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The Texas Personal History Statement form is a crucial document required for individuals seeking licensure as peace officers or jailers in Texas. This form collects essential personal information and ensures that applicants meet specific eligibility criteria. Completing this form accurately is vital, as any misstatements can lead to disqualification.

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Article Guide

When filling out the Texas Personal History Statement form, it's essential to approach the task with care and attention to detail. Here are some key do's and don'ts to keep in mind:

Do read the instructions thoroughly before starting the form.
Do provide complete and accurate information in all sections.
Do use clear handwriting or type your responses to ensure legibility.
Do indicate "N/A" for questions that do not apply to you.
Don't omit any relevant information, as this could lead to disqualification.
Don't provide false information; honesty is crucial and legally required.
Don't leave any sections blank unless instructed otherwise.
Don't forget to initial the pages as required to confirm accuracy.

By following these guidelines, you can help ensure that your application process goes smoothly and successfully.

DP-1

THE UNIVERSITY OF TEXAS SYSTEM POLICE

PERSONAL HISTORY STATEMENT

APPLICANT NAME

POSITION

Date Issued:

Return By:

Received On:

Received By:

9.14.11 MT

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.

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Initial this page to indicate that you have provided complete and accurate information: _____

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

SECTION 1: PERSONAL

1. YOUR FULL NAME	1. YOUR FULL NAME	1. YOUR FULL NAME
LAST	FIRST	MIDDLE

2.OTHER NAMES, INCLUDING NICKNAMES, YOU HAVE USED OR BEEN KNOWN BY

3.ADDRESS WHERE YOU RESIDE

NUMBER / STREET	APT / UNIT
CITY	STATE ZIP

4.MAILING ADDRESS, IF DIFFERENT FROM ABOVE

5.CONTACT NUMBERS

	HOME (	)		WORK (	)	EXT	OTHER (		)	CELL	FAX

6.	EMAIL ADDRESS
	HOME						BUSINESS

7.	BIRTH PLACE		(CITY / COUNTY / STATE / COUNTRY)					8. BIRTHDATE		9. SOCIAL SECURITY #
										–	–

10. DRIVER’S LICENSE
NO.	STATE	EXP

11. PHYSICAL DESCRIPTION
HT.	WT.	HAIR COLOR	EYE COLOR

12. Have you ever attended a basic licensing course?

Yes No

If yes, provide the following information: PID:

ACADEMY NAME

FROM

DID YOU GRADUATE?

Yes

LOCATION

(CITY / STATE)

NAME OF TRAINING OFFICER / ACADEMY

CONTACT NUMBER

COORDINATOR

(

)

ACADEMY NAME

FROM

DID YOU GRADUATE?

Yes

LOCATION

(CITY / STATE)

NAME OF TRAINING OFFICER / ACADEMY

CONTACT NUMBER

COORDINATOR

(

)

13.Have you ever applied to any other law enforcement agency in the last ten years (city, county, state or federal)?...

Yes

If yes, list ALL agencies you have applied to, starting with the most recent (give complete and accurate addresses).

All agencies MUST be listed regardless of the outcome or current status. Check all boxes that apply for each agency.

If more space is needed, continue your response on page 27.

A) NAME OF AGENCY	DATE APPLIED

ADDRESS (NUMBER / STREET)

BACKGROUND INVESTIGATOR’S NAME (IF KNOWN)

CITY					ZIP		CONTACT NUMBER				EXT
				STAT			(	)
POSITION APPLIED FOR								EMAIL

Check each step in the process that you completed, and your status:

STEPS:	Application	Written	Physical agility	Oral		Polygraph/CVSA			Background	Chief’s oral
Conditional job offer
STATUS:	Hired	On List	Withdrawn	Disqualified

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Initial this page to indicate that you have provided complete and accurate information: _____

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

13. Have you ever applied to any other law enforcement agency… continued

B) NAME OF AGENCY

DATE APPLIED

ADDRESS (NUMBER / STREET)				BACKGROUND INVESTIGATOR’S NAME (IF
			KNOWN)
CITY		ZIP	CONTACT NUMBER		EXT
CITY		ZIP	CONTACT NUMBER		EXT
	STAT		(	)
POSITION APPLIED FOR				EMAIL

Check each step in the process that you completed, and your status:

STEPS:

Application

Written

Physical agility

Oral

Polygraph/CVSA

Background

Chief’s oral

Conditional job offer

STATUS:

Hired

On List

Withdrawn

Disqualified

C) NAME OF AGENCY

DATE APPLIED

ADDRESS

(NUMBER / STREET)

BACKGROUND INVESTIGATOR’S NAME (IF

KNOWN)

CITY

ZIP

CONTACT NUMBER

EXT

STAT

(

)

POSITION APPLIED FOR

Check each

step in the process that you completed, and your status:

STEPS:

Application

Written

Physical agility

Oral

Polygraph/CVSA

Background

Chief’s oral

Conditional job offer

STATUS:

Hired

On List

Withdrawn

Disqualified

SECTION 2: RELATIVES AND REFERENCES

14.IMMEDIATE FAMILY

Provide all applicable information in the spaces below.

Mark “N/A” if a category is not applicable or if the individual is deceased.

If more space is needed, continue your response on page 27.

N/A A. Father

NAME	HOME ADDRESS	(NUMBER / STREET / APT)	CITY	STATE	ZIP

HOME PHONE	WORK ADDRESS	(NUMBER / STREET / APT)	CITY	STATE	ZIP

()

		WORK PHONE		CELL PHONE			EMAIL
(			)	(	)

N/A
N/A	B. Step-father
NAME				HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP
		(	)
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)

9.14.11 MT

Initial this page to indicate that you have provided complete and accurate information: _____

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

SECTION 2: RELATIVES AND REFERENCES continued

14.IMMEDIATE FAMILY continued

N/A

C. Mother

NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

(

)

WORK PHONE

CELL PHONE

(

)

(

)

N/A

Step-mother

NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

()

WORK PHONE

()

CELL PHONE

()

N/A E. Spouse / Registered Domestic Partner

NAME					HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

		HOME PHONE			WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP
		(	)
		WORK PHONE			CELL PHONE			EMAIL
		(	)	(		)
		YEARS OF
		MARRIAGE		Is there, or has there been, a restraining or stay-away order in effect for this individual?						Yes	No


N/A	F. Father-in-law
NAME					HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

		HOME PHONE			WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP
		(	)
		WORK PHONE			CELL PHONE			EMAIL
		(	)		(	)

N/A	G. Mother-in-law
N/A	G. Mother-in-law
NAME					HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

		HOME PHONE			WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

()

		WORK PHONE		CELL PHONE			EMAIL
(			)	(	)

N/A
N/A	H. Former Spouse(s) / Cohabitant

1) NAME				HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

()

	WORK PHONE			CELL PHONE			EMAIL
(		)	(		)
	YEAR OF
	DISSOLUTION		Is there, or has there been, a restraining or stay-away order in effect for this individual?						Yes	No


2) NAME				HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP

9.14.11 MT

Initial this page to indicate that you have provided complete and accurate information: _____

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

HOME PHONE			WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE	ZIP
(	)
WORK PHONE			CELL PHONE			EMAIL
(	)		(	)
YEAR OF
DISSOLUTION		Is there, or has there been, a restraining or stay-away order in effect for this individual?						Yes	No

N/A I. Brothers and Sisters – list all living siblings, including half-siblings, step-siblings, foster siblings, etc.

1) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

2) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

3) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

4) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

5) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

6) NAME

HOME ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

WORK ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

(

)

ZIP

UNDER

WORK PHONE

CELL PHONE

AGE 18

(

)

(

)

N/A

J. Children

List all of your living children, including natural, adopted, step, and/or foster care. Include any other children who reside with you.

Provide the name and contact information of the custodial parent or guardian, if other than you.

1) NAME

CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

CHILD’S AGE

ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

CONTACT NUMBER

(

)

2) NAME

CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

CHILD’S AGE

ADDRESS

(NUMBER / STREET / APT)

CITY

STATE

ZIP

9.14.11 MT

Initial this page to indicate that you have provided complete and accurate information: _____

HOME ADDRESS (NUMBER / STREET / APT) ZIP

WORK ADDRESS (NUMBER / STREET / APT) ZIP

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

CONTACT NUMBER

()

3) NAME			CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

M	CHILD’S AGE	ADDRESS (NUMBER / STREET / APT)			CITY	STATE
F				ZIP
			CONTACT NUMBER	EMAIL

()

	4)	NAME		CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

		M	CHILD’S AGE	ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		F					ZIP
				CONTACT NUMBER			EMAIL
				CONTACT NUMBER			EMAIL
				(	)

5)		NAME		CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

		M	CHILD’S AGE	ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		F					ZIP
				CONTACT NUMBER			EMAIL
				CONTACT NUMBER			EMAIL
				(	)

6)		NAME		CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)

CHILD’S AGE

ADDRESS (NUMBER / STREET / APT)		CITY	STATE
	ZIP
CONTACT NUMBER	EMAIL

()

15.REFERENCES

List 7–10 people who know you well, such as social and family friends, co-workers, military acquaintances. Do not include relatives, employers or housemates, or other individuals listed elsewhere.

A) NAME

CITY STATE

	HOME PHONE						CITY	STATE
	(	)
	WORK PHONE		CELL PHONE			EMAIL
	(	)	(	)
	HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
	FAMILY FRIEND, CO- WORKER)						THIS PERSON?

B) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
						ZIP

	HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
	(	)				ZIP
	(	)
	WORK PHONE		CELL PHONE			EMAIL
	(	)	(	)
	HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,
	HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
	FAMILY FRIEND, CO- WORKER)						THIS PERSON?

C) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
						ZIP
	HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
	(	)				ZIP
	WORK PHONE		CELL PHONE			EMAIL
	WORK PHONE		CELL PHONE			EMAIL
	(	)	(	)
	HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
	FAMILY FRIEND, CO- WORKER)						THIS PERSON?

D) NAME

HOME ADDRESS (NUMBER / STREET / APT)	CITY	STATE
ZIP

9.14.11 MT

Initial this page to indicate that you have provided complete and accurate information: _____

PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

	E) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

	F) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP

		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

	G) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

	H) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

	I) NAME			HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?
J) NAME				HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
J) NAME				HOME ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
							ZIP
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		HOME PHONE		WORK ADDRESS		(NUMBER / STREET / APT)		CITY	STATE
		(	)				ZIP
		WORK PHONE		CELL PHONE			EMAIL
		(	)	(	)
		HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,						HOW LONG HAVE YOU KNOWN
		FAMILY FRIEND, CO- WORKER)						THIS PERSON?

SECTION 3: EDUCATION

NOTE: You will be required to furnish transcripts or other proof to support all of your educational claims.

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PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

16.

Check applicable:

High School Diploma

GED

17. List high schools attended:

NAME

FROM

DID YOU

GRADUATE?

CITY

STATE

Yes

NAME

FROM

DID YOU

GRADUATE?

CITY

STATE

Yes

18. List all colleges or universities attended:

NAME

FROM

TOTAL UNITS

TYPE OF

EARNED

DEGREE

EARNED

CITY

STATE

NAME

FROM

TOTAL UNITS

TYPE OF

EARNED

DEGREE

CITY

STATE

EARNED

NAME

FROM

TOTAL UNITS

TYPE OF

EARNED

DEGREE

CITY

STATE

EARNED

19. List any trade, vocational, or business schools/institutes attended:

NAME

FROM

DID YOU

COMPLETE

TYPE OF SCHOOL OR TRAINING

CITY

STATE

THE COURSE?

Yes

NAME

FROM

DID YOU

COMPLETE

TYPE OF SCHOOL OR TRAINING

CITY

STATE

THE COURSE?

Yes

NAME

FROM

DID YOU

COMPLETE

TYPE OF SCHOOL OR TRAINING

CITY

STATE

THE COURSE?

Yes

9.14.11 MT

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PERSONAL HISTORY STATEMENT for TEXAS LICENSURE

SECTION 3: EDUCATION continued

20. Have you ever been placed on academic discipline, suspended, or expelled from any high school, college/university, business or trade school? Yes No

If yes, describe in detail below. Starting with high school, list any and all disciplinary actions received in any school or educational institution. Include when the disciplinary action(s) occurred, name of school(s), and explanation of circumstances.

SECTION 4: RESIDENCE

21.LIST OF RESIDENCES

List all residences during the last ten years or since age 15. Provide complete addresses (include markers such as Street, Drive, Road, East, West, etc., and unit or apartment number). Do not use P.O. Boxes.

If the residence is a military base, identify name of base in address, nearest city, state and zip code. DO NOT LIST military barracks mates unless you shared individual quarters.

If more space is needed continue on page 27.

A) ADDRESS WHERE YOU NOW LIVE		(NUMBER / STREET / APT)

	CITY		STATE	ZIP

FROM	TO
	Present

IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER

Names of those with whom you live:

B) FORMER ADDRESS		(NUMBER / STREET / APT)

	CITY		STATE	ZIP

FROM	TO

IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER

	ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER				(NUMBER /			CONTACT NUMBER
	STREET / APT)							(	)

	CITY		STATE	ZIP		EMAIL

	Names of those with whom you lived:

	Reason for moving:


C) FORMER ADDRESS		(NUMBER / STREET / APT)					FROM			TO

	CITY		STATE	ZIP		IF RENTING: PROPERTY MANAGER, RENT
						COLLECTOR, OR OWNER
	ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER				(NUMBER /			CONTACT NUMBER
	STREET / APT)							(	)

	CITY		STATE	ZIP		EMAIL

Names of those with whom you lived:

Reason for moving:

9.14.11 MT

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Texas Llc Filing Fees - Conducting a conflict check is essential before applying to avoid potential registration issues.

Vtr 214 - Providing truthful information helps maintain the integrity of the program.

Tax Exempt Texas - The Texas Application AP-201 is used to apply for a sales tax permit, use tax permit, and telecommunications infrastructure fund assessment.

The Texas Personal History Statement form is a critical document for individuals seeking licensure as peace officers or jailers in Texas. Along with this form, applicants often need to submit several other documents to complete their application process. Each of these documents plays a vital role in verifying the applicant's qualifications and background.

This document allows the hiring agency to conduct a thorough background check on the applicant. It typically includes consent for checking criminal records, employment history, and other relevant information.
Many law enforcement agencies require applicants to undergo drug testing. This form provides consent for the agency to conduct the test and outlines the procedures involved.
Applicants must often provide proof of their educational qualifications. This form is used to verify the completion of high school or any other relevant educational credentials.
A medical exam is often required to ensure that applicants meet the physical and mental health standards necessary for law enforcement duties. This report summarizes the findings of the medical examination.
This form collects information about individuals who can vouch for the applicant's character and suitability for the position. It typically includes contact information for the references and their relationship to the applicant.

Submitting these documents along with the Texas Personal History Statement helps ensure a thorough evaluation of each candidate. By being prepared and organized, applicants can streamline their application process and increase their chances of success.

Filling out the Texas Personal History Statement form can be a daunting task, and many applicants make common mistakes that can jeopardize their chances of success. One of the most frequent errors is failing to provide complete information. Each section of the form is crucial, and leaving out details can raise red flags during the background check process. Always ensure that every question is answered fully, even if it means writing “N/A” for items that do not apply to you.

Another common mistake is not adhering to the instructions regarding how to fill out the form. Applicants often overlook the requirement to type or neatly print their responses. Illegible handwriting can lead to misinterpretations and delays. Take your time to ensure that your writing is clear and easy to read. This simple step can make a significant difference in how your application is perceived.

Additionally, many individuals fail to disclose all prior law enforcement applications. The form requires you to list every agency you have applied to in the past ten years, regardless of the outcome. Omitting an agency can be seen as a deliberate attempt to hide information, which could lead to disqualification. Transparency is key; provide complete and accurate addresses for all agencies.

Another mistake involves not double-checking personal information. Errors in your name, Social Security number, or birthdate can create confusion and may raise concerns about your honesty. Before submitting the form, take a moment to review all entries for accuracy. This attention to detail reflects your commitment to the application process.

Some applicants neglect to include their immediate family information. This section is not only important but also mandatory. Failing to provide details about family members, or marking “N/A” without reason, can be interpreted as incomplete. Ensure that all required family information is accurately filled out to avoid unnecessary complications.

Moreover, many people do not follow the guidelines on how to handle medically-related information. Although you are not required to disclose medical conditions at this stage, some applicants mistakenly provide this information anyway. Stick to the guidelines and only include what is necessary, as disclosing unnecessary details can complicate your application.

Another frequent oversight is not initialing the pages as required. Each page of the form has a section where you must indicate that the information provided is complete and accurate. Skipping this step might lead to assumptions about your commitment to the application process. Make sure to initial every page where indicated.

Some applicants also misunderstand the implications of misstatements or omissions. The form emphasizes the importance of honesty, and many underestimate the potential consequences of providing false information. Misrepresenting your background can result in immediate disqualification, so always be truthful and thorough in your responses.

Lastly, applicants sometimes fail to provide contact information for references or family members. This information is crucial for background checks and can facilitate the hiring process. Ensure that all contact details are accurate and current. Providing reliable information can help streamline the verification process.

By avoiding these common mistakes, you can enhance your chances of successfully completing the Texas Personal History Statement form. Take your time, follow the instructions closely, and remember that honesty and thoroughness are your best allies in this process.

When it comes to the Texas Personal History Statement form, there are several misconceptions that can lead to confusion for applicants. Understanding the truth behind these misconceptions can help ensure a smoother application process.

Misconception 1: You must have a spotless record to apply.

While a clean record is beneficial, not all past issues automatically disqualify you. Certain types of misconduct may be reviewed on a case-by-case basis.

Misconception 2: You need to disclose all medical information.

At this stage, you are not required to reveal any medical or disability-related information unless you have received a conditional job offer.

Misconception 3: Omitting information is better than disclosing it.

Deliberately withholding information can lead to rejection. It is always better to be honest, even if the information may seem unfavorable.

Misconception 4: Only criminal convictions matter.

Other factors, such as prior terminations or even arrests, can be considered, but they do not automatically disqualify you from the process.

Misconception 5: You can fill out the form at your convenience.

While you have some flexibility, it is crucial to return the form by the specified deadline to avoid delays in your application.

Misconception 6: Only your most recent job history is relevant.

All job applications from the last ten years must be disclosed, regardless of their outcome. This ensures a complete background check.

Misconception 7: You don't need to initial the pages.

Initialing each page is a requirement to confirm that you have provided accurate and complete information, which is essential for the integrity of your application.

Misconception 8: The form is optional.

This form is mandatory for licensure as a peace officer or jailer in Texas. Completing it accurately is a critical step in the application process.

Misconception 9: You cannot ask for help with the form.

If you have questions or need clarification while filling out the form, do not hesitate to seek assistance. It is better to ask than to risk making an error.

Free Texas Personal History Statement File

Filling out the Texas Personal History Statement form is a crucial step in the application process for becoming a peace officer or jailer. Here are key takeaways to keep in mind:

Eligibility Requirements: Ensure you meet all five eligibility requirements before starting the form. This includes being a U.S. citizen, holding a high school diploma or GED, and having no serious criminal convictions.
Truthfulness is Essential: Be completely honest in your responses. Deliberate misstatements or omissions can lead to automatic rejection of your application.
Complete All Sections: Fill out every section of the form. If a question does not apply to you, write “N/A” in the space provided.
Use Clear and Legible Writing: Type or print your answers neatly. If you need more space, utilize the last page of the form to continue your responses.
Medical Information Disclosure: You are not required to disclose any medical or disability-related information until you receive a conditional job offer.
Initial for Accuracy: At the end of each section, you must initial to confirm that you have provided complete and accurate information.

Fact Name	Details
Governing Law	The Texas Personal History Statement form is governed by the Texas Occupations Code, Chapter 1701.
Eligibility Requirements	Applicants must be U.S. citizens, have a high school diploma or GED, and meet specific legal criteria regarding criminal history.
Criminal History	Applicants cannot have certain felony or misdemeanor convictions within the last ten years.
Misrepresentation Consequences	Deliberate misstatements or omissions can lead to application rejection and potential criminal charges.
Medical Disclosure	Applicants are not required to disclose medical information until a conditional job offer is made.
Document Type	This form is considered a governmental document, and accuracy is crucial.
Application Process	Applicants must provide complete information about their previous law enforcement agency applications.
Initialing Requirement	Applicants must initial the form to confirm that the information provided is complete and accurate.

ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER

CONTACT NUMBER

STREET / APT)

Completing the Texas Personal History Statement form is a crucial step in the application process for becoming a peace officer or jailer in Texas. Ensure that you meet all eligibility requirements before starting. Follow these steps carefully to fill out the form accurately.

Gather necessary documents, including your identification and any relevant personal information.
Begin with Section 1: Personal. Enter your full name, including any other names or nicknames you have used.
Provide your current residential address and mailing address if different.
Fill in your contact numbers, including home, work, cell, and fax, if applicable.
List your email address, both home and business, if applicable.
Indicate your birthplace and birthdate.
Enter your Social Security number and driver's license number, including the state and expiration date.
Complete your physical description, including height, weight, hair color, and eye color.
Answer whether you have attended a basic licensing course, providing details if applicable.
List any law enforcement agencies you have applied to in the last ten years, including all relevant details for each agency.
Check the status of your application process with each agency, marking the steps you completed.
Move to Section 2: Relatives and References. Provide information for immediate family members, including names, addresses, and contact numbers.
Indicate if there are any restraining orders in effect for your spouse or any other family member listed.
If additional space is needed for any section, use the last page of the form and reference the question number.
Initial the required pages to confirm that the information provided is complete and accurate.