TPD Recruiting | Official website of the City of Tucson

HRD/Background Investigations
Office (520) 791-4423
Fax (520) 791-5604

Preliminary Applicant Questionnaire

Applicants — You Must Read and Sign

I understand and acknowledge the following information:

This application package and all supporting documents become the property of the City of Tucson Police Department and will not be returned to me.
If disqualified, or otherwise not selected for employment, I am not entitled to disclosure of the reason for the hiring decision.
Any omission, misrepresentation or falsification on this document, or in any subsequent interview or hiring document, will permanently disqualify me from any employment with the Tucson Police Department.
I hereby affirm that the information and answers provided by me to all items in this applicant questionnaire are, to the best of my knowledge, true, complete and accurate. I understand that any false statements, including written, can be prosecuted under ARS §13-2704, Unsworn Falsification, a Class-2 Misdemeanor.

By typing/signing my name below, I have read and agree to the statements listed above

Type/Sign your name

Date

All fields marked with a red asterisk (*) are required.

Position Applied For:

Last Name

First Name

Middle Name

Please list any other names you have used or are known by (i.e. maiden name, nickname, alias)

Address

City

State

Zip

Home/Mobile Phone

*Please provide a phone number with ability to receive text/voice message

E-Mail Address (Please include your primary e-mail address that you used on the City of Tucson application)

Date of Birth (mm/dd/yyyy)

Place of Birth

Social Security Number (Note: Provision of your SSN on this form is voluntary.)

Referred By

(Specific Person, Officer or Entity that referred you for this position.)

Do you have a valid driver's license issued in US?

YesNo

State

Number

For criminal history record check purposes only:

Height

Weight

Hair Color

Eye Color

Gender

Are you a U.S. Citizen?

YesNo

Have you ever been convicted of a felony?

YesNo

Have you ever been dishonorably discharged from the United States Armed Forces?

YesNo

Have you been convicted for DUI (driving under influence) in the past 3 years (36 months)?

YesNo

Last DUI

Do you have a High School Diploma/GED?

YesNo

Type

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