....and which ones would you react to? 1. Is the above name your true legal name? 2. Have you ever used any other name? 3. How many times have you been married? 4. What us your true date of birth? 5. Do you have a legal right to work in this country? 6. Are you skilled or trained in any field in which you could make more money than this job pays? 7. If offered this position, will you accept it? 8. If you accept this position, will you stay with this agency for at least 2 years? 9. Have you had any conflicts with your family because you want this job? 10. Have you ever before been asked to take a polygraph examination? 11. Have you ever failed a polygraph examination? 12. Have you placed any false information on your employment application or personal history background forms? 13. Have you omitted any information requested on your employment application or personal background forms? 14. When you left high school did you receive a graduation diploma? 15. Have you completed a law enforcement academy? 16. Have you ever failed or dropped out of a law enforcement academy? 17. Would you have any reason to be concerned about an investigation into your past work record? 18. Were you ever fired from a job? 19. Were you ever asked to resign from a job? 20. Did you ever leave a job to avoid being fired? 21. Have you ever left a job without giving proper notice? 22. Have you ever been accused of misconduct at a place of employment? 23. Have you shown the true and complete reasons for leaving each of your previous jobs? 24. Did you ever leave any job with hard feelings toward the management or coworkers? 25. Do you think you could return to work for all your former employers? 26. In the past year, how many times have you been late to work? 27. Have you ever received a written or verbal reprimand? 28. In the past year, how many unauthorized days of work have you missed? 29. Have you ever worked at any law enforcement agency in any capacity? 30. Have you ever before applied at any law enforcement agency for any type of job? 31. Have you ever been rejected by any law enforcement agency for any type of job? 32. Were you turned down as unacceptable by the military or draft board? 33. Are you currently registered for the draft? 34. Have you ever served in any branch of the Armed Forces? 35.Would you have any reason to be concerned about an investigation into your arrest record? 36. As a juvenile or adult, have you ever been arrested? 37. Have you ever been held, detained, questioned, or taken into custody for any reason? 38. Have you ever had a warrant issued for your arrest? 39. Are you now wanted for any reason by any law enforcement agency? 40. Have you ever been a suspect in any criminal investigation? 41. Have you ever been charged with a crime? 42. Have you ever been present when anyone else committed a crime? 43. Other than minor traffic matters, have you ever been fined by a court? 44. Have you spent any time, either as a juvenile or an adult, locked up in a jail? 45. Have you ever falsified an income tax form? 46. Have you ever falsified an insurance claim? 47. Have you ever collected unemployment or welfare benefits when you were not entitled to it 48. Have you ever stolen a motor vehicle? 49. Have you ever shoplifted anything from a store? 50. Have you ever been sent to jail over anything involving a motor vehicle? 51. Have you ever deliberately damaged or destroyed any property or committed an act of malicious mischief? 52. Other than from an employer have you ever stolen anything? 53. Have you committed any serious undetected crime? 54. Have you ever made serious plans to commit: A. Burglary, B. Rape, C. Robbery, D. Murder, E. Arson, F. Theft 55. Have you within the past 5 years done anything at all that you could have been arrested for doing? 56. Would you have any reason to be concerned about an investigation into your moral background? 57. Have you committed any type of sexual crime? 58. Since you were 18 years old, have you thought about committing some type of sexual crime? 59. Have you ever paid for sex? 60. Have you ever received payment for sex? 61. Have you ever sexually molested a child? 62. Have you ever committed a sexual act in public or an act of indecent exposure? 63. Would you have any reason to be concerned about an investigation of any illegal drug use by you? 64. Have you ever smoked marijuana in your life? 65. Have you ever used: A. cocaine, B. LSD, C. PCP, D. Magic mushrooms, E. Hash, F. Meth, G. Uppers, H. Downers, I. Any illegal drugs? 66. Have you ever worked under the influence of illegal drugs? 67. Have you ever ingested a substance you thought was an illegal drug and then found out it wasn’t?68. Have you ever illegally misused or abused any prescription? 69. Of your own knowledge, do your present circle of friends and acquaintances use any type of illegal narcotics, pills or drugs? 70. Within the past 3 years, have you been in the presence of anyone else using illegal drugs? 71. Have you ever illegally purchased any type of narcotic, pill, or drug? 72. Have you ever sold any type of illegal narctoics, pill, or drug? 73. Have you ever cultivated marijuana? 74. Have you ever been involved in the manufacture of any drug? 75. Have you ever been the "middle man" for a drug deal? 76. Has anyone other than a medical person injected anything into your body? 77. Do you object to others using narcotics? 78. If employed as a peace officer, would you arrest a friend, if you came upon that friend using narcotics or any drugs? 79. Would you have any reason to be concerned about an investigation concerning your honesty? 80. Have you ever stolen any money from a place where you worked? 81. Have you ever borrowed money from an employer and not paid it back? 82. Have you ever embezzled any money from an employer? 83. Have you ever stolen any merchandise or property by false representation? 84. Have you ever taken any property that didn’t belong to you from a place where you worked?85. What is your total indebtedness? 86. Could you successfully manage your financial affairs on the salary this job offers? 87. Have you ever had a debt turned over to a collection agency? 88. Have you ever been late in paying rent? 89. Has your salary ever been garnished? 90. Have you ever had purchased goods repossessed? 91. Have you ever filed bankruptcy? 92. Have you ever avoided paying any lawful debt by moving away? 93. Have you ever been late paying your taxes? 94. Have you ever failed to support any child of yours? 95. Have you ever been late in making child support payments? 96. Have you ever been late in repaying a student loan? 97. Have you ever had a check "bounce"? 98. Have you ever borrowed money to gamble with? 99. Have you ever borrowed money to pay a gambling debt? 100. Do you feel you now have a problem with gambling? 101. Have you ever been the plaintiff or defendant in any civil court action? 102. Do you presently have any civil actions pending in court? 103. Have you had any judgments filed against you? 104. Have you ever been arrested or convicted for any alcohol related crimes? 105. Have you ever worked under the influence of alcohol in violation of company policy? 106. Would you have any reason to be concerned about an investigation into your driving habits? 107. How many traffic citations have you received in your life? 108. Have you ever had a ticket go to warrant? 109. Have you ever had a traffic citation that did not show on your DMV printout? 110. Have you ever been the driver in any traffic accident? 111. Has your driver’s license ever been suspended or revoked?112. Has your auto insurance been placed in the assigned risk pool? 113. Has your auto insurance ever been canceled for cause? 114. Do you now have auto insurance as required by the State? 115. Since being licensed to drive, has there ever been a time when you did not have insurance as required by law? 116. Have you ever caused anyone serious injury by your operation of a motor vehicle? 117.Have you ever caused the death of anyone by your operation of a motor vehicle? 118. Have you ever fled the scene of a hit and run accident? 119. Have you ever driven a motor vehicle while under the influence of: A) Some type of drug? B) Alcohol? C) Combination of above? 120. In the past month have you driven a motor vehicle while under the influence of A) Some type of drug? B) Alcohol C) Combination of above? 121. Have you ever been arrested for driving while under the influence of alcohol or drugs? 122. Would you have any reason to be concerned about an investigation into your personal background? 123. In the past year, have you been in any fight? If so, did you start it? 124. Have you ever struck or injured any person? 125. Have you ever struck someone you were living with? 126. Other than in warfare, have you ever caused serious injury to a human being? 127. Other than in warfare, have you ever been involved in a shooting, knifing or fight, where someone was killed or seriously injured? 128. Other than in warfare, have you ever used any weapon against someone? 129. Other than in warfare, have you ever caused the death of a human being? 130. If it became necessary in the course of your duties to take a human life, would you have any reluctance to do so because of religious or other beliefs? 131. Do you frequently lose your temper? 132. Are you afraid of physical combat? 133. Have you ever fired a firearm? 134. Are you afraid of firearms? 135. Have you ever applied for a permit to carry a concealed weapon? 136. If employed here, would you fear physical resistance by someone you might arrest? 137. Do you feel you can take orders from your superior officers without resentment? 138. Do you have any prejudices relating to race, religion, gender, national origin, or ethnic background? 139. Do you feel your prejudices might affect your ability to perform this job? 140. Have you ever maliciously burned any property? 141. Have you ever turned in a false fire alarm? 142. Have you ever made an obscene or threatening phone call? 143. Have you ever in your entire lifetime done anything at all that you are ashamed of? 144. Is there some undisclosed reason why you want to be a peace officer? 145. Do you know of any reason why you should not be hired by this department for the position you have applied? 146. Is there anything at all in your background that you have not been asked about that might eliminate you from consideration for this job if it were found out? 147. Can you say in complete honesty that you have answered each of these questions truthfully?
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