offical seal
Human Resources Department
#17-513030-01
Supplemental Questionnaire

Last Name First Name
 
1.

I possess the following professional peace officer certificates issued by the Commission on POST (please check all that apply):
Basic
Intermediate
Advanced
Supervisory
Management
Executive
I do not possess any of the above professional peace officer certificates
2.

Please indicate your P.O.S.T. certificate number. If you do not possess a P.O.S.T. certificate, please state "N/A"