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Neighborhood Check Questionnaire

1Your Details
2Questionnaire

Instructions

We are conducting a Pre-Employment Background Investigation on your neighbor for a position of public trust with a Public Safety Agency and attempted to contact you unsuccessfully. We respectfully request that you complete the questionnaire below are your earliest convenience. Your anticipated assistance in this matter is greatly appreciated. Please don’t hesitate to contact us if you have any questions or concerns.
Your Name(Required)

Questionnaire

Please answer the questionnaire about your neighbor truthfully and honestly. Throughout the questionnaire we will refer to your neighbor as the Applicant.
Applicant Name(Required)
Applicant Address(Required)

How well do you know the Candidate?(Required)
Do you know the candidate well enough to complete a Personal Reference Questionnaire?(Required)
Is the Candidate friendly and/or helpful to others?(Required)
Are you aware of any unethical or immoral behavior by the Candidate?(Required)
Have you ever suspected any illegal activity by the Candidate?(Required)
Has law enforcement ever responded to the Candidate's residence?(Required)
Has the Candidate caused any problems in the neighborhood?(Required)
Are you aware of any circumstances that might disqualify the Candidate from a position of public trust?(Required)
Do you know the Candidate well enough to recommend them for a position of public trust?(Required)
May we contact you with any further questions regarding the Candidate?(Required)
Can you provide any additional references who know the Candidate?(Required)
Please provide the full name, telephone, and email address of the reference(s):(Required)
You can add additional references by selecting the ➕ icon to the right of the Telephone text box. You can remove a reference by selecting the ➖ icon that will appear when you’ve added additional references.
Full Name
Email
Telephone
 

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SETTINGS - BG File Format

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SETTINGS - Step Sub (Completed)

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SETTINGS - Type of Contact

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Case Difficulty Scale

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SETTINGS - Admin Database List

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Admin Menu List

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SETTINGS - CA Counties

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SETTINGS - Position Type

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Settings - Position

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