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Placer County Human Resources Department
Deputy Sheriff - I
#2016-16321-01


Supplemental Questionnaire

Last Name First Name
 

 

Deputy Sheriff - I

Supplemental Questionnaire


1.

Have you been convicted of a crime?

Yes No
 

Please note, conviction of a crime is not necessarily a bar to employment.  Each case is considered separately based upon specific job requirements. 

You must disclose all convictions, including reckless and drunk driving convictions, even if:

  • It happened a long time ago;
  • It was only a misdemeanor;
  • You didn’t have to go to court (your attorney went for you);
  • You had no jail time or the sentence was only a fine or probation;
  • You received a certificate of rehabilitation;
  • The conviction was later dismissed, set aside, or the sentence was suspended.

You may OMIT:   

  • Minor traffic violations;
  • Any offense committed prior to your 18th birthday which was formally adjudicated in a Juvenile Court or under a youth offender law;
  • Any incident sealed under Welfare & Institutions Code 781 or Penal Code 1203.45;
  • Any offenses committed under Health & Safety Codes 11357(b) or (c); 11360(c); 11364; 11365 or 11550 as related to marijuana prior to 1/1/1976 or any other conviction mentioned in Labor Code 432.8.

If YES, please state:  1) date, 2) charge, 3) place, 4) court, and 5) action taken in the space below.

2.

I have completed the California POST-Certified Regular Basic Course, and I have attached a copy of my valid completion certificate with my application materials.

Yes No
3.

I have not completed the California POST-Certified Regular Basic Course; however, I am currently enrolled in a Basic Academy/Module I course, I am expected to graduate within 6 months of my application submission date, and I have attached a verification of enrollment letter from my academy that states my enrollment date and expected graduation date.

Yes No
4.

I have taken the California POST Entry Level Law Enforcement Test Battery (PELLETB) exam within 6 months of my application submission date, and I am requesting to forward my T-score to this recruitment. I have attached my official score report notice (including agency name, exam name, exam date, and exam scores) to my application materials. I understand that different agencies use different cutoff scores for this exam, and my forwarded T-scores may place me in a different rank on the Placer County eligible list or may result in a non-passing score.

Yes No
5.

I have taken and passed the Placer County Deputy Sheriff physical agility exam within 6 months of my application submission date, and I am requesting to forward my score to this recruitment.

Yes No
6.

I have taken and passed an approved California POST Academy physical agility performance exam within 6 months of my application submission date, and I am requesting to forward my score to this recruitment. I have attached my official score report notice (including academy name, exam name, exam date, and exam scores) to my application materials.

Yes No
7.

I am willing to work nights, weekends, holidays, and other irregular work schedules as needed.

Yes No

 

   

 



 

Thank you for completing the supplemental portion of the application process. 

We encourage applicants to review their responses for accuracy prior to submitting. Please make sure that all required attachments are uploaded to your application before submission.

Click "Save & Continue" to move forward to the next tab in the application process. Be sure to click the "Submit" button once the application and supplemental questionnaire have been completed.