Are you a United States Citizen?
Yes
No
Are you younger than 19.75 years old?
Yes
No
Have you ever been convicted of a felony, including pleas of nolo contendere?
Yes
No
Have you ever had any lifetime involvement in a theft of a felony nature as defined by Georgia law, whether detected or undetected?
Yes
No
Do you have any lifetime convictions of any two misdemeanor crimes (excluding minor traffic offenses)?
Yes
No
Have you ever had any lifetime involvement in two or more thefts of a misdemeanor nature as defined by Georgia law, detected or undetected?
Yes
No
Do you have any lifetime involvement in one or more thefts of a misdemeanor nature as defined by Georgia law within a twelve-month period prior to the application date both detected or undetected?
Yes
No
Do you have any lifetime convictions of any offenses of moral turpitude, disrespect for law enforcement officials, crimes of an aggravated nature, sexual offenses, domestic violence, crimes against children, any violation involving drug use, possession, sale or involvement?
Yes
No
Any convictions for domestic violence whether misdemeanor or felony including pleas of nolo contendre and first offender status?
Yes
No
Have you ever been terminated for cause by any federal, state, county, or municipal civil service or merit system?
Yes
No
Have you received two or more terminations for cause by an employer within a five-year period of the application?
Yes
No
Have you filed for more than one bankruptcy within a ten year period prior to the date of application or any bankruptcy in progress at the time of application?
Yes
No
Do you have a less than honorable military discharge unless the discharge is upgraded to honorable prior to the time of application?
Yes
No
Do you have any convictions by a general or special court-martial or a pattern of violations under the Uniform Code of Military Justice including punitive judgments or punishments?
Yes
No
Do you have any history of involvement in commercial gambling such as bookmaking, loan sharking, etc. or outstanding debts owed to any agency, firm, organization or person?
Yes
No
Do you have any two or more convictions or pleas of nolo contendere for driving under the influence within a candidate's lifetime or any one or more convictions or pleas of nolo contendere for driving under the influence within one year of the application date?
Yes
No
Do you have any lifetime conviction or plea of nolo contendere for the traffic offenses of hit and run, homicide by vehicle, attempting to elude or habitual violator as defined by Georgia law or other similar state laws regardless of law titles?
Yes
No
Do you have any two or more convictions or pleas of Nolo Contendere for Driving under the influence within a candidate's lifetime or any one or more convictions or pleas of nolo contendere for Driving Under the Influence within five years of the application date?
Yes
No
Have you failed to possess a valid drivers license, or have any license restrictions which hinder the ability to operate an emergency vehicle in accordance with the laws of the state and the policies of the department?
Yes
No
Have you ever had any driver's license suspension in the past 7 years, unless for nonpayment of insurance premiums?
Yes
No
Do you have a driver's license point assessment of five or more points at any time within two years of the application date or at any time within the hiring process itself ?
Yes
No
Do you have a driving history which reflects a recurring pattern of traffic violations which represent a disrespect for traffic laws?
Yes
No
Have you used marijuana within three years of the original application date or any history of abuse?
Yes
No
Have you used any drug which was considered a felony at the time of commission by Georgia law, whether detected or undetected?
Yes
No
Have you been involved in selling, bartering, distributing, growing, manufacturing, storing, transporting, preparing or possession of any controlled drug which was a violation of Georgia law at the time of occurrence, whether the crime was detected or undetected?
Yes
No
SUBMIT