Personal Reference Questionnaire

(* Denotes Required Fields)

Information Requested

If a question does NOT APPLY, please type NA
How do you know the applicant? *
How long have you known the applicant? (Years & Months) *
Do you consider the applicant to be an honest person? *  

Please explain answer to the above question *
Has the applicant displayed any bias or prejudice towards others? *  

Please explain answer to the above question *
Do you know of the applicant engaging in any illegal activities?  

If Yes, to the above question, please explain. *
How would you describe the applicant's character: *  


Please explain answer to the above question *
How would you describe the applicant's reputation: 


Please explain answer to the above question *
Would you trust the applicant with your personal safety? *  

If No, to the above question, please explain. *
Can you think of any reason why the applicant might not be qualified to work in a law enforcement capacity? *  

Please explain answer to the above question *
If given the opportunity, would you hire the applicant? *  

If No, to the above question, please explain. *
9. Please provide any other information about the applicant that you feel might be relevant to the background investigation. *

Electronic Signature:

Enter Your First & Last Name: *

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