Answer all questions truthfully. Applicants are reminded that all information will be investigated and verified through a background investigation and polygraph examination. Any statements or omissions, whether written or verbal, that are given by an applicant with the intent to deceive will result in rejection from further consideration for employment.
1
Will you be at least age 20 1/2 by January 31, 2018?
Yes
No
2
Are you currently a citizen of the United States?
Yes
No
3
Have you ever formally renounced your United States citizenship?
Yes
No
4
Did you successfully complete a high school education or equivalent?
Yes, I possess a High School diploma.
Yes, I possess a General Equivalency Diploma (GED).
No, I did not successfully complete a high school education or equivalent.
5
Do you possess a valid driver's license?
Yes
No
6
Have you ever been discharged from the United States Armed Forces under dishonorable conditions?
Yes
No
7
Have you ever been convicted in any court of a crime punishable by imprisonment for a term exceeding one year?
Yes
No
8
Have you ever been convicted of a felony?
Yes
No
9
Have you ever been convicted of a crime of domestic violence?
Yes
No
10
Are you currently the subject of a court order that restrains you from harassing, stalking, or threatening an intimate partner or child of such intimate partner?
Yes
No
11
Have you ever been convicted or otherwise found guilty of selling, manufacturing, or distributing a controlled dangerous substance, narcotic drug, or marijuana?
Yes
No
12
Have you ever illegally sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana?
Yes
No
13
Have you ever illegally used a controlled dangerous substance, narcotic drug, or marijuana while employed to enforce federal, State, or local law by any government entity?
Yes
No
14
Have you ever used Heroin, Phencyclodine (PCP), or Lysergic acid diethylamide (LSD)?
Yes
No
15
Other than heroin, PCP, LSD, or marijuana, have you ever illegally used any controlled dangerous substance or narcotic drug, or any combination of controlled dangerous substances or narcotic drugs a total of five or more times, or anytime since your 21st birthday?
Yes
No
16
Have you used marijuana within the last 36 months?
Yes
No
17
If you are or were previously a certified police officer in Maryland, have you ever illegally used, ingested, possessed, sold, produced, cultivated, distributed, or transported a controlled dangerous substance, narcotic drug, or marijuana on or after the date of your initial certification as a police officer?
Yes
No
Not Applicable
18
If you are currently or have ever been certified by the Maryland Police Correctional Training Commission as a Police Officer, please provide your certification number and expiration date below. (If this does not apply to you, write N/A.)
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