Background Housemate Questionnaire
DISCLAIMER:
CALIFORNIA EVIDENCE CODE 1040 (a) As used in this section, "official information" means information acquired in confidence by a public employee in the course of his or her duty and not open, or officially disclosed, to the public prior to the time the claim of privilege is made. (b) A public entity has a privilege to refuse to disclose official information, and to prevent another from disclosing official information, if the privilege is claimed by a person authorized by the public entity to do so and: (1) Disclosure is forbidden by an act of the Congress of the United States or a statute of this state; or (2) Disclosure of the information is against the public interest because there is a necessity for preserving the confidentiality of the information that outweighs the necessity for disclosure in the interest of justice; but no privilege may be claimed under this paragraph if any person authorized to do so has consented that the information the interest of the public entity as a party in the outcome of the proceeding may not be considered.
Enter the PIN provided by the Background Investigator
Enter your full name with middle initial.
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How long have you known the applicant?
How are you associated with the applicant?
What is your general opinion of the applicant?
Does the applicant have good moral judgment and integrity? If no, please explain.
Is the Applicant a dependable person? If no, please explain.
Is the applicant a self-motivated person? If no, please explain.
Do you have any knowledge of the applicant's work ethic? If yes, please explain.
Does the applicant treat others fairly? If no, please explain.
Does the applicant get along well with others? If no, please explain.
Is the applicant a quick learner?
Does or has the applicant EVER used illegal drugs? If yes, please explain.
Does or has the applicant EVER drink alcohol excessively? If yes, please explain.
How well did/does the applicant drive?
Have you know the applicant to use poor judgement? If yes, please explain.
Do you have any concerns regarding the applicant's ability to work in a position of trust?If yes, please explain.
Does the applicant take pride in his/her personal appearance?If no, please explain.
Does the applicant have any financial issues that you are aware of? If yes, please explain.
Has the applicant applied to any other law enforcement agencies? If yes, please explain.
Do you have any concerns about any of the applicant's associations? If yes, please explain.
Do you believe the applicant would be a good fit for the Probation Department? If no, please explain.
Is there anything I have not asked that you would like to share?
Can you recommend any other reference(s) for the applicant? If yes, please provide their name and phone number.
Final Thoughts:
If you have any questions or would prefer to speak to the Background Investigator, please use the contact information contained in the email.
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