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03/16/2026Click to Sign
N A_3
CELL_FAX
US_CITIZEN
NOT_A_US_CITIZEN
Deceased_Spouse
RESTRAINING_ORDER
Deceased_1
RESTRAINING_ORDER_2
PARENT/GUARDIAN REQUIRED
PARENT/GUARDIAN
DECEASED_3
PARENT/GUARDIAN_3
DECEASED_4
PARENT/GUARDIAN_4
DECEASED_5
PARENT/GUARDIAN_5
DECEASED_6
New Field
SIBLING_REQUIRED
SIBLING_2
SIBLING_3
SIBLING_4
N A
CHILD
CHILD_3
CHILD_4
CHILD_2
High School Diploma
GED
QTR SYSTEM
QTR_SYSTEM_2
QTR_SYSTEM_3
QTR_SYSTEM_4
COMPLETE_COURSE
COMPLETE_COURSE_2
POST_COURSE_1
POST_GRADUATE_1
POST_GRADUATE_2
TRADE_SCHOOL
EVICTED
OWING_RENT
FT
PT_1
Temp
Self employed
Volunteer_1
CONTACT_EMPLOYER
Period of Unemployment
Between jobs
FT_1
PT
Temp_1
Self employed_1
Volunteer
Student_1
Between jobs_1
Leave of absence_1
Travel_1
Other_3
FT
PT
Temp
Self employed
Volunteer
Student
Between jobs
Leave of absence
Travel
Other_3
FT_1
New Field
Temp_1
Self employed_1
Volunteer_1
Student_1
Between jobs_1
Leave of absence_2
Travel_1
Other_4
FT_2
PT_1
Temp_2
Self employed_2
Volunteer_2
Student_2
Between jobs_2
Leave of absence_1
Travel_2
Other_5
FT
PT
Temp
Self employed
Volunteer
Student
Between jobs
Leave of absence_2
Travel
Other_3
FT_1
PT_1
Temp_1
Self employed_1
Volunteer_1
Student_1
Between jobs_1
Leave of absence
Travel_1
Other_4
FT_2
PT_2
Temp_2
Self employed_2
Volunteer_2
Student_2
Between jobs_2
Leave of absence_1
Travel_2
Other_5
FT_1
PT
Temp_1
Self employed
Volunteer
Student
Between jobs
Leave of absence_1
Travel
Other_2
FT
PT_1
Temp
Self employed_1
Volunteer_1
Student_1
Between jobs_1
Leave of absence
Travel_1
Other_3
DISCIPLINE_WORK
PROBATION
ALTERCATION
QUIT
TERMINATION
DISCRIMINATION
LATENESS
PERFORMANCE_REVIEW
CONFIDENTIAL_INFO
SICK_DAY
DRUG_CONSUMPTION
DRUG_PERFORMANCE
WARNED_DRUGS
APPLIED_AGENCY
New Field
New Field
New Field
New Field
Written
Oral
Background
New Field
Hired
Still in Process
On Eligibility List
Withdrawn
Disqualified
New Field
New Field
Application
Written
Physical Ability
New Field
Background
Chief s Oral
Conditional Offer
New Field
Hired
Still in Process
On Eligibility List
New Field
List Expired
Application_3
Written_1
Physical Ability_1
Oral
Polygraph CVSA
Background_1
Chief s Oral_1
Conditional Offer_1
Hired_1
Still in Process_1
On Eligibility List_3
Withdrawn
Disqualified
List Expired_1
Application_1
Written_2
Physical Ability_2
Oral_1
Polygraph CVSA_1
Background_2
Chief s Oral_2
Conditional Offer_2
Hired_2
Still in Process_2
On Eligibility List_1
Withdrawn_1
Disqualified_1
List Expired_2
Application_2
Written_3
Physical Ability_3
Oral_2
Polygraph CVSA_2
Background_3
Chief s Oral_3
Conditional Offer_3
Still in Process_3
Hired_3
On Eligibility List_2
Withdrawn_2
Disqualified_2
List Expired_3
SELECTIVE_SERVICE
REGISTERED_SELECTIVE
SERVED_MILITARY
NO_1
Bad Conduct
NO_2
Entry Level
NO
General
Military Reserve
National Guard
JUDICIAL
SECURITY_CLEARANCE
MILITARY_PROPERTY
BANKRUPTCY
BILLS
GOODS_REPO
WAGES
DELINQUENT
INCOME_TAX
EMPLOYMENT_BOND
LAWFUL_DEBT
DEFAULTED
GAMBLING
GAMBLING_DEBT
ILLEGAL_DRUGS
LATE_COURT
BAD_CHECKS
DETAINED
COURT_PROBATION
JUVENILE_COURT
CIVIL_LAWSUIT
POLICE_CALLED
CHILD_SERVICES
STAY_AWAY
WELFARE
REPAY
WORKERS_COMP
ANIMAL_ABUSE
OBSCENE
ASSAULT
WEAPON
WITHOUT_PERMIT
MINOR
INNKEEPER
DRINKING
DRUNK_IN_PUBLIC
POLICE_REPORT
HIT
ILLEGAL_GAMBLING
ILLEGAL_HUNTING
PEACE_OFFICER
INDECENT_EXPOSURE
BAD_CHECK_2
JOYRIDING_1
PEEPING
PETTY_THEFT
POSSESSION_ALCOHOL
FALSE_ID
STOLEN_PROPERTY
PROSTITUTION
RECKLESS_DRIVING
RESISTING_ARREST
TRESPASSING
VANDALISM
MISDEMEANOR
ARSON
ASSAULT
BLACKMAIL
BURGLARY
71.5
ELDER_ABUSE
EMBEZZLEMENT
FELONY_DRUNK
RAPE
FORGERY
FRAUDULENT
GRAND_THEFT
HIT_AND_RUN
HATE_CRIME
ILLEGAL_ACTS
INSURANCE_FRAUD
MURDER
PERJURY
EXPLOSIVE
ROBBERY
STALKING
THEFT_VEHICLE
VIEWING_CHILD
FELONY_ACT
72.1 Cannabis
72.2 Heroin
72.3 Cocaine
72.4 LSD
72.5 PCP
Never Used any Drug Recreationally?
72.6 Psilo
72.7 Methaqualone
72.8 Hydromorphone
72.9 Diazepam
72.10 Oxy
72.11 Rohypnol
72.12 Ketamine
72.13 MDMA
72.14 GHB
72.15 Barbituates
72.16 Amphetamine/Methamphetamine
72.17 Miscellaneous
72.18 Designer
72.19 Steroids
72.20 Antihistamine
72.21 Any Other
DRUG_ACTIVITIES
PAST_ONE_YEAR
78. Refused License by Any State
LICENSE_REVOKED
LIABILITY_INSURANCE
TRAFFIC_VIOLATION
TRAFFIC_VIOLATION_1
TRAFFIC_VIOLATION_@
TRAFFIC_VIOLATION_3
TRAFFIC_VIOLATION_4
TRAFFIC_VIOLATION_5
TRAFFIC_VIOLATION_6
Failed to Appear
Failed to Complete Traffic School
Failed to Pay the Required Fine
THREE_YEARS
POLICE_REPORT
AT_FAULT
INJURY_NON
POLICE_REPORT_2
AT_FAULT_2
INJURY_NON_2
POLICE_REPORT_3
AT_FAULT_3
INJURY_NON_3
POLICE_REPORT_4
AT_FAULT_4
INJURY_NON_4
POLICE_REPORT_5
AT_FAULT_5
INJURY_NON_5
84. Refused Liability Insurance?
STREET_GANG
TATTOOS
CONCEALED_WEAPON
MEMBER
GROUP
SPOUSE
AG_OF_15
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03/16/2026Click to Sign
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