P.O.S.T.PeaceOfficerPersonalHistoryStatement.docVIP

Instructions to the Applicant The information you provide in this Personal History Statement will be used in the background investigation to assist in determining your suitability for the position of California Peace Officer, in accordance with POST Commission Regulation 1953. ( It is your responsibility to complete this form and provide all required information. ( If you are filling out a printed copy of this form, neatly print in blue or black ink. ( You must respond to all items and questions. If a question does not apply to you, write “N/A” (not applicable) in the space provided for your response. ( If you need more space for any response, use the last page of this form (page 27) and identify the additional information by the question number. ( Send the completed form to your background investigator or the agency to which you are applying. Do NOT send the form to POST. Disqualification There are very few automatic bases for rejection. Even issues of prior misconduct, such as prior illegal drug use, driving under the influence, theft, or even arrest or conviction are usually not, in and of themselves, automatically disqualifying. However, deliberate misstatements or omissions can and often will result in your application being rejected, regardless of the nature or reason for the misstatements/omissions. In fact, the number one reason individuals “fail” background investigations is because they deliberately withhold or misrepresent job-relevant information from their prospective employer. BOTTOM LINE: You are responsible for providing complete, accurate, and truthful responses. Disclosure of Medically-Related Information In accordance with the U.S. Americans with Disabilities Act, the Genetic Information Nondiscrimination Act (GINA), and the California Fair Employment and Housing Act, applicants are not expected or required to reveal any medical or other disability-related information about themselves or their family members in response to questions on th