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personal history statement - trooper - State Highway Patrol

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N. PERSONAL BIOGRAPHY - Include information from birth to present. (Use only the space provided. Do not attach additional sheet(s) for this section.)<br />

Do NOT include information regarding injuries, medical issues, or disabilities, regarding yourself or any family member.<br />

O. APPLICANT CERTIFICATION<br />

IF IT BECAME NECESSARY TO TAKE A HUMAN LIFE IN THE COURSE OF YOUR DUTIES AS A TROOPER, COULD YOU DO SO? YES NO<br />

IF NO, EXPLAIN<br />

ARE YOU WILLING TO RELOCATE ANYWHERE IN THE STATE OF MISSOURI?<br />

YES NO<br />

DO YOU HAVE A TROOP PREFERENCE?<br />

YES NO IF YES, LIST TROOP(S)<br />

The Missouri <strong>State</strong> <strong>Highway</strong> <strong>Patrol</strong> reserves the right to assign members to any location within the <strong>State</strong> of Missouri.<br />

I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the foregoing <strong>statement</strong>s and answers to questions.<br />

I am fully aware that any such misrepresentations, omissions, or falsifications will be grounds for immediate rejection or termination of<br />

employment.<br />

I fully realize that willfully withholding information or making false or incomplete <strong>statement</strong>s during the pre-employment<br />

testing will be a basis for dismissal and permanent disqualification from the Missouri <strong>State</strong> <strong>Highway</strong> <strong>Patrol</strong> and that all<br />

information may be verified by a polygraph examination.<br />

SIGNATURE OF APPLICANT<br />

DATE

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