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Placer County Human Resources Department
Deputy Probation Officer I - Institution

Supplemental Questionnaire

Last Name First Name


Deputy Probation Officer I - Institution
Supplemental Questionnaire


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.


Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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Be sure to select the "Submit" button once the application has been completed.  You will receive confirmation that the application has been submitted.  

A notice of your status will be sent to you.