| (1) |
Are you at least 20 years of age? |
Yes No |
| (2) |
Do you have a high school diploma or G.E.D equivalency diploma? |
Yes No |
| (3) |
Are you an American citizen?
(You may still be able to apply) |
Yes No |
| (4) |
Do you have a valid drivers license? |
Yes No |
| (5) |
Have you ever been convicted of, pled guilty, or nolo contendere to any felony as an adult (21 years of age)?. |
Yes No |
| (6) |
Have you ever been convicted of, pled guilty, or nolo contendere to any misdemeanor involving any crimes against person or sexual offenses as an adult (21 years of age)? |
Yes No |
| (7) |
Have you ever been convicted of, pled guilty, or nolo contendere to any offense involving violations of the civil rights of any person under the Constitution or laws of the United States or any state or territory as an adult (21 years of age)? |
Yes No |
| (8) |
Have you ever used or possessed illegal drugs other than marijuana? |
Yes No |
| (9) |
Have you used marijuana within three years prior to application? |
Yes No |
| (10) |
Have you ever been dishonorably discharged from any military service and/or arrested for any violations of the Uniform Code of Military Justice which would Constitute a felony or disqualifying misdemeanor in the State of Louisiana? |
Yes No |
| (11) |
Have you ever been terminated or forced to resign from any law enforcement agency for disciplinary reasons; resigned a position within a law enforcement agency to avoid potential or proposed adverse disciplinary action or termination; or received a disability retirement from any law enforcement agency? |
Yes No |
| (12) |
Have you ever established a verifiable law enforcement employment record of
(a) any brutality or excessive use of force complaint sustained by any law enforcement agency or adjudicated by the Justice Department as a violation of Civil Rights Laws or
(b) six or more circumstances of sustained disciplinary action (letters of reprimand, written disciplinary citations, or suspensions, etc.) for any violation. |
Yes No |
| (13) |
Have you exhibited an unacceptable driving record within five years of application, as evidenced by
(a) three or more negligent collisions
(b) suspension for moving violations
(c) revocation, or operating after suspension/revocation of driving licenses or
(d) DWI or DUI convictions. |
Yes No |