PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
Instructions to the Applicant
Before you begin to fill out this personal history statement, please ensure that you meet the following requirements. You must meet all five of these requirements to qualify for licensure as a peace officer or jailer in Texas.
I am a citizen of the United States of America.
I have earned a high school diploma or a GED.
I have never been convicted, pleaded guilty to (nolo contendere), nor have I been on court-ordered community service/probation or deferred adjudication for a Class A misdemeanor or a felony.
During the last ten (10) years, I have not been convicted, pleaded guilty to (nolo contendere), been on community service/probation or deferred adjudication for a Class B misdemeanor in this state, other state, or while serving in the military.
I have never had a military court martial that resulted in a dishonorable or bad conduct discharge.
DISQUALIFICATION
There are very few automatic conditions for rejection. Even issues of prior misconduct, employee terminations, and arrests are
usually not, in and of themselves, automatically disqualifying. However, deliberate misstatements or omissions can and often will
result in your application being rejected, regardless of the nature or reason for the misstatements/omissions. In fact, the number one reason individuals “fail” background investigations is because they deliberately withhold or misrepresent job-relevant
information from their prospective employer.
This personal history statement is a governmental document. Be truthful, as there are criminal consequences for being untruthful on a governmental document.
Once you begin:
Type or neatly print, in ink, responses to all items and questions. If a question does not apply to you, write “N/A”
(not applicable) in the space provided for your response. If you cannot obtain or remember certain information, indicate so in your response.
If you need more space for any response, use the last page of this form (page 27) and identify the additional information by the question number.
Be as complete, honest and specific as possible in your responses.
Disclosure of Medically-Related Information
In accordance with the U.S. Americans with Disabilities Act, at this stage of the hiring process applicants are not expected or required to reveal any medical or other disability-related information about themselves in response to questions on this form, or to any other inquiry made prior to receiving a conditional offer of employment.