Official SealHuman Resource Services Department

Supplemental Questionnaire

Last Name
First Name


Thank you for your interest in the position of Deputy Sheriff I (POST Academy Graduate), Examination #20-8602-01.  Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to further verify minimum qualifications.  Failure to answer these questions truthfully may result in disqualification from the examination process.


Do you certify that you meet at least one of the following criteria below?

  1. You have graduated from a California POST-certified Basic Academy within the last three years (3).
  2. You have graduated from a California POST-certified Basic Academy in excess of three years (3) ago but have either separated from another law enforcement office in the last three years (3) or you have taken the POST renewal course and have a current POST certificate.
  3. You are currently enrolled in Alameda County Sheriff's Office Recruit Training Academy.
Yes No

Please provide the name, city, dates attended, and date of completion of your academy.  If you renewed your POST certificate, please provide that information as well.


Are you 21 years of age or older?

Yes No

Do you possess a valid California Driver's License?

Yes No

Are you a citizen of the United States?  If not, have you applied for citizenship at least one year prior to this application?

Yes No

Please check the box to the left if you agree with the following statements below.

As stated in the examination bulletin, the following are special requirements:

Federal law and County policy requires that certain positions in the class of Deputy Sheriff I, which require a commercial driver's license and the performance of duties defined as "safety sensitive," are subject to post-offer/pre-placement/pre-duty, reasonable suspicion, post-accident, random, return-to-duty, and follow-up drug and alcohol testing.  A Computer Voice Stress Analyzer exam will be included in the process to assess candidates' responses in the areas of drug use, driving history, honesty, racial discrimination, and sexual harassment.  Any felony conviction will result in disqualification.

CERTIFICATION OF APPLICANT:  I hearby certify that I am the author of this questionnaire and that all information presented is true and based on my background, skills, and experience.  I agree and understand that misstatements or omissions of material facts herein may forfeit my rights to any employment in the service of the County of Alameda


Questions #7 through #9 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?


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

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

Been civilly or administratively adjudicated to have engaged in the activity described in question #8?

Yes No