Police Officer Applicant Background Questionnaire - Sierra Vista Police Department Page 17
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249.
Have you been employed by, or served as a volunteer with the Sierra Vista Police
Department or any other law enforcement agency?
Date
Position(s)
Reason for Separation (if appropriate)
10. List three of your present neighbors, and landlord if you have one. If you have just
recently moved, list your most immediate past neighbors. Include both home and
work telephone numbers.
Date
Date
Check
Full Name
Complete Address
Home Phone
From
To
One
W:
Neighbor
H:
Landlord
W:
Neighbor
H:
Landlord
W:
Neighbor
H:
Landlord
W:
Neighbor
H:
Landlord
11. You’ve already listed your addresses for the past five years. List any additional
addresses you have resided at going back a full fifteen years. There is no need to list
any address you have already listed. Time frame is best recollection of month/year
moved in and month/year moved out.
Address
City
State
Time Frame
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