The Maryland Polygraph Police form is a crucial document required for individuals seeking employment with the Maryland State Police. This form serves as a pre-employment screening tool, ensuring that applicants undergo a polygraph examination to assess the truthfulness of their background information. Completing this form accurately is essential, as any misrepresentation may lead to disqualification from the hiring process.
To begin your application, please fill out the Maryland Polygraph Police form by clicking the button below.
The Maryland Polygraph Police form plays a critical role in the hiring process for individuals seeking employment with the Maryland State Police. This comprehensive document is designed to gather essential information about the applicant, including personal background details, identity verification, and residency history. It serves as a prerequisite for a pre-employment polygraph examination, which aims to assess the truthfulness of the information provided. Applicants must complete this booklet thoroughly, as any intentional misrepresentation or omission could lead to disqualification from the hiring process. The form emphasizes the importance of honesty, given the trust and responsibility placed on Maryland State Police employees. It includes sections for personal identification, citizenship status, and residency history, along with specific questions that delve into any past legal or identity-related issues. By signing the form, applicants not only consent to the polygraph examination but also acknowledge the potential recording of the session, which may be shared with relevant authorities. Understanding the significance of this form is crucial for those aspiring to join the ranks of the Maryland State Police, as it reflects the agency's commitment to integrity and transparency in its hiring practices.
Maryland Personal Property Tax Late Filing Penalty - Replacement vouchers can be requested directly on this form.
Md Business Tax - Consider consulting with a tax professional for complex situations.
The Louisiana Firearm Bill of Sale form is a legal document that records the sale or transfer of a firearm between individuals. This form is essential for both buyers and sellers, as it provides proof of ownership and ensures compliance with state laws. For those looking to better understand the requirements and importance of this document, you can reference the Bill of Sale for a Gun, which offers valuable insights that can help facilitate a smooth and responsible transaction.
New Maryland Gun Laws 2023 - Detailed training records benefit applicants in the long term.
Assigned to: _____________________
Tracking 67# ____________________
MARYLAND STATE POLICE APPLICANT POLYGRAPH SCREENING BOOKLET
Position Applied For:
Trooper Cadet
Civilian
Allied Agency
Other_
Have you received a written Conditional Offer of Employment? Yes No
INSTRUCTIONS TO APPLICANT:
You are being considered for employment with the Maryland State Police. As a prerequisite for employment, you are required to submit to a pre-employment polygraph examination. As part of that process, it will be necessary for you to complete this booklet. The contents of this booklet are held "CONFIDENTIAL," except when essential to the conduct of proper official police business and national security. It is important that you understand that the intentional misrepresentation, omission, or falsification of any material fact may be just cause for disqualification or dismissal from the applicant process.
Maryland State Police employees, regardless of position, are placed in a position of trust and responsibility. Because of this trust, the MSP expects candor and honesty from all employees. The purpose of this examination is to determine the truthfulness of the information provided to the polygraph examiner. The areas of inquiry will deal with your background and experience.
During the interview with the polygraph examiner, you will discuss many aspects of your background. Some may seem so "bad" that you are afraid it will disqualify you from this job. What will disqualify you is your failure to provide truthful, accurate, and complete information.
The next page is your written permission for the examiner to administer your examination. Do not mark on the page except to sign it in the lower right corner marked "signature."
Name (Last, First Middle) ________________________________________________________
Date of Birth_____________ Driver's License Number / State ____________________________
Mailing Address _______________________________________________________________
City ________________ County ______________ State __________ Zip Code ___________
Telephone: Home________________ Work _______________Cell Phone ________________
E-mail address ________________________________________________________________
Current Employer ______________________________________________________________
Employment Address ___________________________________________________________
Date Booklet Completed: ___________________
MSP 40-23 (05-17)
1
RELEASE
I hereby voluntarily submit to a polygraph examination (detection of deception) by the Maryland State Police. I understand and agree that the polygraph examination will be audio and video recorded and that the recordings as well as the results of the polygraph examination may be made available to the proper authorities, including but not limited to other law enforcement agencies, social service agencies and current or past employers. In consideration of being given a polygraph examination without cost to me, I, for myself, my heirs, personal representatives and assigns, hereby agree to hold harmless, the Maryland State Police, its officers, employees, and agents from any liability for any damage to me as a result of said examination and I hereby remise, release, waive, and forever discharge and exonerate said Maryland State Police, its officers, employees, agents from any and all action or cause of action, claim, or demand which I have now or may ever have resulting directly, indirectly, or remotely from said examination or making known any reactions, statements, information, and incidental opinions made by me as part of the examination.
In witness whereof, I have hereunto set my hand and seal the day and date set forth above.
_________________________________
____________________________
WITNESS
SIGNATURE / DATE
2
SECTION A: PERSONAL BACKGROUND INFORMATION
PART 1: IDENTITY
Full Name: (Last, First Middle):____________________________________________________________________
Date of Birth: _________________ Race:________ Gender:_________ Place of Birth: _____________________
Social Security Number: _________________________________________________________________________
Scars, marks, or tattoos: (explain any significance) ____________________________________________________
_____________________________________________________________________________________________
Excluding nicknames, list any other names you have ever used and the periods of time you used them:
_________________________________________________________________________________________________
YES NO
1.
2.
3.
4.
5.
6.
7.
8.
9.
Has your name ever been changed by court order?
Have you ever used a false name, date of birth, or place of birth for any reason? Have you ever obtained, possessed, or used any form of false identification? Have you ever used a false Social Security Number or someone else’s SSN? Have you ever misrepresented your identity to any law enforcement agency? Have you ever falsified your identity on any job application?
Have you ever falsified your identity on any credit application?
Have you ever falsified your identity on any other application or official document?
While underage, did you ever use any type of false identification to buy alcoholic beverages?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 1 - IDENTITY:
3
SECTION A: PERSONAL BACKGROUND INFORMATION (Continued)
PART 2: CITIZENSHIP
____ ____ Have you ever held citizenship in any country other than the United States?
IF YOU ANSWERED “YES” TO THE ABOVE QUESTION, YOU MUST ALSO ANSWER THE BELOW QUESTIONS ON THIS PAGE. IF YOU ANSWERED “NO” TO THE ABOVE QUESTION, YOU DO NOT HAVE TO ANSWER THE BELOW QUESTIONS ON THIS PAGE. PROCEED TO SECTION A, Part 3 (page 6).
Excluding the United States, list all foreign countries where you have held citizenship and the periods of time for each:
In what country were you born?________________________________________________________________________
At what age did you leave your country of birth? _________ At what age did you come to the U.S.?_______
Why did you leave your country of birth?_________________________________________________________________
Why did you come to the U.S.?________________________________________________________________________
With whom did you come to the U.S.?___________________________________________________________________
To what country do you hold your primary allegiance (loyalty)? _______________________________________________
Have you ever worked for a foreign government or foreign law enforcement agency? Have you ever been a member of a foreign military service?
Have you ever worked for, or been affiliated in any way, with a foreign intelligence agency? Are you now a Naturalized United States Citizen?
Have you provided this department with a valid Naturalization Certificate? Do you possess a valid passport issued by a foreign country?
Have you taken part in committing any crime(s) in another country?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 2 – CITIZENSHIP:
4
PART 3: RESIDENCY
List your current home address: _______________________________________________________________________
List any other addresses where you stay on a regular basis: _________________________________________________
YES
NO
Have you ever been evicted or threatened with eviction from any places you have lived?
Have you ever had a mortgage foreclosure taken against you?
Excluding eviction or foreclosure, have you ever been ordered to vacate any place you have lived?
Have you ever been forced to vacate housing at any colleges due to disciplinary problems?
Have you ever received a notice to appear in Landlord-Tenant Court?
Do you reside at any other address on a regular basis?
____
Have you ever broken a lease at any place you lived?
Have any liens been placed against any property you have owned?
Have you had any police contact while leasing or renting?
10.
Have you been involved in any arguments or fights with any of your neighbors?
11.
Will any of your current or former neighbors say anything derogatory about you?
12.
Have you ever moved out of any place you have lived due to arguments or disputes with your spouse,
family members, roommates, neighbors, or landlords?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 3 - RESIDENCY:
5
PART 4: EDUCATION
Name of High School Attended: ________________________________ Dates Attended: ______________________
Address: ______________________________________________________ Diploma Received: Yes
No
Highest Grade Completed: ______ Graduation Date: __________ High School Equivalency (GED): Yes
COLLEGES / UNIVERSITIES ATTENDED (Include name, address, # of credit hours, major, degree received)
13.
14.
15.
Were you ever suspended or expelled from any type of learning establishment for any reason? Did you ever have any adverse contact with high school security or school police?
Were you ever taken into custody or charged with any crimes by high school security or police? Did you ever have any adverse contact with college campus security or college police?
Were you ever taken into custody or charged with any crimes by campus security or police? Were you ever questioned as a suspect in any crimes by campus security or police?
Were you ever ineligible to return to any high school or college due to disciplinary reasons? Were you ever barred from entering the property of any high school or college?
Did you ever have any adverse contact with any resident assistants?
Were you ever required to appear before any college hearing board as a result of disciplinary action? Did you ever cheat on any exams, tests, assignments, projects, or papers in high school or college? Were you ever caught cheating in any educational or training environment?
Did you ever falsify your high school or college grades or grade point average? Did you ever falsify any information on your high school or college transcripts? Did you ever have any academic/disciplinary probations in high school or college?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 4 - EDUCATION:
6
PART 5: EMPLOYMENT
Please list places of employment starting from most recent. Also include dates employed. (If needed, use additional space provided in the remark sections)
16.
17.
18.
19.
20.
_
Have you ever been fired from any job?
Have you ever been allowed to resign from any job in place of being fired?
Have you ever quit any job because you thought you were going to get fired?
Are you ineligible for rehire at any place of employment now?
Have you ever been denied any merit increases due to poor performance evaluations?
Have you ever been involved in any physical or verbal confrontation with any coworker, supervisor,
or customer?
Have you ever quit any job due to allegations of misconduct on your part?
Have you ever received any written disciplinary action on any jobs?
Have you ever been suspended (with or without pay) from any job?
Have you ever been investigated for any criminal acts against any of your employers?
Have you ever been involved in industrial or corporate espionage?
Have you ever committed any criminal acts against any of your employers or coworkers?
Have you ever deliberately violated any serious employment rules or regulations?
Have you ever deliberately violated any employment nondisclosure agreements?
Have you ever been denied employment due to adverse results of a background investigation?
Have you ever applied to any police department or law enforcement agency?
Have you ever been employed by any police department or other law enforcement agency?
Have you ever been rejected for employment by any police department or law enforcement agency?
Have you ever had any prior polygraph examination? If “Yes”, list when, where, and results.
Have you ever before made application for employment with the Maryland State Police? If yes, when,
what position, and what is the status of that application.
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 5 - EMPLOYMENT:
7
PART 6: FINANCES / CREDIT / LAWSUITS
Have you ever declared bankruptcy?
Have any court ordered financial judgments ever been taken against you? Have you ever had any property repossessed?
Have you ever had any accounts taken over by a collection agency? Are any of your current debts or bills 30 or more days delinquent? Have any liens been placed against any property you have owned?
Have you ever been sanctioned by the IRS or any state income tax agency? Do you have any alimony or child support obligations?
IF YOU ANSWERED “YES” TO ANY OF THE ABOVE QUESTIONS, STATE WHAT SPECIFIC ACTIONS YOU TOOK OR ARE NOW TAKING TO RESOLVE THESE FINANCIAL PROBLEMS.
Have your wages ever been garnished?
Has anyone ever sued you?
Have you ever sued anyone?
Have you ever received any out of court settlements?
Have any of your bank accounts ever been garnished or frozen?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 6 - FINANCES / CREDIT / LAWSUITS:
8
PART 7: MILITARY SERVICE
Have you ever served in any branch of the Unites States military? Have you ever been rejected by any branch of the military?
Have you ever served in, or attempted to enlist in, any branch of a foreign military? Have you registered for selective service?
IF YOU SERVED IN THE MILITARY (U.S. OR FOREIGN) YOU MUST ALSO ANSWER THE FOLLOWING QUESTIONS. IF YOU HAVE NOT SERVED IN THE MILITARY, YOU DO NOT HAVE TO ANSWER THE BELOW QUESTIONS AND CAN NOW PROCEED TO SECTION 8.
Did you receive an Honorable Discharge? (IF NO, EXPLAIN)
Were you ever court-martialed?
Did you ever receive any nonjudicial punishments (written or verbal reprimand, etc.)? Were you ever questioned as a suspect in any crimes by any U.S. or foreign military police? Did you ever have any adverse contact with any U.S. or foreign police?
Were you ever denied eligibility for re-enlistment?
Were you ever charged with any violations of the Uniform Code of Military Justice (UCMJ)? Have you ever altered a copy of your DD-214 during any pre-employment investigation?
WRITTEN EXPLANATIONS FOR ANY “YES” ANSWERS TO SECTION A, PART 7 - MILITARY SERVICE:
9
PART 8: DRIVER’S LICENSE / RECORD / ACCIDENTS
Have you ever operated a vehicle after consuming any intoxicating substance to the point of impairment?
Have you ever operated a vehicle after consuming any intoxicating substance to the point of intoxication?
Have you ever fled from, or attempted to elude, police while on foot or in a vehicle? Have you ever operated a motor vehicle knowing it was uninsured / unregistered? Have your license plates ever been confiscated by the police or MVA?
Has your vehicle insurance ever been canceled or denied renewal? Have you ever failed to appear in court as a result of any traffic ticket? Have you ever received any traffic tickets as a result of a traffic accident? Have you ever been involved in any law-suit as a result of a traffic accident? Have you ever been involved in a hit and run accident?
Have you ever lied to any police officers to try to get out of a traffic ticket?
Have you ever lied to a judge in traffic court?
Do you currently have any traffic or parking tickets for which you have not paid the fine or appeared in court for?
Have you ever had a driver’s license in any other state? If so, list the periods of time for each? Have you ever filed to have any violations expunged from your driving record? If so, explain.
List below all traffic stops in this state or any other state that resulted in you receiving any of the following: citations, written warnings, verbal warnings, Safety Equipment Repair Orders, red light tickets, speed camera tickets.
DATE
STATE
VIOLATION(S)
DISPOSITION
10
This is incorrect. The Maryland State Police requires a polygraph examination as a prerequisite for employment. It is mandatory for all applicants.
In fact, the contents of the form are considered "CONFIDENTIAL." They are only shared when necessary for official police business or national security.
Providing false information can lead to disqualification or dismissal from the applicant process. Honesty is crucial.
The test examines various aspects of your background and experience, not just your criminal history. It focuses on truthfulness regarding all provided information.
What truly matters is your willingness to provide truthful and complete information. Past mistakes may not disqualify you if you are honest about them.
Applicants must provide written explanations for any "yes" answers. This helps the polygraph examiner understand your background better.
The examination will be both audio and video recorded. This ensures accuracy and accountability during the process.
Applicants agree to hold the Maryland State Police harmless from any liability resulting from the examination, which is a standard procedure.
All questions must be answered fully and honestly. Skipping questions can raise red flags during the examination process.
The examiner will discuss various aspects of your background during the interview. Open communication is key to a successful examination.
Completing the Maryland Polygraph Police form is a critical step in the hiring process for those seeking employment with the Maryland State Police. However, many applicants make common mistakes that can jeopardize their chances of being hired. Understanding these pitfalls can help candidates present themselves more effectively.
One frequent error is failing to provide complete and accurate personal information. Applicants may overlook sections or provide vague answers, thinking that minor details are unimportant. However, the Maryland State Police emphasizes the need for truthful, accurate, and complete information. Omitting details or providing incomplete answers can raise red flags during the review process. It is essential to meticulously fill out every section, ensuring that all information is current and precise.
Another mistake involves misunderstanding the significance of "yes" answers to the background questions. Some applicants may be tempted to answer "no" to questions about past legal issues or identity misrepresentations, fearing that a "yes" will automatically disqualify them. In reality, the Maryland State Police seeks honesty. Providing explanations for any affirmative responses can demonstrate integrity and a willingness to address past mistakes. This transparency is often viewed more favorably than an attempt to conceal information.
Additionally, many applicants neglect to thoroughly review the instructions before completing the form. The instructions clearly state that any intentional misrepresentation or omission can lead to disqualification. Ignoring these guidelines can result in misunderstandings about what information is required. Taking the time to read and understand the instructions can prevent costly errors.
Lastly, some individuals fail to consider the implications of their responses on future employment. The polygraph examination is not just a formality; it is a tool to assess trustworthiness. Applicants should reflect on how their past experiences and choices might be perceived in the context of law enforcement. Misjudging the relevance of certain experiences can lead to unintentional misrepresentation. A thoughtful approach to filling out the form can help applicants present a more complete and honest picture of themselves.
Filling out the Maryland Polygraph Police form requires careful attention to detail. Here are key takeaways to consider:
The Maryland Polygraph Police form is an essential document for those seeking employment with the Maryland State Police. Along with this form, several other documents are often required to ensure a comprehensive evaluation of the applicant's background and qualifications. Below are five key forms and documents commonly used in conjunction with the polygraph screening process.
Each of these documents plays a vital role in the hiring process, helping to establish a clear and thorough understanding of the applicant's background and qualifications. Completing these forms accurately and honestly is essential for a successful application to the Maryland State Police.
The Maryland Polygraph Police form shares similarities with the FBI Employment Application. Both documents serve as a preliminary screening tool for candidates seeking employment in positions of trust and responsibility. The FBI application requires detailed personal information, including background checks, citizenship status, and criminal history. Like the Maryland Polygraph form, it emphasizes the importance of honesty and accuracy in the information provided. Misrepresentation or omission in either document can lead to disqualification from the hiring process.
The Florida Divorce Settlement Agreement form is a legal document that outlines the terms agreed upon by both spouses during a divorce. This agreement covers various aspects such as property division, child custody, and support obligations. Understanding this form is essential for ensuring a fair and smooth divorce process in Florida. For further information, you can visit floridadocuments.net/fillable-divorce-settlement-agreement-form.
Another comparable document is the U.S. Customs and Border Protection (CBP) Background Investigation Form. This form is used to assess the suitability of applicants for positions within the agency. It gathers extensive personal history, including previous employment, residence history, and any legal issues. Similar to the Maryland Polygraph form, the CBP document stresses the necessity for complete and truthful responses, as any discrepancies can result in the denial of employment opportunities.
The National Security Agency (NSA) Security Clearance Application also bears resemblance to the Maryland Polygraph Police form. This application is crucial for individuals seeking access to classified information. It requires comprehensive disclosures about an applicant's background, including financial history and foreign contacts. Both documents highlight the critical nature of transparency and integrity, as any false information can jeopardize not only the application but also national security interests.
Lastly, the U.S. Secret Service Background Investigation Questionnaire is another document similar to the Maryland Polygraph Police form. This questionnaire is part of the process for individuals applying to work in protective and investigative roles. It collects detailed personal and professional history, along with inquiries into any past criminal behavior. Like the Maryland Polygraph form, it underscores the importance of full disclosure and the consequences of providing inaccurate or incomplete information during the application process.