Texas Personal History Statement Form in PDF

Texas Personal History Statement Sample

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Detailed Guide for Writing Texas Personal History Statement

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Key takeaways

What is the purpose of the Texas Personal History Statement form?

Who needs to fill out the Texas Personal History Statement form?

Are there specific qualifications an applicant must meet before filling out the form?

Can past misconduct or previous employment terminations disqualify an applicant?

How should the form be completed?

What happens if an applicant cannot remember or obtain certain information requested on the form?

Is it necessary to disclose medical or disability-related information?

What are the consequences of being untruthful on the form?

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Modify Texas Personal History Statement Here

The Texas Personal History Statement form, designated as DP-1, is an essential document for individuals seeking licensure as peace officers or jailers under the jurisdiction of The University of Texas System Police. It is a comprehensive document that requires applicants to provide detailed personal, educational, and professional history to meet the qualifications for licensure, which include being a U.S. citizen, holding a high school diploma or GED, not having certain criminal convictions, and more. To begin the process of submitting your personal history for review, you are encouraged to fill out the form thoroughly and truthfully. Click the button below to start your application.

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In navigating the complexities of achieving licensure in Texas, individuals aiming for positions such as peace officers or jailers are required to complete the Texas Personal History Statement, an essential document scrutinized as part of the application process. This form, mandated by The University of Texas System Police, is designed to compile a comprehensive account of an applicant’s personal and professional background. It meticulously collects detailed information, beginning with basic identifiers like name and contact details, extending through educational background, and delving into any history of criminal activity, military service, and employment records. The instructions emphasize the significance of honesty, highlighting that failure to provide truthful and complete answers, including deliberate omissions or misstatements, is a common reason for the rejection of applications during background investigations. It reveals a nuanced approach to applicant assessment, indicating that certain past behaviors or experiences may not automatically disqualify an applicant, provided they demonstrate transparency. Moreover, it underscores the necessity to initial each page as an attestation to the provided information’s accuracy, thereby reinforcing the gravity of honesty in the process. Applicants are also advised that at this preliminary stage, they are not expected to disclose any medical or disability-related information, in alignment with the U.S. Americans with Disabilities Act, ensuring a fair and unbiased evaluation basis. This introductory disclosure sets the tone for the form's thorough nature, encapsulating the imperative for candidates to approach this application step with sincere reflection and integrity.

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.

9.14.11 MT

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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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
		(	)	(	)

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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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⇩ PDF File

Fact Number	Description
1	The form is identified as DP-1, for use within The University of Texas System Police.
2	It is designed for those seeking licensure as either a peace officer or jailer in Texas.
3	Applicants must meet five key qualifications including U.S. citizenship, education, and a clean legal record.
4	Prior misconduct, terminations, or arrests are not automatic grounds for disqualification.
5	Deliberate misstatements or omissions on the form can lead to application rejection.
6	The applicant is required to fill out the form truthfully, facing criminal consequences for falsehoods.
7	Additional space for responses is available on page 27 of the form.
8	Medical or disability-related information is not required at this stage, in compliance with the U.S. Americans with Disabilities Act.
9	The form includes sections for personal information, immediate family, and criminal history among others.
10	Governing laws for the form include U.S. federal standards and Texas state laws pertaining to law enforcement licensure.

Filling out the Texas Personal History Statement form is a critical step towards pursuing licensure in law enforcement fields within the state. This comprehensive document requires detailed personal information, addressing everything from basic identification to past employment, educational background, and any legal encounters. Being meticulous and honest in completing this form is essential, as inaccuracies or omissions could lead to disqualification. Follow the steps outlined below to ensure your form is filled out correctly and completely.

Start by reading through the entire form to familiarize yourself with the type of information required.
Initial the bottom of the instruction page to acknowledge that you have understood the requirements and are committed to providing accurate information.
Under Section 1: PERSONAL, enter your full name (last, first, middle) as requested in the format provided.
List any other names, nicknames, or aliases you have used or been known by in item 2.
Provide your current residential address, including apartment or unit number if applicable, in item 3. If your mailing address differs from your residential address, indicate it in item 4.
Enter your contact numbers carefully, ensuring to include area codes, and specify which numbers correspond to home, work, cell, and fax in item 5.
For item 6, list both your personal and business email addresses, if applicable.
Record your place of birth—including city, county, state, and country—and your date of birth in items 7 and 8, respectively.
Fill in your Social Security number in item 9, and your driver’s license number along with the state of issuance and expiration date in item 10.
Provide your physical description, including height, weight, hair color, and eye color in item 11.
Indicate whether you have ever attended a basic licensing course and provide the details if you have in item 12.
Item 13 requires information on any law enforcement agencies you have applied to in the last ten years. Include complete and accurate addresses, contact information, and the outcome of each application.
Section 2: RELATIVES AND REFERENCES requires detailed information about your immediate family and other relatives. Fill in all applicable fields for each relative listed from A to H. If a category does not apply or an individual is deceased, mark it as “N/A.”
For relatives with whom you no longer maintain a relationship or lack current details, supply as much information as you can and note any areas where information is not available.
Should any section not provide enough space for your answers, continue on page 27 of the form, ensuring to reference the question number you are addressing.
Before submitting, re-check the entire form for completeness and accuracy. Deliberate omissions or misstatements can lead to disqualification.
Finally, make sure to initial the bottom of the last page to confirm that all information provided is complete and accurate to the best of your knowledge.

Once completed, review the form one last time to ensure all responses are truthful and accurately reflect your history and qualifications. Submit the form to the appropriate department by the deadline provided to continue the licensurable process. Remember, honesty and attention to detail are critical throughout this process.

The Texas Personal History Statement form is designed to collect comprehensive personal information from individuals applying for licensure as peace officers or jailers in Texas. Its primary purpose is to ensure that candidates meet the eligibility requirements and standards deemed necessary for these responsible positions within the Texas law enforcement community. By providing a detailed account of their personal history, applicants enable reviewing authorities to conduct thorough background checks, assess their suitability for the role, and ensure the integrity of the Texas law enforcement agencies.

This form must be completed by anyone seeking licensure as a peace officer or jailer in the state of Texas. It is a critical part of the application process and must be filled out by those who meet the initial eligibility requirements, including U.S. citizenship, possession of a high school diploma or GED, and having no disqualifying criminal convictions or dishonorable discharges from the military.

Yes, applicants must meet five specific requirements to qualify for licensure, which include being a U.S. citizen, holding a high school diploma or GED, having no Class A misdemeanor or felony convictions, no recent Class B misdemeanor convictions, and no dishonorable or bad conduct military discharges.

Not necessarily. While past misconduct, previous employee terminations, and arrests are serious considerations, they are not automatically disqualifying. Each case is reviewed individually, with an emphasis on the overall character and qualifications of the applicant. However, deliberate misstatements or omissions on the form can result in a rejected application.

The form must be filled out with complete honesty and as thoroughly as possible. Applicants should type or neatly print their responses in ink. If a question is not applicable, "N/A" should be written in the space provided. For items requiring additional space, responses should continue on the last page of the form, clearly indicating the question numbers referenced. It's crucial to initial each page to confirm the accuracy and completeness of the provided information.

If an applicant is unable to remember or obtain specific information requested on the form, it is important to indicate this by noting it in the response. Transparency about any uncertainties or gaps in information is better than omitting information or guessing.

During the initial stages of the hiring process, including when filling out the Texas Personal History Statement form, applicants are not expected or required to disclose any medical or other disability-related information. Such disclosures are only relevant and may be required after a conditional offer of employment has been made, in accordance with the U.S. Americans with Disabilities Act.

Being untruthful on the Texas Personal History Statement form can have serious consequences, including criminal charges. Since the form is a governmental document, accuracy, truthfulness, and transparency are imperative. Misrepresenting or withholding job-relevant information is one of the most common reasons for the failure of background checks and the subsequent rejection of applicants.

Filling out the Texas Personal History Statement form is a critical step in the application process for positions such as peace officer or jailer in Texas. However, there are common mistakes applicants make when completing this form. Understanding these errors can help ensure the application process is smooth and successful.

Not verifying eligibility before starting: Applicants must meet all the eligibility requirements listed at the beginning of the form. Failing to ensure eligibility first can result in wasted effort if one finds out they are not qualified after filling out the form.
Providing incomplete answers: Each question should be answered completely and accurately. When additional space is needed, applicants should use the last page of the form, as indicated, and reference the question number clearly.
Omitting information: Deliberately leaving out information or not disclosing all relevant details, especially about past misconduct, employment terminations, and arrests, can lead to automatic rejection. All information requested must be provided.
Misrepresenting facts: Similar to omissions, providing false information or altering details intentionally can have serious consequences, not only disqualifying the application but also potentially leading to criminal charges for lying on a governmental document.
Failure to list all law enforcement agency applications: All applications to law enforcement agencies within the last ten years must be disclosed, regardless of the outcome or current status. This includes applications that were withdrawn or resulted in disqualification.
Improperly indicating non-applicable items: Instead of leaving spaces blank for questions that do not apply, applicants should write “N/A” to clearly indicate the question was read but does not apply to their situation.
Not providing complete contact information: It is crucial to provide comprehensive contact information for all sections, including relatives, previous employers, and references. Missing or inaccurate contact information can delay or derail the background check process.

Avoiding these mistakes requires attention to detail, honesty, and completeness when filling out the form. By ensuring all information is accurately and fully provided, applicants can improve their chances of moving forward in the application process.

Completing the Texas Personal History Statement is a vital step for individuals seeking licensure in law enforcement roles within the state. This in-depth form requires not only personal information but also a comprehensive account of the applicant's history, affiliations, and experiences. To support the information provided in this statement and to comply with verification processes, applicants often need to submit additional forms and documents. Here is a list of documents that are commonly required alongside the Texas Personal History Statement form, each serving to corroborate various details within the primary application.

Copy of Birth Certificate: This verifies the applicant's age and U.S. citizenship.
High School Diploma or GED Certificate: Confirms completion of basic education requirements necessary for the position.
College Transcripts: For positions requiring or favoring applicants with higher education, these transcripts prove educational qualifications and achievements.
DD-214 Form for Veterans: Military personnel must provide this form upon discharge from the military, as it outlines their service, conduct, and separation status.
Driving Record: A current driving record from the department of motor vehicles shows the applicant's driving history and any traffic violations, underscoring their responsibility level.
Credit Report: A credit report may be required to verify financial responsibility and integrity.
Background Check Authorization Form: This form gives permission to the hiring agency to conduct a comprehensive background check, looking into criminal records, previous employment, and more.

Collectively, these documents build a larger picture of the applicant, adding depth to the information provided in the Texas Personal History Statement. They are critical for a thorough review process, ensuring that candidates meet all the necessary criteria for licensure and are suitable for positions of trust and responsibility within law enforcement. By preparing and submitting these documents, applicants demonstrate transparency and readiness for the comprehensive vetting process characteristic of law enforcement careers in Texas.

The Texas Personal History Statement form bears similarities to the Employment Application Form, which is commonly used in a wide variety of industries beyond law enforcement. Both forms require the applicant to provide comprehensive personal information, including full name, contact information, educational background, and employment history. The key similarity lies in their purpose to screen candidates based on their qualifications, history, and suitability for a position, although the Texas Personal History Statement form places a greater emphasis on aspects pertinent to law enforcement roles, such as any criminal history or conduct that could influence an applicant's eligibility for licensure.

Another document akin to the Texas Personal History Statement form is the Security Clearance Form used by government agencies. This form also requests detailed personal information, employment history, and background checks. The similarity is primarily in their thoroughness and the necessity for honesty in disclosing potentially disqualifying information. Both documents are critical to evaluating trustworthiness and integrity, key factors for positions that demand high ethical standards and confidentiality, reflecting their shared goal of ensuring only eligible and reliable individuals are considered for sensitive positions.

The Professional Licensing Application for other careers, such as medicine, law, or education, also shares commonalities with the Texas Personal History Statement form. These applications typically require detailed personal information, education and training verification, and past misconduct or legal issues that might affect the applicant’s professional licensure. The primary similarity lies in the vetting process, ensuring that candidates meet the specific criteria and standards required by their professional field, underscoring the importance of integrity and suitability for the profession they intend to enter.

A Credit Application Form is unexpectedly similar to the Texas Personal History Statement form in certain respects. Though primarily focused on financial information, credit applications often require detailed personal information and have sections that may touch on an applicant's history and character, particularly in relation to financial responsibilities. Similar to the scrutiny applied in the personal history statement, the analysis in a credit application aims at assessing reliability—albeit in financial matters—underscoring integrity and accountability as overarching principles.

The Adoption Application Form, used by agencies to screen potential adoptive parents, parallels the Texas Personal History Statement form in its purpose of thorough vetting for sensitive roles. Both forms delve into personal history, including legal issues, to assess the applicant’s suitability for a highly responsible position, be it parenthood or law enforcement. The exhaustive personal and background checks serve to protect the interests and safety of children or the public, reflecting a shared commitment to ensuring only well-qualified individuals are entrusted with significant responsibilities.

The Visa Application Form for entry into foreign countries also mirrors the Texas Personal History Statement form in several aspects. Both documents request detailed personal information, past travels, and an honest declaration of any legal issues that could affect the applicant's eligibility—be it for entering another country or for licensure in law enforcement. The critical similarity here is the necessity of transparency and integrity in the application process, which profoundly impacts the applicant's eligibility and the authority's ability to make informed decisions.

When completing the Texas Personal History Statement form, it's important to approach the process with attention to detail and honesty. To help you navigate this task, here are four things you should do and four things you shouldn't:

Do:

Thoroughly read the instructions before you start filling out the form to ensure you understand what is required.
Respond truthfully to all questions. Accuracy is crucial as this form is a governmental document, and there are criminal consequences for being untruthful.
Use ink and print neatly or type your responses to ensure legibility. If a question doesn't apply to you, write “N/A” for not applicable.
Provide complete information. If you need additional space for any answer, use the last page of the form and reference the question number.

Don't:

Don’t leave any questions unanswered without indicating “N/A” or explaining that you cannot obtain or remember certain information.
Don’t submit the form with missing pages or sections. Ensure all pages are included and appropriately filled out.
Don’t provide false or misleading information. Failing to be honest can lead to your application being rejected, regardless of the nature or reason for the inaccuracies.
Don’t forget to initial and date the form where required to confirm that the information you have provided is complete and accurate.

When navigating the intricate process of applying for licensure as a peace officer or jailer in Texas, applicants may encounter the Texas Personal History Statement form. Misunderstandings about this document can lead to avoidable mistakes or even disqualification. It's vital to clear up common misconceptions to ensure a smooth application process.

Only criminal convictions matter. Many believe that only convictions need to be disclosed. However, any encounter with the law, including arrests not leading to convictions, deferred adjudications, and even juvenile records, should be disclosed. Honesty is paramount, as any omission or misrepresentation can disqualify an application.
Personal history information is optional. Every question on the form is crucial; if a question seems not to apply, writing "N/A" (not applicable) is necessary. Ignoring questions or leaving sections blank can be viewed as incomplete answers or deliberate omissions, which could jeopardize the application.
Medical history must be disclosed. Under the Americans with Disabilities Act, applicants are not required to reveal medical or disability-related information at the application stage. This misconception may lead some to disclose sensitive information unnecessarily, which is not expected or required prior to receiving a conditional offer of employment.
Automatic disqualification due to past mistakes. While the form does list certain criteria that could disqualify an applicant, such as specific criminal convictions, it also emphasizes that few conditions are automatically disqualifying. Every aspect of one’s history is considered in context, and honesty in disclosing past mistakes is critical. However, deliberate falsification will lead to disqualification.
The form is just a formality. Some might think the Texas Personal History Statement is a mere formality and does not warrant careful attention. This is far from the truth. It is a comprehensive background check designed to assess the suitability of candidates for positions that require high moral character and integrity.
All information provided is set in stone. If circumstances change after submitting the form (e.g., address, employment, or other significant life events), it’s the applicant's responsibility to update the information with the hiring authority. Failing to update important changes can negatively impact one's candidacy.

Understanding these nuances can significantly affect an applicant's chances of advancing in the selection process. Complete and accurate adherence to the form’s requirements reflects on an applicant's attention to detail and honesty, which are qualities highly valued in law enforcement positions.

Completing the Texas Personal History Statement form is an essential step in the process for those seeking licensure as a peace officer or jailer in Texas. Here are seven key takeaways to ensure the form is filled out accurately and effectively:

Before beginning the form, verify that all eligibility requirements are met, including U.S. citizenship, possession of a high school diploma or GED, and a clean criminal record as specified in the instructions.
The form is a crucial legal document; therefore, truthfulness and completeness are imperative. Deliberate omissions or falsehoods may lead to the rejection of the application.
When answering questions, if an item does not apply, write "N/A" for "not applicable." This indicates to the reviewer that you saw the question but it did not pertain to your situation.
If more space is needed for any answer, utilize the last page of the form, ensuring that all additional information is clearly identified by the question number it relates to.
Disclosure of past law enforcement applications is required, regardless of the outcome. This historical transparency is part of the thorough background investigation process.
Under the U.S. Americans with Disabilities Act, applicants are not required to reveal any medical or other disability-related information in the initial stages of the hiring process.
All sections regarding family and immediate relatives must be completed with current and accurate information. If a field does not apply or if the individual is deceased, marking "N/A" where applicable is necessary.

Remember, the personal history statement is not only a measure of your past but also a test of your honesty and attention to detail, both of which are critical qualities for anyone pursuing a career in law enforcement. Completing this form meticulously and honestly is your first step toward demonstrating your qualifications and integrity.

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