Personal History Statement Personal History Statement PHS Instructions Employees are exposed to confidential and law enforcement sensitive information. A thorough background investigation is required to properly evaluate the suitability of applicants for employment with the agency. Although it is an achievement to reach of the hiring process, this is still a competitive process and does not, in any way, guarantee selection. These instructions are provided as a guide to assist you in properly completing your Personal History Statement. It is essential that the information is accurate in all respects, so please read all instructions carefully before proceeding. The Personal History Statement will be used as a basis for background investigation that will determine your eligibility for becoming an employee. Your Personal History Statement (PHS) must be typed. Answer all questions truthfully and accurately. If a question is not applicable to you, enter N/A in every available space provided. Avoid errors by reading the directions carefully before making and entries on the form. Be sure your information is accurate and in proper sequence before you begin. You are responsible for obtaining correct and full address. If you are not sure of an address, personally verify before making that entry on this history statement. Errors will not be viewed favorably. ALL ADDRESS MUST BE COMPLETE WITH ZIP CODES. If you need additional space for your answers, attach additional sheets as needed. Be sure to indicate what question number and page this refers to. An accurate and complete form will help expedite your investigation. Omission or falsifications will result in disqualification. You are responsible for furnishing any changes and/or updating your Personal History Statement (PHS) as needed, such as address changes or telephone changes in writing. Any candidate submitting an incomplete application WILL NOT BE CONSIDERED FOR EMPLOYMENT. Your application will be evaluated on completeness and accuracy. All documents requested must be submitted with the application (photocopies are acceptable in most cases). Required documents vary according to the position being sought and the history of the applicant. Hiring agency please check off documents required-modify list as necessary. Checkboxes Completed Personal History Statement Copy of your Social Security card Original certified copy of your birth certificate (no photo copy) Copy of your valid Texas driver license or copy of another State’s drivers license (applicant must possess a valid Texas drivers license prior to being offered employment) Copy of your High School diploma or GED certificate or an honorable discharge from the armed forces of the United States after at least twenty-four months of active service Sealed original certified copy of your college transcript (no photo copy) Photocopy of your college diploma Copy of your Peace Officer Certificate from your police academy (Peace Officer Applicants Only) Copy of your Texas peace officer license & all training certificates awarded to you (Peace Officer Applicants Only) Copy of your DD-214 and/or other military discharge documents (if applicable) Original certified copy of your Naturalization papers, if applicable (no photo copy) Copy of current proof of automobile liability insurance Copy of TCOLE approved Firearms Qualifications within the last 12 months 10. If you have questions, please contact your assigned background investigator. 11. When submitting the completed documents, please place them in a sealed envelope marked ‘Personal and Confidential’ to your assigned background investigator. 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, jailer, or telecommunicator in Texas. Checkboxes * I am a citizen of the United States of America. I have earned a high school diploma, a GED, or an honorable discharge from the armed services of the United States after at least two (2) years of active service. I have never been convinced, plead guilty (nolo contendere), nor have I been on court-ordered community service/probation, or deferred adjudication for a Class A misdemeanor or a felonly. During the last (10) years, I have not been convicted, plead guilty (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 other discharge based on misconduct which bars future military service. DISQUALIFICATIONS There are very few automatic based for rejection. Even issues of prior misconduct, employee terminations, and arrest 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 form their prospective employer. This personal history statement is a governmental document. Be truthful, as there are criminal consequences for lying on a governmental document. Once you begin: Type 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 additional space for your answers, attach additional sheets as needed. Be sure to indicate which sections, question number, and page this refers to. 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 any other inquiry made prior to receiving a conditional offer of employment. If any field is left blank, you will be DISQUALIFIED. No field should be left blank. If it does not apply to you, use “N/A” ELLIS COUNTY SHERIFF’S OFFICE PERSONAL HISTORY STATEMENT APPLYING FOR THE POSITION OF: * Animal Control OfficerClerkCourthouse SecurityDeputy SheriffDetention OfficerDispatcherIT Technician II LAST NAME * FIRST NAME * MIDDLE NAME * DATE OF BIRTH * AGE * PLACE OF BIRTH * SOCIAL SECURITY NUMBER * DRIVERS LICENSE NUMBER * STATE ISSUED: * If you are human, leave this field blank. Submit