentials, and comprehensive employment histories, including reasons for leaving previous jobs. This rigorous declaration not only aids in the transparent evaluation of an applicant's qualifications and character but also underscores the critical importance of integrity and accountability in prospective police officers. The form also accommodates alternative formats upon request, ensuring inclusivity and accessibility, and showcases the police department's dedication to a meticulous, inclusive recruitment process.

QuestionAnswer
Form NamePersonal Police History Form
Form Length29 pages
Fillable?No
Fillable fields0
Avg. time to fill out7 min 15 sec
Other namesphs personal history sample, personal san history template, personal police history get, san diego personal history

Form Preview Example

SAN DIEGO POLICE DEPARTMENT

Personal History Statement

IT IS IMPORTANT THAT YOU ANSWER EVERY QUESTION. ALL PHONE NUMBERS AND ADDRESSES MUST BE COMPLETE AND ACCURATE. IF THE QUESTION IS NOT APPLICABLE, PLEASE SPECIFY WITH N/A

Application

THIS DOCUMENT IS FOR THE EXCLUSIVE USE OF THE BACKGROUND INVESTIGATIONS UNIT.

Today’s Date

Position Applied for:

 

Police Recruit

POI

POII

Reserve

CSO

 

 

 

 

 

 

 

 

 

1. Have you ever applied to the San Diego Police Department before?

Yes

No

Date of written test for Police Recruit or Reserve

 

 

 

 

If yes, did you submit a Personal History Statement?

Yes

No

If yes, see below

 

 

 

 

2. List the date you last applied to the San Diego Police Department:

Personal

3. Please PRINT clearly or type your full legal name

Last

First

Middle

Age

4. List your current address where you actually reside. (Not a mailing address)

Number & Street

City

State

Zip Code

 

 

 

 

Rent Own Parents Other

5. How long have you resided there?

Years:

 

Months:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of the County where you reside.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

List your residence phone and your

 

Residence (area code)

 

Work (area code)

 

 

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

work number (include area codes)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List a mailing address if unable to obtain mail at your residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

City

 

 

State

 

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

You must be a citizen of the United States or a permanent resident alien who is eligible for and

 

 

 

 

 

Birthdate

 

has applied for citizenship. Can you provide documentation for one or the other?

Yes

No

 

 

 

 

 

 

 

8.

Place of Birth:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

In accordance with the Federal Privacy Act of 1974, disclosure of your Social Security Number is

 

 

Social Security Number

 

 

 

 

 

 

 

 

voluntary. The SSN will be used for identification purposes to ensure proper records are obtained.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

For the purposes of identification, please provide the following:

 

 

 

 

 

 

 

 

 

 

 

Sex

 

Height

 

 

Weight

 

 

 

 

Hair

 

 

 

Eyes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

List and describe all tattoos: (Indicate where they are located)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

List all names, aliases, nicknames you have used or have been known by (include maiden name).

 

 

 

 

 

 

Last

 

 

 

First

 

 

 

Middle

 

 

Year(s) used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PD-923-Bl (Rev. 5-08)

This information is available in alternative formats upon request

Page 1 of 29

Printed on Recycled Paper

Education

IT IS IMPORTANT THAT YOU ANSWER EVERY QUESTION. ALL PHONE NUMBERS AND ADDRESSES MUST BE COMPLETE AND ACCURATE. IF THE QUESTION IS NOT APPLICABLE, PLEASE SPECIFY WITH N/A

Personal History Statement

Print your name

13.The Commission on Peace Officer Standards and Training requires a peace officer to possess a U.S. high school diploma or its equivalent. Please indicate your current status with this requirement. Check all boxes that apply.

I possess a high school diploma from a U.S. institution.

I possess a two (2) year college degree from an accredited U.S. college

I possess a four (4) year degree from an accredited U.S. college or university.

I passed the G.E.D. text meeting the required scores.

I passed the California High School Proficiency Examination.

During the background investigation, persons who have known you in a learning environment will be contacted. A review of your school records may be made in conjunction with those contacts.

14. Name and address of U.S. high school graduated or last attended

From (Date)

To (Date)

15. Did you graduate?

Yes

No

16. Have you ever attended college?

Yes

No If yes, list all colleges and universities attended including post graduate work.

Name of college or university

City and State

Major

Date first Attended (mo & yr)

Date last Attended (mo & yr)

Total units

What type

actually

degree

earned

earned

 

 

17. Have you ever attended a trade, vocational or business school?

Yes

No If yes, please provide the following information.

Name of school (include city & state)

Type of school or training

Dates attended

Did you finish the course?

18.Have you ever been placed on academic probation or suspended, expelled from any high school, college, university or trade school?

Yes No If yes, explain on page 28.

Page 2 of 29

IT IS IMPORTANT THAT YOU ANSWER EVERY QUESTION. ALL PHONE

NUMBERS AND ADDRESSES MUST BE COMPLETE AND ACCURATE. IF

THE QUESTION IS NOT APPLICABLE, PLEASE SPECIFY WITH N/A

Personal History Statement

Experience and Employment

Print your name

19.Beginning with your most current employment please list EVERY job, including military service, you have held in the last twenty

(20) years. All time periods must be accounted for. Jobs include self-employed, part-time jobs, temporary work, voluntary work and internships. You must list all employment regardless of the length of employment. Addresses must be complete, current and accurate. zip codes are required. If you have had intervening periods of unemployment, please list those periods in sequence in the spaces specifically provided. Start with your most current employment.

Dates of employment

From

To

Month/Year

Month/Year

/

 

/

 

Full-time

Present

Part-time

 

 

Voluntary

 

 

How long employed there?

Name of employer and complete address, including zip codes

Job Title

Work Number and Area Code

Supervisor’s Name

Supervisor’s E-Mail

Salary

Describe your duties

Reason for leaving (you must be specific)

List a co-worker

Work or home phone

E-Mail

 

 

 

 

 

List another co-worker

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of employment

 

 

 

Name of employer and complete address, including zip codes

Work Number and Area Code

 

 

 

 

 

 

 

 

 

From

To

 

 

 

 

 

 

 

 

 

Month/Year

Month/Year

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

Supervisor’s Name

Full-time

Present

 

 

 

 

 

 

Part-time

 

 

 

 

 

 

 

 

 

 

Voluntary

 

 

 

 

 

 

 

 

Supervisor’s E-Mail

How long employed there?

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

Describe your duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving (you must be specific)

 

 

 

 

 

 

 

 

 

 

 

 

 

List a co-worker

 

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

List another co-worker

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 3 of 29

IT IS IMPORTANT THAT YOU ANSWER EVERY QUESTION. ALL PHONE NUMBERS AND ADDRESSES MUST BE COMPLETE AND ACCURATE. IF THE QUESTION IS NOT APPLICABLE, PLEASE SPECIFY WITH N/A

Personal History Statement

Experience and Employment

Continued

Print your name

Dates of employment

 

Name of employer and complete address, including zip codes

Work Number and Area Code

 

 

 

From

To

 

 

 

Month/Year

Month/Year

 

 

 

/

 

/

 

 

 

Supervisor’s Name

Full-time

Present

 

 

 

Part-time

 

 

 

 

 

Voluntary

 

 

 

 

Supervisor’s E-Mail

How long employed there?

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

Describe your duties

 

 

 

Reason for leaving (you must be specific)

List a co-worker

List another co-worker

 

Work or home phone

E-Mail

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of employment

 

 

 

Name of employer and complete address, including zip codes

Work Number and Area Code

 

 

 

 

 

 

 

 

 

 

 

 

From

To

 

 

 

 

 

 

 

 

 

 

 

Month/Year

Month/Year

 

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

 

Supervisor’s Name

 

Full-time

Present

 

 

 

 

 

 

 

 

Part-time

 

 

 

 

 

 

 

 

 

 

 

 

Voluntary

 

 

 

 

 

 

 

 

 

Supervisor’s E-Mail

 

How long employed there?

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe your duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving (you must be specific)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List a co-worker

 

 

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

List another co-worker

 

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of employment

 

 

 

Name of employer and complete address, including zip codes

Work Number and Area Code

 

From

To

 

 

 

 

 

 

 

 

 

 

 

Month/Year

Month/Year

 

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

 

Supervisor’s Name

 

Full-time

Present

 

 

 

 

 

 

 

 

Part-time

 

 

 

 

 

 

 

 

 

 

 

 

Voluntary

 

 

 

 

 

 

 

 

 

Supervisor’s E-Mail

 

How long employed there?

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe your duties

 

 

 

 

 

 

 

 

 

 

Reason for leaving (you must be specific)

List a co-worker

Work or home phone

E-Mail

List another co-worker

Work or home phone

E-Mail

 

Unemployed from:

 

to:

 

 

 

 

 

 

 

Page 4 of 29

IT IS IMPORTANT THAT YOU ANSWER EVERY QUESTION. ALL PHONE NUMBERS AND ADDRESSES MUST BE COMPLETE AND ACCURATE. IF THE QUESTION IS NOT APPLICABLE, PLEASE SPECIFY WITH N/A

Personal History Statement

Experience and Employment

Continued

Print your name

Dates of employment

 

Name of employer and complete address, including zip codes

Work Number and Area Code

From

To

 

 

 

Month/Year

Month/Year

 

 

 

/

 

/

 

 

 

Supervisor’s Name

Full-time

Present

 

 

 

Part-time

 

 

 

 

 

Voluntary

 

 

 

 

Supervisor’s E-Mail

How long employed there?

 

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

Describe your duties

 

 

 

Reason for leaving (you must be specific)

List a co-worker

List another co-worker

Work or home phone

E-Mail

Work or home phone

E-Mail

 

 

 

Unemployed from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of employment

Name of employer and complete address, including zip codes

Work Number and Area Code

 

 

From

To

 

 

 

 

 

 

 

Month/Year

Month/Year

 

 

 

 

 

 

 

/

 

/

 

 

 

 

 

Supervisor’s Name

 

 

Full-time

Present

 

 

 

 

 

 

 

Part-time

 

 

 

 

 

 

 

 

 

 

Voluntary

 

 

 

 

 

 

Supervisor’s E-Mail

 

 

How long employed there?

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

Describe your duties

 

 

 

 

 

 

Reason for leaving (you must be specific)

List a co-worker

List another co-worker

Work or home phone

E-Mail

Work or home phone

E-Mail

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of employment

 

 

 

Name of employer and complete address, including zip codes

Work Number and Area Code

 

From

To

 

 

 

 

 

 

 

 

 

 

Month/Year

Month/Year

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

Supervisor’s Name

 

Full-time

Present

 

 

 

 

 

 

 

Part-time

 

 

 

 

 

 

 

 

 

 

 

Voluntary

 

 

 

 

 

 

 

 

Supervisor’s E-Mail

 

How long employed there?

Job Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

Describe your duties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving (you must be specific)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List a co-worker

 

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

 

List another co-worker

 

 

 

 

 

 

Work or home phone

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployed

 

from:

 

to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 5 of 29

 

 

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