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The Texas Personal History Statement form is a crucial document for individuals seeking licensure as peace officers or jailers in the state of Texas. This form requires applicants to provide detailed personal information, including their full name, contact information, and social security number. It also asks for disclosure of any previous law enforcement applications, family details, and educational background. Applicants must meet specific eligibility criteria, such as being a U.S. citizen and having a high school diploma or GED. Importantly, the form emphasizes the need for honesty; any misrepresentation or omission can lead to disqualification. Additionally, it outlines the process for providing information, including how to indicate if certain questions are not applicable. The form includes a section for medical information, clarifying that applicants are not required to disclose any disabilities until after a conditional job offer. Completing this form accurately is essential, as it serves as a foundational step in the background investigation process for potential law enforcement candidates.

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DP-1
9.14.11 MT
THE UNIVERSITY OF TEXAS SYSTEM POLICE
PERSONAL HISTORY STATEMENT
APPLICANT NAME
POSITION
Date Issued:
Return By:
Received On:
Received By:
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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.
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
SECTION 1: PERSONAL
1. YOUR FULL NAME
LAST
1. YOUR FULL NAME
FIRST
1. YOUR FULL NAME
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
11. PHYSICAL DESCRIPTION
NO.
STATE
EXP
HT.
WT.
EYE COLOR
12. Have you ever attended a basic licensing course? Yes No
If yes, provide the following information: PID:
A) ACADEMY NAME
FROM
TO
DID YOU GRADUATE?
Yes No
LOCATION (CITY / STATE)
NAME OF TRAINING OFFICER / ACADEMY
COORDINATOR
CONTACT NUMBER
( )
B) ACADEMY NAME
FROM
TO
DID YOU GRADUATE?
Yes No
LOCATION (CITY / STATE)
NAME OF TRAINING OFFICER / ACADEMY
COORDINATOR
CONTACT NUMBER
( )
13. Have you ever applied to any other law enforcement agency in the last ten years (city, county, state or federal)?... Yes No
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
STAT
E
ZIP
CONTACT NUMBER
( )
EXT
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
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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
STAT
ZIP
CONTACT NUMBER
( )
EXT
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
STAT
ZIP
CONTACT NUMBER
( )
EXT
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
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
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
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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
( )
EMAIL
N/A
D. 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
( )
EMAIL
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
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
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
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
2) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
3) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
4) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
5) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
6) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
M
F
UNDER
AGE 18
HOME PHONE
( )
WORK ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
WORK PHONE
( )
CELL PHONE
( )
EMAIL
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)
M
F
CHILD’S AGE
ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
CONTACT NUMBER
( )
EMAIL
2) NAME
CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)
M
CHILD’S AGE
ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
F
CONTACT NUMBER
( )
EMAIL
3) NAME
CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)
M
F
CHILD’S AGE
ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
CONTACT NUMBER
( )
EMAIL
4) NAME
CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)
M
F
CHILD’S AGE
ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
CONTACT NUMBER
( )
EMAIL
5) NAME
CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)
M
F
CHILD’S AGE
ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
CONTACT NUMBER
( )
EMAIL
6) NAME
CUSTODIAL PARENT OR GUARDIAN (IF OTHER THAN YOU)
M
F
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
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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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
HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
THIS PERSON?
D) NAME
HOME ADDRESS (NUMBER / STREET / APT) CITY STATE
ZIP
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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
HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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
HOW DO YOU KNOW THIS PERSON? (FOR EXAMPLE: FRIEND, TEACHER,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
THIS PERSON?
I) 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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
THIS PERSON?
J) 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,
FAMILY FRIEND, CO- WORKER)
HOW LONG HAVE YOU KNOWN
THIS PERSON?
SECTION 3: EDUCATION
NOTE: You will be required to furnish transcripts or other proof to support all of your educational claims.
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
16. Check applicable: High School Diploma GED
17. List high schools attended:
A) NAME
FROM
TO
DID YOU
GRADUATE?
Yes
No
CITY
STATE
B) NAME
FROM
TO
DID YOU
GRADUATE?
Yes
No
CITY
STATE
18. List all colleges or universities attended:
A) NAME
FROM
TO
TOTAL UNITS
EARNED
TYPE OF
DEGREE
EARNED
CITY
STATE
B) NAME
FROM
TO
TOTAL UNITS
EARNED
TYPE OF
DEGREE
EARNED
CITY
STATE
C) NAME
FROM
TO
TOTAL UNITS
EARNED
TYPE OF
DEGREE
EARNED
CITY
STATE
19. List any trade, vocational, or business schools/institutes attended:
A) NAME
FROM
TO
DID YOU
COMPLETE
THE COURSE?
Yes
TYPE OF SCHOOL OR TRAINING
CITY
STATE
B) NAME
FROM
TO
DID YOU
COMPLETE
THE COURSE?
Yes
TYPE OF SCHOOL OR TRAINING
CITY
STATE
C) NAME
FROM
TO
DID YOU
COMPLETE
THE COURSE?
Yes
No
TYPE OF SCHOOL OR TRAINING
CITY
STATE
PERSONAL HISTORY STATEMENT for TEXAS LICENSURE
9.14.11 MT Initial this page to indicate that you have provided complete and accurate information: _____
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)
FROM
TO
Present
CITY
STATE
ZIP
IF RENTING: PROPERTY MANAGER, RENT
COLLECTOR, OR OWNER
ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER /
STREET / APT)
CONTACT NUMBER
( )
CITY
STATE
ZIP
EMAIL
Names of those with whom you live:
B) 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 /
STREET / APT)
CONTACT NUMBER
( )
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 /
STREET / APT)
CONTACT NUMBER
( )
CITY
STATE
ZIP
EMAIL
Names of those with whom you lived:
Reason for moving:
➤ PDF File

Form Specifications

Fact Name Details
Governing Law The Texas Personal History Statement form is governed by the Texas Occupations Code, Chapter 1701, which outlines the licensing requirements for peace officers and jailers.
Applicant Requirements Applicants must be U.S. citizens, possess a high school diploma or GED, and have a clean criminal record concerning certain misdemeanors and felonies.
Disqualification Criteria While many issues may not automatically disqualify an applicant, intentional misstatements or omissions can lead to rejection of the application.
Truthfulness Requirement Providing truthful information is crucial, as there are legal consequences for falsifying information on a government document.
Personal Information The form requires detailed personal information, including full name, address, contact numbers, and social security number.
Disclosure of Medical Information Under the Americans with Disabilities Act, applicants are not required to disclose medical information until a conditional job offer is made.
Additional Space for Responses If applicants need more space to answer questions, they should continue their responses on the designated last page of the form.
Background Investigation Applicants must list all law enforcement agencies they have applied to in the past ten years, regardless of the outcome.
Initialing Requirement Applicants must initial the form to confirm that they have provided complete and accurate information.
Family Information The form requires detailed information about immediate family members, including names, addresses, and contact details.

Texas Personal History Statement: Usage Guidelines

Completing the Texas Personal History Statement form is a crucial step in your application process. This document requires careful attention to detail, as it captures essential personal information and background history. Follow these steps to ensure you fill out the form accurately and completely.

  1. Verify Eligibility: Confirm that you meet all five requirements for licensure as a peace officer or jailer in Texas.
  2. Gather Necessary Information: Collect all relevant personal information, including your full name, addresses, contact numbers, and social security number.
  3. Fill Out Personal Information: Start with Section 1. Write your full name, any other names used, current address, and contact numbers. Include your email address and birth details.
  4. Driver's License and Physical Description: Enter your driver's license number, state, and expiration date. Provide your height, weight, hair color, and eye color.
  5. Licensing Course Information: If applicable, list any basic licensing courses attended. Include academy names, dates, and graduation status.
  6. Previous Applications: Indicate if you have applied to other law enforcement agencies in the last ten years. Provide details for each application, including agency name, date applied, and contact information.
  7. Immediate Family Information: In Section 2, fill out details for immediate family members, including parents, spouse, and in-laws. Mark “N/A” where applicable.
  8. Initial the Page: At the end of each section, initial to confirm that you have provided complete and accurate information.
  9. Review Your Responses: Before submitting, carefully review all entries for accuracy and completeness. Make corrections as needed.
  10. Submit the Form: Follow the instructions for returning the form by the specified deadline.

After completing the form, you will move on to the next steps in the application process, which may include interviews and background checks. Ensure all information is accurate, as this will be crucial for your evaluation.

Your Questions, Answered

What is the Texas Personal History Statement form?

The Texas Personal History Statement form is a document required for individuals seeking licensure as a peace officer or jailer in Texas. It collects essential personal information and background details to ensure applicants meet the necessary qualifications. The form includes sections for personal identification, educational history, prior law enforcement applications, and family references. Completing this form accurately is crucial for the licensure process.

What are the eligibility requirements for completing the form?

To qualify for licensure as a peace officer or jailer in Texas, applicants must meet five specific requirements. First, they must be U.S. citizens. Second, they should have a high school diploma or GED. Third, applicants must not have any felony or Class A misdemeanor convictions. Fourth, they should not have any Class B misdemeanor convictions in the last ten years. Lastly, applicants must have a clean military record, with no dishonorable or bad conduct discharges. Meeting these requirements is essential before filling out the form.

What happens if I provide false information on the form?

Providing false information on the Texas Personal History Statement can lead to serious consequences. Deliberate misstatements or omissions can result in the rejection of your application. This is the primary reason many individuals fail background investigations. Since this form is a governmental document, honesty is imperative. Misrepresentation can also lead to criminal charges, making it essential to provide accurate and complete information.

Do I need to disclose medical information on the form?

At the stage of completing the Texas Personal History Statement, applicants are not required to disclose any medical or disability-related information. This is in accordance with the Americans with Disabilities Act. Medical inquiries should only occur after a conditional offer of employment has been made. Therefore, applicants can focus on providing the required personal and background information without concern for disclosing medical details at this point.

Common mistakes

  1. Inaccurate Personal Information: Providing incorrect details such as your name, address, or social security number can lead to delays or even rejection of your application.

  2. Failure to Disclose Relevant History: Omitting past law enforcement applications or any criminal history, even if minor, can result in serious consequences. Always be honest about your background.

  3. Neglecting to Initial Pages: Forgetting to initial pages indicating that you have provided complete and accurate information may raise red flags during the review process.

  4. Inadequate Responses: Simply writing "N/A" without providing context when a question does not apply to you can leave gaps in your application. Always explain when possible.

  5. Ignoring Instructions: Not following the directions for filling out the form, such as using ink or typing responses, can lead to confusion and mistakes.

  6. Inconsistent Information: Providing conflicting information between different sections of the form can cause your application to be questioned. Ensure consistency throughout.

Documents used along the form

The Texas Personal History Statement form is a crucial document for individuals seeking licensure as peace officers or jailers in Texas. Alongside this form, several other documents are commonly required to complete the application process. Each of these documents serves a specific purpose in the evaluation of an applicant's qualifications and background. Below is a list of these documents, along with brief descriptions of their significance.

  • Background Check Authorization Form: This document authorizes the relevant agency to conduct a background check on the applicant. It typically includes personal information such as social security number and addresses to verify the applicant's history.
  • Medical Examination Report: A report completed by a licensed physician that confirms the applicant's physical and mental fitness for duty. This examination is essential to ensure that candidates meet the health standards required for law enforcement positions.
  • Fingerprint Card: This card contains the applicant's fingerprints, which are used to conduct a criminal history check through the FBI and state databases. Fingerprinting is a standard procedure for law enforcement applications.
  • Driving Record Request: A request form that allows the agency to obtain the applicant's driving history from the Department of Motor Vehicles. This record is important for assessing the applicant's driving behavior and any potential traffic violations.
  • Training Certificates: Documentation of any relevant training or certifications the applicant has completed, such as police academy training or specialized law enforcement courses. These certificates demonstrate the applicant's qualifications and preparedness for the role.
  • Reference Letters: Letters from individuals who can attest to the applicant's character, work ethic, and suitability for a position in law enforcement. These references can provide insight into the applicant's personal and professional conduct.
  • Employment History Form: A detailed account of the applicant's previous employment, including job titles, dates of employment, and reasons for leaving. This form helps assess the applicant's work experience and reliability.
  • Affidavit of Truthfulness: A sworn statement in which the applicant affirms that all information provided in the application process is accurate and complete. This document underscores the importance of honesty in the application process.

Each of these documents plays a significant role in the overall evaluation of an applicant's qualifications for licensure in Texas. Ensuring that all forms are accurately completed and submitted can greatly enhance the likelihood of a successful application process.

Similar forms

  • Job Application Form: Similar to the Texas Personal History Statement, a job application form requires detailed personal information, work history, and education background. Both documents serve to assess an applicant's qualifications and suitability for a specific position.
  • Background Check Authorization Form: This document, like the Texas Personal History Statement, gathers personal data to conduct a background check. Both forms aim to verify the applicant's history and ensure they meet the necessary standards for employment.
  • Employment Verification Form: This form requests information about an applicant's previous employment. Similar to the Texas Personal History Statement, it helps employers confirm the accuracy of the information provided by the candidate regarding their work history.
  • Licensing Application: Just as the Texas Personal History Statement is used for licensure as a peace officer or jailer, other licensing applications require personal details, qualifications, and background information to assess eligibility for a professional license.
  • Security Clearance Application: This document is used to determine an individual's eligibility for access to classified information. It shares similarities with the Texas Personal History Statement in that both require comprehensive personal and background information to evaluate trustworthiness.
  • College Admissions Application: A college admissions application collects personal information, academic history, and extracurricular activities. Like the Texas Personal History Statement, it aims to assess an applicant's qualifications and readiness for a specific program.
  • Volunteer Application Form: This form gathers personal details and background information for individuals seeking volunteer positions. It mirrors the Texas Personal History Statement in its intent to evaluate the applicant's suitability for the role.
  • Professional License Renewal Application: This document is used to renew licenses for various professions. Similar to the Texas Personal History Statement, it requires updated personal and professional information to ensure compliance with licensing requirements.

Dos and Don'ts

When filling out the Texas Personal History Statement form, it is essential to approach the task with care. Here’s a list of things you should and shouldn’t do to ensure your application is completed accurately and effectively.

  • Do type or neatly print your responses in ink. Clarity is crucial.
  • Do write "N/A" for questions that do not apply to you. This shows you have considered each question.
  • Do provide complete and honest answers. Misrepresentation can lead to disqualification.
  • Do use the last page of the form for additional information if you need more space.
  • Don't leave any questions unanswered. Each section must be addressed, even if the answer is not applicable.
  • Don't withhold information about past legal issues. Transparency is key to a successful application.

Following these guidelines can help streamline your application process and increase your chances of success. Remember, accuracy and honesty are paramount when dealing with governmental documents.

Misconceptions

Misconceptions about the Texas Personal History Statement form can lead to confusion and errors in the application process. Here are nine common misconceptions:

  • Only criminal history matters. Many believe that only felony convictions disqualify them. However, Class A misdemeanors and certain Class B misdemeanors can also affect eligibility.
  • All arrests result in disqualification. This is not true. Not all arrests lead to automatic rejection. Context matters, and prior misconduct is evaluated on a case-by-case basis.
  • Medical information must be disclosed. Applicants do not need to provide medical or disability-related information until after receiving a conditional job offer.
  • Incomplete forms are acceptable. Omitting information or leaving questions blank can lead to rejection. Every question must be answered, even if the answer is "N/A."
  • Previous terminations automatically disqualify applicants. While terminations are considered, they do not automatically disqualify someone from applying.
  • Misstatements can be corrected later. Deliberate misstatements or omissions can lead to immediate rejection. Honesty is crucial from the start.
  • Only the most recent application needs to be listed. All law enforcement agency applications in the past ten years must be disclosed, regardless of the outcome.
  • Personal references are not important. The form requires detailed information about immediate family and references. This information is crucial for background checks.
  • Only personal information is needed. The form also requires details about prior training and courses attended, which are essential for evaluating qualifications.

Key takeaways

Key Takeaways for the Texas Personal History Statement Form

  • Ensure you meet all five eligibility requirements before filling out the form, including citizenship and educational qualifications.
  • Be truthful in your responses. Misrepresenting or omitting information can lead to application rejection.
  • Type or neatly print your answers. If a question doesn’t apply to you, write “N/A” in the space provided.
  • Use additional pages if needed for longer responses, clearly indicating the question number for reference.
  • You are not required to disclose any medical information until you receive a conditional job offer, in line with the Americans with Disabilities Act.
  • Initial the designated page to confirm that all information provided is complete and accurate.