Official SealHuman Resource Services Department


#20-8604-01
Supplemental Questionnaire

Last Name
First Name

 

Thank you for your interest in the position of Deputy Sheriff II (Lateral), Examination #20-8604-01.  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.


1.

Do you have the minimum of 36 months full-time experience as a Peace Officer in a California law enforcement agency (municipality, Sheriff, Highway Patrol) with a separation date within 12 months of the application date?

Yes No
2.

Have you successfully completed a certified POST-approved Basic Academy?

Yes No
3.

If you answered "yes" to question #2, please provide the name of the academy and dates of attendance.

4.

Have you attained a POST Basic Law Enforcement certificate?

Yes No
5.

If your POST certificate has  been renewed, please provide the renewal date.

6.

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

As stated on the examination bulletin, the following are special requirements:  Federal law and County policy requires that certain positions in the class of Deputy Sheriff II, which require a commercial driver's license and the performance of duties as 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 thorough background investigation will be made of all prospective Deputy Sheriffs.  A record of 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 omission of material facts herein may forfeit my rights to any employments in the service of the County of Alameda.


 

Questions #7 through #9 are required in accordance within the Federal Prison Rape Elimination Act (PREA) of 2003, Standard 115.17/115.117/115.217/115.317.

Have you ever:


7.

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
8.

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
9.

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

Yes No

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