In order to access this system you must have a password, provided by your sponsoring agency. Once you enter your password, you will gain access to the system so that you can provide personal history and background information.
Before attempting to complete this questionnaire, you should gather together the following information:
- Description of all schools you have attended since high school graduation, dates of attendance, the names of all diplomas and educational certificates you have earned, and dates of graduation.
- Names, addresses, dates of employment, earnings (salary) and performance/disciplinary history for ALL jobs you have held in the past 10 years. This includes full time, part time and volunteer positions. You must provide this for all jobs REGARDLESS of the amount of time you were employed and/or whether these jobs were permanent or temporary.
- Complete military history (if applicable) to include dates of enlistment and discharge for all terms of service (active duty and reserve). You must also provide descriptions, dates, and dispositions for all incidents of military discipline.
- History of all moving traffic violations and/or vehicle accidents including dates and dispositions
- History and description of all criminal arrests including dates and dispositions.
- The names of all law enforcement agencies to which you have previously applied, the date(s) of your application(s), as well as the disposition of your application.
As this information will be used by your sponsoring agency and background investigators, it MUST be accurate and complete. By completing OnlinePHQ you acknowledge and consent to the following:
- ALL INFORMATION YOU PROVIDE WILL BE SUBJECT TO VERIFICATION BY RECORDS CHECKS, BACKGROUND INVESTIGATION AND/OR POLYGRAPH EXAM BY YOUR SPONSORING AGENCY;
- FALSIFICATION AND/OR FAILURE TO PROVIDE THIS INFORMATION MAY RESULT IN DISQUALIFICATION AND MAY CONSTITUTE A VIOLATION OF APPLICABLE LAW;
- IF YOU HAVE PREVIOUSLY COMPLETED OnlinePHQ® FOR ANOTHER AGENCY, THE INFORMATION YOU ARE CURRENTLY PROVIDING MAY BE COMPARED TO THAT PREVIOUSLY SUBMITTED INFORMATION AND INCONSISTENCIES MAY BE IDENTIFIED TO YOUR SPONSORING AGENCY. INFORMATION YOU CURRENTLY SUBMIT THROUGH OnlinePHQ® MAY BE COMPARED TO INFORMATION YOU SUBMIT THROUGH OnlinePHQ® IN THE FUTURE TO ANOTHER AGENCY;
- LESI WILL DELIVER THIS INFORMATION TO YOUR SPONSORING AGENCY FOR THEIR EVALUATION AND QUALIFICATION PURPOSES, INCLUDING BACKGROUND INVESTIGATIONS THEY MAY CONDUCT.
"Please check this box to confirm you have read, acknowledge and consent to these instructions"