Police Officer Applicant Background Questionnaire - Sierra Vista Police Department Page 4
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24Arizona Peace Officer Standards and
Training Board
STATEMENT OF PERSONAL HISTORY AND
APPLICATION FOR CERTIFICATION
I.
TO THE APPLICANT
Certification by the Arizona Peace Officer Standards and Training Board is required by state law,
A.R.S.
§41-1823.B, prior to a
person being authorized to act in the capacity of a peace
officer.
To be considered for certification under the rules of AZ POST, you
must complete this application and RETURN IT TO THE DEPARTMENT TO WHICH YOU ARE
APPLYING.
A FALSE OR MISLEADING STATEMENT ON THIS FORM IS A CRIME UNDER A.R.S. §§ 13-2704, 13-2907.01 AND 39-
II.
161 AND IS CAUSE TO DENY OR REVOKE PEACE OFFICER CERTIFICATION.
The existence of any of the following conditions may result in rejection from the selection process. These areas will be explored
extensively during a background investigation including a polygraph examination:
a.
Illegal drug use,
b.
Participation in criminal activity or behavior,
c.
Poor driving record,
d.
Dishonesty/providing false information.
Ill.
PUBLIC DISCLOSURE OF INFORMATION
Your Social Security Number is required by
A.R.S.
§25-320 and is requested for identification and record keeping purposes. AZ
POST does not disclose Social Security Numbers in response to public record requests.
IV.
INSTRUCTIONS
Read every question
carefully.
Answer every question. If the question does not apply to you, write "DNA" in the answer space.
Do not leave blank answer spaces. Please print
clearly.
When using the Continuation Sheet, please note the question number
you are referring to. Applications that are incomplete or cannot be read will not be
accepted.
V.
PEACE OFFICER CODE OF ETHICS
I
will exercise self-restraint and be constantly mindful of the welfare of
others.
I will be exemplary in obeying the laws of the land
and loyal to the state of Arizona and my agency and its objectives and regulations. Whatever I see or hear of a confidential nature
or that is confided to me in my official capacity will be kept secure unless revelation is necessary in the performance of my
duty.
I
will never take selfish advantage of my position and will not allow my personal feelings, animosities or friendships to influence my
actions or
decisions.
I will exercise the authority of my office to the best of my ability, with courtesy and vigilance, and without favor,
malice, ill will, or
compromise.
I am a servant of the people and I recognize my position as a symbol of public
faith.
I accept it as a
public trust to be held so long as I am true to the law and serve the people of
Arizona.
CERTIFICATION:
I hereby certify that I have read the above Code of Ethics and agree to abide by it.
SIGNATURE OF APPLICANT:
DATE:
AZ POST Form PH (Sept. 2015) Page 1 of 10
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