Official SealHuman Resource Services Department


#15-8601-01
Supplemental Questionnaire

Last Name
First Name

 

Thank you for your interest in the position for Deputy Sheriff Recruit, Exam #15-8601-01. The following supplemental questions are designed to verify your qualifications for this position. Failure to answer these questions truthfully may result in disqualification from the examination process.


1.

Did you graduate from high school in the United States?

Yes, I have graduated from high school in the United States.
No, I have not graduated from high school in the United States.
No, I have not graduated from high school in the United States but I have a qualifying GED.
2.

Are you 20 or more years of age?

Yes, I am 20 or more years of age.
No, I am not 20 or more years of age.
3.

Are you a citizen of the United States?

Yes, I am a citizen of the United States.
No, I am not a citizen of the United States.
No, I am not a citizen of the United States but I have filed for citizenship at least one year before applying for Deputy Sheriff Recruit.
4.

Do you possess a valid California Driver's License? (If yes, please insure this information is indicated on your application).

Yes No

 



The following questions (#5-7) are required in accordance with the Federal Prison Rape Elimination Act (PREA) of 2003, Standard 115.17/115.117/115.217/115.317. Have you ever:


5.

Engaged in sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or other institution (as defined in 42 U.S.C. 1997).

Yes No
6.

Been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse.

Yes No
7.

Been civilly or administratively adjudicated to have engaged in the activity described in question #6.

Yes No

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