NC Form F-3 2021-2025 free printable template

FORM F-3 NORTH CAROLINA SHERIFFS EDUCATION AND TRAINING STANDARDS COMMISSION PERSONAL HISTORY STATEMENT INSTRUCTIONS Fill out this form completely and accurately. Form F-3 Revised August 2014 Sheriffs Education and Training Standards Commission North Carolina Department of Justice Sheriffs Standards Division Telephone 919 779-8213 Fax 919 662-4515 Personal History Statement Note This form is not designed for use as an initial application for employment and must not be used for that purpose....Telephone STATE OF NORTH CAROLINA COUNTY OF I hereby certify that each and every statement made on this form is true and complete and understand that any misstatements or omission of information may subject me to disqualification or dismissal. I also acknowledge that I have a continuing duty to update all information contained in this document. I will report to the employing agency and forward to the Sheriffs Education and Training Standards Commission any additional information which occurs...after the signing of this document. Rather the applicant should complete this form prior to beginning his/her background investigation* This form should only be completed by applicants for the position of a justice officer. It is the determination of the Commission that these questions are necessary in order to fully and adequately evaluate applicants for justice officer certification* These questions are designed to ascertain whether the applicant meets the minimum standards for certification...and serves no other purpose. The Social Security Number is used to make a positive identification of the applicant and/or law enforcement personnel* DISCLOSURE IS VOLUNTARY. However failure to provide this information may result in a delay in the processing of application materials and may result in inaccurate records being assigned to you. If you need extra space add additional pages and identify the information by item number. All questions must be answered* NOTE Any statements are subject to...validation and any incorrect statements or omissions may disqualify you from certification* Truthful statements to any item requested will not necessarily exclude you from consideration* This form must be notarized upon completion* POSITION S APPLIED FOR Agency Date Deputy Detention Officer Telecommunicator Have you previously submitted an application for employment with this agency Yes No If YES approximate date PERSONAL Name Middle First Last Maiden Name Other previous last names Nicknames or...Aliases Note If your name was legally changed after the age of 12 please submit documentation showing when that occurred* 2. Social Security Permanent Mailing Address 3. Present Mailing Address Street and Number City State Zip Code Telephone Numbers Home Work Pager E-Mail Cell/Mobile 4a* Date of Birth 5. Citizenship 4b. Place of Birth U*S* Born U*S* Naturalized Other specify City/State/Country Data solicited in questions 6 and 7 will be utilized for equal employment statistical information...purposes only Note 6.