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Alaska F 3 Form in PDF

The Alaska F 3 form is a Personal History Statement required by the Alaska Police Standards Council (APSC) for individuals seeking certification as police officers in Alaska. This form gathers vital information that helps assess an applicant's suitability for the position. Completing it accurately is essential, as any misrepresentation or omission can lead to disqualification from the application process.

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Example - Alaska F 3 Form

Alaska Police Standards Council

PO Box 111200

Juneau, Alaska 99811

Instructions to the Applicant

The information you provide in this Personal History Statement will be used in the background investigation to assist in determining your suitability for the position of an APSC Certified Officer, in accordance with Alaska Police Standards Council (APSC) regulations.

•Please confirm this version is the most current version by checking APSC website: https://dps.alaska.gov/APSC/Agency-Forms

•It is your responsibility to complete this form and provide all required information.

•If filling out hardcopy, please fill out form in blue or black ink or type as indicated by the agency. Do not use pencil.

•You must respond to all items and questions. If a question does not apply to you, write “N/A” (not applicable) in the space provided for your response.

•If you need more space for any response, use the last page of this form (page 27) and identify the additional information by the question number.

•Send the completed form to your background investigator or the agency to which you are applying. Do NOT send the form to APSC.

Disqualification

There are very few automatic bases for rejection. Even issues of prior misconduct, such as prior illegal drug use, driving under the influence, theft, or even arrest or conviction are usually not, in and of themselves, automatically disqualifying. However, deliberate misstatements or omissions can and often will result in your application being rejected, regardless of the nature or reason for the misstatements/omissions. In fact, the number one reason individuals “fail” background investigations is because they deliberately withhold or misrepresent job-relevant information from their prospective employer.

BOTTOM LINE: You are responsible for providing complete, accurate, and truthful responses.

Disclosure of Medically-Related Information

In accordance with the U.S. Americans with Disabilities Act, and the Genetic Information Nondiscrimination Act (GINA), applicants are not expected or required to reveal any medical or other disability-related information about themselves or their family members in response to questions on this form.

I have read and I understand the above instructions.

Signature: _________________________________________________ Date: ________________________

APSC Form F-3

Page 2

SECTION 1: PERSONAL

1.YOUR FULL NAME

LAST

FIRST

MIDDLE

2.OTHER NAMES YOU HAVE USED OR BEEN KNOWN BY (INCLUDE MAIDEN NAME AND NICKNAMES)

3.ADDRESS WHERE YOU LIVE

NUMBER / STREET

APT / UNIT

N/A

CITY

STATE

ZIP

4.MAILING ADDRESS, IF DIFFERENT FROM ABOVE (FOR EXAMPLE, PO BOX)

5.CONTACT NUMBERS

CELL	WORK	HOME	OTHER	TYPE:

6. CONTACT EMAIL		7. LIST ALL OTHER EMAIL ADDRESSES (SEPARATED BY COMMAS)

• Attach a copy of birth certificate or passport or if applicable certification of naturalization (mandatory)

8. CITIZENSHIP

Are you a U.S. citizen?	Yes	No
IF NATURALIZED, provide your certificate number and date, place, and court naturalized

9.BIRTH PLACE (CITY / COUNTY / STATE / COUNTRY) 10. BIRTHDATE (MM/DD/YYYY) 11. SOCIAL SECURITY NUMBER 12. DRIVER’S LICENSE

NUMBER:

STATE:

EXPIRES:

13. PHYSICAL DESCRIPTION			EYE COLOR:
HEIGHT:	WEIGHT:	HAIR COLOR:

13.1SCARS, MARKS, AND TATOOS (include removed or altered tatoos)

SECTION 2: RELATIVES AND REFERENCES

14.IMMEDIATE FAMILY

•Provide all applicable information in the spaces below. • Mark “Deceased,” if appropriate. Mark "N/A" if a category is not applicable

•If more spaced is needed, use Section 15 or continue on page 27 – reference corresponding numbers.

14.A	Spouse / Domestic Partner / Boyfriend / Girlfriend / Significant			Other		Deceased			N/A
NAME			HOME ADDRESS (NUMBER / STREET / APT)		CITY		STATE	ZIP

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY		STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		DATE OF MARRIAGE/REGISTRATION	BIRTHDATE (MM/DD/YYYY)	Is there, or has there ever been, a civil or criminal restraining or stay-away
		(MM/YYYY)
		(MM/YYYY)		order in effect involving you and this individual?				Yes	No

14.B	Former Spouse/Domestic Partner/Significant Other or Boyfriend/Girlfriend dated longer than three months					Deceased			N/A
NAME			HOME ADDRESS (NUMBER / STREET / APT)		CITY		STATE	ZIP

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY		STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		DATE OF MARRIAGE/REGISTRATION	BIRTHDATE (MM/DD/YYYY)
		DATE OF DISSOLUTION	BIRTHDATE (MM/DD/YYYY)	Is there, or has there ever been, a civil or criminal restraining or stay-away
		DATE OF DISSOLUTION
		(MM/YYYY)							No
		(MM/YYYY)		order in effect involving you and this individual?				Yes	No
		(MM/YYYY)

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 3

SECTION 2: RELATIVES AND REFERENCES continued

14.C Parents / Guardians

List ALL parents/guardians, living or deceased, including biological, adoptive, foster, step-parents, in-laws, etc.

14.C.1 Parent / Guardian:	Mother	Father	Step-mother	Step-father	In-law		Other:		Deceased
NAME		HOME ADDRESS (NUMBER / STREET / APT)				CITY		STATE	ZIP

HOME PHONE

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE ZIP

WORK PHONE

CELL PHONE

14.C.2 Parent / Guardian:	Mother	Father	Step-mother	Step-father	In-law		Other:		Deceased
NAME		HOME ADDRESS (NUMBER / STREET / APT)				CITY		STATE	ZIP

HOME PHONE

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE ZIP

WORK PHONE

CELL PHONE

14.C.3 Parent / Guardian:		Mother	Father	Step-mother	Step-father	In-law		Other:

NAME			HOME ADDRESS (NUMBER / STREET / APT)				CITY

	HOME PHONE		MAILING ADDRESS (IF DIFFERENT)				CITY

Deceased

STATE ZIP

WORK PHONE

CELL PHONE


14.C.4 Parent / Guardian:		Mother	Father	Step-mother	Step-father	In-law		Other:		Deceased
NAME			HOME ADDRESS (NUMBER / STREET / APT)				CITY		STATE	ZIP

	HOME PHONE		MAILING ADDRESS (IF DIFFERENT)				CITY		STATE	ZIP

WORK PHONE

CELL PHONE

14.D Brothers / Sisters

List ALL LIVING siblings, including half-siblings, step-siblings, foster-siblings, etc.

N/A

14.D.1 Sibling:		Brother	Sister		Half-brother	Half-sister	Other:
NAME				AGE	HOME ADDRESS (NUMBER / STREET / APT)			CITY	STATE	ZIP

	HOME PHONE				MAILING ADDRESS (IF DIFFERENT)			CITY	STATE	ZIP

	WORK PHONE				CELL PHONE		EMAIL

14.D.2 Sibling:		Brother	Sister		Half-brother	Half-sister		Other:
NAME				AGE	HOME ADDRESS (NUMBER / STREET / APT)				CITY	STATE	ZIP

	HOME PHONE				MAILING ADDRESS (IF DIFFERENT)				CITY	STATE	ZIP

	WORK PHONE				CELL PHONE		EMAIL

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 4

SECTION 2: RELATIVES AND REFERENCES continued

14.D.3

Sibling:

Brother

Sister

Half-brother

Half-sister

Other:

NAME

AGE

HOME ADDRESS (NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE

ZIP

WORK PHONE

CELL PHONE

14.D.4

Sibling:

Brother

Sister

Half-brother

Half-sister

Other:

NAME

AGE

HOME ADDRESS (NUMBER / STREET / APT)

CITY

STATE

ZIP

HOME PHONE

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE

ZIP

WORK PHONE

CELL PHONE

14.E Children

N/A

List ALL LIVING children, including natural, adopted, step, and/or foster care. Include any other children who reside with you. Provide the name and contact information of the custodial parent/guardian, if other than you.

14.E.1 Child:

Son

Daughter

Other:

Biological Parents:

NAME

AGE

CUSTODIAL PARENT/GUARDIAN (IF OTHER THAN YOU)

DATE OF BIRTH

ADDRESS (NUMBER / STREET / APT)

CITY

STATE

ZIP

CONTACT NUMBER

14.E.2 Child:

Son

Daughter

Other:

Biological Parents:

NAME

AGE

CUSTODIAL PARENT/GUARDIAN (IF OTHER THAN YOU)

DATE OF BIRTH

ADDRESS (NUMBER / STREET / APT)

CITY

STATE

ZIP

CONTACT NUMBER

14.E.3 Child:		Son	Daughter		Other:		Biological Parents:
NAME				AGE	CUSTODIAL PARENT/GUARDIAN (IF OTHER THAN YOU)

	DATE OF BIRTH				ADDRESS (NUMBER / STREET / APT)			CITY	STATE	ZIP

					CONTACT NUMBER	EMAIL

14.E.4 Child:		Son	Daughter		Other:		Biological Parents:

NAME				AGE	CUSTODIAL PARENT/GUARDIAN (IF OTHER THAN YOU)

	DATE OF BIRTH				ADDRESS (NUMBER / STREET / APT)			CITY	STATE	ZIP

					CONTACT NUMBER	EMAIL

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 5

SECTION 2: RELATIVES AND REFERENCES continued

15.LIST OF REFERENCES

•List at least 5 people who know you well, such as close personal relationships, social and family friends, former spouses and significant others, teachers, military colleagues, and/or co-workers. Do NOT include relatives, employers, housemates, or any individuals listed elsewhere.

	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY
	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY
15.1

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY
				EMAIL
		WORK PHONE	CELL PHONE	EMAIL

STATE ZIP

How do you know this person?

How long have you known this person?

15.2	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
15.2

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

How do you know this person?

How long have you known this person?

15.3	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP


		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

How do you know this person?

How long have you known this person?

15.4	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP


		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		How do you know this person?			How long have you known this person?

15.5	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
15.5

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		How do you know this person?			How long have you known this person?

15.6

NAME OF REFERENCE

HOME ADDRESS (NUMBER / STREET / APT)

CITY

STATE ZIP

HOME PHONE

MAILING ADDRESS (NUMBER / STREET / SUITE)

CITY

STATE

ZIP

WORK PHONE

CELL PHONE

How do you know this person?

How long have you known this person?

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 6

SECTION 2: RELATIVES AND REFERENCES continued
NAME OF REFERENCE	HOME ADDRESS (NUMBER / STREET / APT)	CITY	STATE	ZIP
15.7

HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

WORK PHONE	CELL PHONE	EMAIL

		How do you know this person?			How long have you known this person?

	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
15.8

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		How do you know this person?			How long have you known this person?

	NAME OF REFERENCE		HOME ADDRESS (NUMBER / STREET / APT)		CITY	STATE	ZIP
15.9

		HOME PHONE	MAILING ADDRESS (NUMBER / STREET / SUITE)		CITY	STATE	ZIP

		WORK PHONE	CELL PHONE	EMAIL

		How do you know this person?			How long have you known this person?

15.10

NAME OF REFERENCE

HOME ADDRESS (NUMBER / STREET / APT)

CITY

STATE ZIP

HOME PHONE

MAILING ADDRESS (NUMBER / STREET / SUITE)

CITY

STATE ZIP

WORK PHONE

CELL PHONE

How do you know this person?

How long have you known this person?

SECTION 3: EDUCATION

•You will be required to furnish unopened official transcripts or other proof to support all of your educational claims before hire or certification.

•If more space is needed, continue your response on page 27.

16. CHECK APPLICABLE

MM/YYYY

High School Diploma:

MM/YYYY

GED:

WHAT LANGUAGE(S) DO YOU SPEAK?

17.LIST HIGH SCHOOL(S) ATTENDED

NAME OF HIGH SCHOOL

17.1

PUBLIC/PRIVATE OR HOMESCHOOL?

CITY

FROM (MM/YYYY)

TO (MM/YYYY)

STATE

NAME OF HIGH SCHOOL

17.2

PUBLIC, PRIVATE, OR HOMESCHOOL?

CITY

FROM (MM/YYYY)

TO (MM/YYYY)

STATE

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 7

SECTION 3: EDUCATION continued

18.LIST ALL COLLEGES AND UNIVERSITIES ATTENDED

	NAME OF COLLEGE/UNIVERSITY		FROM (MM/YYYY)	TO (MM/YYYY)	TOTAL UNITS COMPLETED
18.1							QTR SYSTEM	SEM SYSTEM
							QTR SYSTEM	SEM SYSTEM
		ADDRESS (NUMBER / STREET)				TYPE OF DEGREE EARNED

CITY

STATE

ZIP

MAJOR / AREA OF STUDY

18.2

NAME OF COLLEGE/UNIVERSITY

ADDRESS (NUMBER / STREET)

FROM (MM/YYYY)

TO (MM/YYYY)

TOTAL UNITS COMPLETED

QTR SYSTEM SEM SYSTEM TYPE OF DEGREE EARNED

CITY

STATE

ZIP

MAJOR / AREA OF STUDY

18.3

NAME OF COLLEGE/UNIVERSITY

ADDRESS (NUMBER / STREET)

FROM (MM/YYYY)

TO (MM/YYYY)

TOTAL UNITS COMPLETED

QTR SYSTEM SEM SYSTEM TYPE OF DEGREE EARNED

CITY

STATE

ZIP

MAJOR / AREA OF STUDY

18.4

NAME OF COLLEGE/UNIVERSITY

ADDRESS (NUMBER / STREET)

FROM (MM/YYYY)

TO (MM/YYYY)

TOTAL UNITS COMPLETED

QTR SYSTEM SEM SYSTEM TYPE OF DEGREE EARNED

CITY

STATE

ZIP

MAJOR / AREA OF STUDY

19.LIST ALL TRADE, VOCATIONAL, AND BUSINESS SCHOOLS / INSTITUTES ATTENDED

19.1

NAME OF TRADE, VOCATIONAL, OR BUSINESS SCHOOL/INSTITUTE

CITY

FROM (MM/YYYY)	TO (MM/YYYY)	DID YOU COMPLETE THE COURSE?
		Yes	No
STATE TYPE OF SCHOOL OR TRAINING

19.2

NAME OF TRADE, VOCATIONAL, OR BUSINESS SCHOOL/INSTITUTE

CITY

FROM (MM/YYYY)	TO (MM/YYYY)	DID YOU COMPLETE THE COURSE?
		Yes	No
STATE TYPE OF SCHOOL OR TRAINING

20. Have you ever taken an Arrest and/or Firearms Course?				Yes	No
IF YES, provide the following information:

	A. COURSE PRESENTER NAME	LOCATION (CITY / STATE)

	B. COURSE COMPLETION			COMPLETION DATE (MM/YYYY)
	Did you successfully complete the course?	Yes	No

21. Have you ever attended a Basic Law Enforcement Academy: Police, Corrections, Probation/Parole, Village Police			......................	Yes	No
IF YES, provide the following information:

21.1

NAME OF ACADEMY

LOCATION (CITY, STATE)

FROM (MM/YYYY)

TO (MM/YYYY)

NAME OF TRAINING OFFICER / ACADEMY COORDINATOR

DID YOU PASS/GRADUATE?

Yes No

CONTACT NUMBER

21.2

NAME OF ACADEMY

LOCATION (CITY, STATE)

FROM (MM/YYYY)

TO (MM/YYYY)

NAME OF TRAINING OFFICER / ACADEMY COORDINATOR

DID YOU PASS/GRADUATE?

Yes No

CONTACT NUMBER

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3

Page 8

SECTION 3: EDUCATION continued

22.Have you ever been subject to any disciplinary action, including academic probation, civil fine, suspension, expulsion, or resignation

from any high school(s), college/university, business, trade school, or basic course/academy?

Yes

IF YES, describe in detail below. Starting with high school, list any and all disciplinary actions received in any school, educational institution, or basic course. Include when the disciplinary action(s) occurred, name of school(s), and explanation of circumstances.

SECTION 4: RESIDENCE HISTORY

23.LIST OF RESIDENCES

•List all residences during the last 10 years or since age 15.

•Provide complete addresses (include markers such as Street, Drive, Road, East, West, etc., and unit/apt number). Do NOT use PO Boxes.

•If the residence is a military base, identify name of base in address, nearest city, state, and zip code. Do NOT list military barracks mates unless you shared individual quarters.

•If more space is needed, continue your response on page 27.

ADDRESS WHERE YOU NOW LIVE (NUMBER / STREET / APT)				FROM (MM/YYYY)	TO (MM/YYYY)
23.1					Present
					Present
CITY	STATE	ZIP	IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER
MAILING ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER / STREET / APT / PO BOX)				CONTACT NUMBER
CITY	STATE	ZIP	EMAIL
Name(s) of those with whom you live:
FORMER ADDRESS (NUMBER / STREET / APT)				FROM (MM/YYYY)	TO (MM/YYYY)
23.2
CITY	STATE	ZIP	IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER
MAILING ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER / STREET / APT / PO BOX)				CONTACT NUMBER
CITY	STATE	ZIP	EMAIL
Name(s) of those with whom you lived:
Reason for moving:
FORMER ADDRESS (NUMBER / STREET / APT)				FROM (MM/YYYY)	TO (MM/YYYY)
23.3
CITY	STATE	ZIP	IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER
MAILING ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER / STREET / APT / PO BOX)				CONTACT NUMBER
CITY	STATE	ZIP	EMAIL
Name(s) of those with whom you lived:
Reason for moving:

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

APSC Form F-3					Page 9
SECTION 4: RESIDENCE HISTORY continued
FORMER ADDRESS (NUMBER / STREET / APT)				FROM (MM/YYYY)	TO (MM/YYYY)
23.4
CITY	STATE	ZIP	IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER
MAILING ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER / STREET / APT / PO BOX)				CONTACT NUMBER
CITY	STATE	ZIP	EMAIL
Name(s) of those with whom you lived:
Reason for moving:
FORMER ADDRESS (NUMBER / STREET / APT)				FROM (MM/YYYY)	TO (MM/YYYY)
23.5
CITY	STATE	ZIP	IF RENTING: PROPERTY MANAGER, RENT COLLECTOR, OR OWNER
MAILING ADDRESS OF PROPERTY MANAGER, RENT COLLECTOR, OR OWNER (NUMBER / STREET / APT / PO BOX)				CONTACT NUMBER
CITY	STATE	ZIP	EMAIL
Name(s) of those with whom you lived:
Reason for moving:

24.LIST OF HOUSEMATES

•Provide contact information for all housemates listed in Question 23 with whom you have resided during the past 10 years or since age 15.

•Do NOT list anyone for whom you have already provided contact information.

•If more space is needed, continue your response on page 27.

NAME OF HOUSEMATE		CONTACT NUMBER
24.1
CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY	STATE	ZIP
NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL
NAME OF HOUSEMATE		CONTACT NUMBER
24.2
CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY	STATE	ZIP
NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL
NAME OF HOUSEMATE		CONTACT NUMBER
24.3
CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY	STATE	ZIP
NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL
NAME OF HOUSEMATE		CONTACT NUMBER
24.4
CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY	STATE	ZIP
NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

	APSC Form F-3				Page 10

SECTION 4: RESIDENCE HISTORY continued

24.5	NAME OF HOUSEMATE				CONTACT NUMBER
24.5

		CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY			STATE	ZIP

		NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL

	NAME OF HOUSEMATE				CONTACT NUMBER
24.6

		CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY			STATE	ZIP

		NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL

	NAME OF HOUSEMATE				CONTACT NUMBER
24.7

		CURRENT ADDRESS IF DIFFERENT (NUMBER / STREET / APT)	CITY			STATE	ZIP

		NATURE OF RELATIONSHIP (E.G., RELATIVE, LANDLORD, FRIEND, HOUSEMATE ONLY, ETC.)		EMAIL


25. Have you ever been evicted or asked to leave a residence?							Yes	No

26. Have you ever left a residence with unpaid damage, owing rent, utilities, or other household expenses?							Yes	No


If you answered “YES” to Questions 25 and/or 26, explain (include when, where, and circumstances):

SECTION 5: EXPERIENCE AND EMPLOYMENT

27.JOB EXPERIENCE

•List ALL jobs you have had in last 10 years, including part-time, temporary, self-employment, and volunteer. (Begin with your most current.)

•If you have military experience, including guard or reserve duty, enter your military base, assignments, or unit of assignment. A separate block is used for each change of duty station and/or deployment.

•List ALL periods of unemployment in excess of 30 days. If more space is needed, continue your response on page 27.

•If you cannot locate the information, explain all efforts your have made to find it on page 27.

27.1

NAME OF CURRENT EMPLOYER OR MILITARY UNIT

FROM (MM/YYYY)

TO (MM/YYYY)

ADDRESS (NUMBER / STREET / SUITE / OR BASE)

SUPERVISOR

CITY

STATE

ZIP

CONTACT NUMBER

EXT

JOB TITLE / RANK

DUTIES / ASSIGNMENTS

TYPE OF

EMPLOYMENT (CHECK ALL THAT APPLY)

Temp

Self-employed

Volunteer

NAMES OF CO-WORKERS AND PHONE NUMBER

REASON FOR WANTING TO LEAVE

Is there any reason this employer may make negative statements about you if contacted?

Yes

IF YES, explain:

Ver. 11/22/2019

Initial here to verify you have provided complete and accurate information:

Your Questions, Answered

What is the purpose of the Alaska F 3 form?
The Alaska F 3 form, also known as the Personal History Statement, is used in the background investigation process for individuals seeking to become APSC Certified Officers. The information provided will help determine your suitability for the position according to Alaska Police Standards Council (APSC) regulations.
How should I complete the form?
You must complete the form accurately and thoroughly. If you are filling it out by hand, use blue or black ink. Avoid using pencil. Ensure you respond to all questions. If a question does not apply to you, write “N/A.” If you need more space for your answers, use the last page of the form and reference the question number.
What should I do if I have a prior misconduct issue?
While prior misconduct such as illegal drug use or theft may not automatically disqualify you, it is crucial to be honest about your history. Deliberate misstatements or omissions can lead to rejection of your application. Transparency is key; the most common reason for failing a background investigation is withholding or misrepresenting relevant information.
Am I required to disclose medical information?
No, you are not required to disclose any medical or disability-related information about yourself or your family members. This is in accordance with the U.S. Americans with Disabilities Act and the Genetic Information Nondiscrimination Act (GINA). Focus on providing the information requested without including medical details.
What happens after I submit the form?
Once you complete the form, send it directly to your background investigator or the agency to which you are applying. Do not send it to the APSC. The agency will review your form as part of the background investigation process.
What should I do if I have questions while filling out the form?
If you have questions, it’s best to contact the agency you are applying to for guidance. They can provide specific instructions or clarifications regarding the form and the application process.

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Alaska Court System - Notaries play a crucial role in validating the identity of the bail owner when required.

The California Motorcycle Bill of Sale form is not only a fundamental part of motorcycle transactions, ensuring that all parties have a clear record of the sale, but it can also be easily accessed online for convenience. For those looking to streamline this process, the form can be found at smarttemplates.net/fillable-california-motorcycle-bill-of-sale, making it an essential tool for both buyers and sellers in California.

Alaska Work Permit - All information requested in the form is necessary for processing the work permit effectively.

Dos and Don'ts

Things You Should Do:

Confirm that you have the most current version of the form by checking the APSC website.
Fill out the form using blue or black ink, or type your responses as instructed.
Respond to all questions, writing “N/A” for any that do not apply to you.
Provide complete and accurate information to avoid disqualification.

Things You Shouldn't Do:

Do not use pencil to fill out the form.
Do not leave any questions unanswered; it may lead to rejection.
Do not send the completed form to APSC; send it to your background investigator instead.
Do not withhold or misrepresent any information; this can result in disqualification.

Similar forms

The Alaska F-3 form shares similarities with the Personal Data Questionnaire (PDQ) often used in law enforcement applications. Like the F-3, the PDQ collects extensive personal information about the applicant, including their identity, family background, and references. Both forms emphasize the importance of complete and truthful responses, as inaccuracies can lead to disqualification. The PDQ also requires applicants to disclose any past criminal history, which aligns with the F-3’s focus on background investigation for suitability in law enforcement roles.

In addition to the various forms discussed, employers in California often utilize the California Employment Verification form to confirm potential hires' work eligibility. This form plays a vital role in upholding labor regulations, ensuring that individuals are authorized to work in the United States. For further information about employment verification, you can refer to TopTemplates.info.

Another document that resembles the Alaska F-3 is the Standard Form 86 (SF-86), which is used for security clearance applications. The SF-86 requires detailed personal information, including the applicant's history of employment, education, and family. Both forms aim to assess the applicant's reliability and trustworthiness. They also include sections for disclosing relationships with individuals who may pose a risk, further reinforcing the need for transparency in personal history.

The Employment Application is another similar document. While it may not be as extensive as the F-3, it still requires applicants to provide personal details, work history, and references. Both documents serve the purpose of evaluating an applicant's background and suitability for a position. The Employment Application often includes questions about criminal history and character references, mirroring the F-3's emphasis on thorough background checks.

The Background Investigation Release Form also bears resemblance to the Alaska F-3. This form is typically used to authorize background checks and requires applicants to provide personal information, including social security numbers and previous addresses. Both forms prioritize the collection of accurate and complete information to facilitate thorough investigations. The Background Investigation Release Form explicitly states the purpose of gathering this information, similar to the F-3's focus on suitability for law enforcement roles.

The Personal History Statement (PHS) used by various police departments is another document akin to the Alaska F-3. The PHS gathers comprehensive information about an applicant's personal, educational, and employment history. Like the F-3, it aims to evaluate an applicant's character and fitness for duty. Both documents require applicants to disclose relationships and any potential conflicts of interest, reinforcing the need for full disclosure in the hiring process.

Lastly, the Military Personnel Record is comparable to the Alaska F-3, especially for veterans applying for law enforcement positions. This record contains detailed information about an individual's service history, including personal data, assignments, and conduct. Both documents require a level of transparency regarding past behavior and relationships. The Military Personnel Record can provide insights into an applicant's character and reliability, similar to the F-3's objectives in assessing suitability for law enforcement roles.

How to Write Alaska F 3

Completing the Alaska F 3 form is an important step in your application process. It is essential to provide accurate and complete information to ensure a smooth background investigation. Follow the steps below carefully to fill out the form correctly.

Obtain the form: Download or print the Alaska F 3 form from the APSC website to ensure you have the most current version.
Use the correct writing instrument: If filling out a hardcopy, use blue or black ink. Avoid using pencil.
Fill in your personal information: Start with your full name, including any other names you have used. Provide your current address and mailing address if different.
Contact details: Enter your contact numbers and email addresses. Include all relevant email addresses.
Attach required documents: Include a copy of your birth certificate, passport, or certification of naturalization.
Answer citizenship questions: Indicate if you are a U.S. citizen and provide details if you are naturalized.
Provide your birth details: Fill in your birth place, birth date, and social security number.
Driver's license information: Include your driver's license number, state, and expiration date.
Physical description: Provide your eye color, height, weight, and hair color. List any scars, marks, or tattoos.
Detail your family: Fill in information about your immediate family, including spouses, parents, siblings, and children. Mark "N/A" where applicable.
List references: Provide at least five references who know you well, excluding relatives and employers. Include their contact details and your relationship with them.
Initial and sign: At the end of the form, initial to verify that your information is complete and accurate. Sign and date the form.
Submit the form: Send the completed form to your background investigator or the agency to which you are applying. Do not send it to APSC.

Documents used along the form

The Alaska F 3 form is an essential document used during the background investigation process for individuals seeking certification as an APSC Certified Officer. Along with this form, several other documents may be required to provide a comprehensive overview of the applicant's qualifications and background. Below is a list of forms and documents that are often used in conjunction with the Alaska F 3 form.

Background Investigation Authorization Form: This form gives permission for the agency to conduct a thorough background check, including criminal history and employment verification.
Medical History Form: This document collects information about the applicant's medical history, ensuring they meet the physical and mental health standards necessary for the role.
Driver's History Report: A copy of the applicant's driving record is often required to assess their driving history, especially for roles involving vehicle operation.
Employment Verification Form: This form confirms previous employment details, including dates of employment, positions held, and reasons for leaving.
Personal Reference Letters: Letters from personal references can provide insights into the applicant's character and suitability for the position.
Criminal History Disclosure Form: This document requires applicants to disclose any past criminal charges or convictions, ensuring transparency in the application process.
Homeschool Letter of Intent: This form is essential for parents wishing to homeschool in Arizona, outlining their intent and ensuring compliance with state education regulations. For more details, visit https://arizonapdf.com/homeschool-letter-of-intent.
Credit History Report: Some agencies may request a credit report to assess the applicant's financial responsibility, which can be relevant for certain positions.
Training and Certification Records: Documentation of any relevant training or certifications helps verify the applicant's qualifications for the role.
Social Media Disclosure Form: This form may be used to review the applicant's social media presence as part of the background investigation process.

Completing these forms accurately and thoroughly is crucial for a successful background investigation. Providing complete and truthful information will help ensure a smoother application process for those seeking to become APSC Certified Officers in Alaska.

Misconceptions

Misconception 1: The Alaska F 3 form is only for applicants with a clean background.

This is not true. While a clean background may be beneficial, the form is designed for all applicants. Even those with past issues, such as prior misconduct, can still apply. The key is to provide honest and complete information.

Misconception 2: You can submit the form to the Alaska Police Standards Council (APSC).

Actually, applicants should not send the completed form to APSC. Instead, it must be sent directly to the background investigator or the agency where you are applying.

Misconception 3: It’s acceptable to leave questions blank if they don’t apply.

This is incorrect. If a question does not apply to you, you should write “N/A” in the space provided. Failing to respond to all items can lead to complications in your application process.

Misconception 4: You do not need to provide information about your relatives.

In fact, the form requires detailed information about your immediate family and references. This includes names, addresses, and contact information. Accurate disclosure is essential.

Misconception 5: You can use any writing tool to fill out the form.

This is not the case. If you are filling out a hardcopy version, you must use blue or black ink or type your responses. Pencil is not acceptable, as it can lead to misunderstandings or misinterpretations of your answers.

Common mistakes

Using the Wrong Ink Color: Some applicants fill out the form in pencil or use ink colors other than blue or black. Always use blue or black ink, or type your responses to ensure clarity.
Neglecting to Answer All Questions: It's crucial to respond to every item. If a question doesn’t apply to you, simply write “N/A” instead of leaving it blank.
Forgetting Required Attachments: Applicants often forget to attach a copy of their birth certificate, passport, or certification of naturalization, which is mandatory.
Incorrectly Filling Out Contact Information: Double-check your contact numbers and email addresses. Mistakes here can lead to missed communications.
Not Providing Complete Relatives Information: When listing family members, ensure you include all relevant details. Mark “Deceased” or “N/A” where applicable to avoid confusion.
Omitting Details About Siblings and Children: Make sure to list all living siblings and children. This includes half-siblings and step-siblings, as well as any children living with you.
Misrepresenting Information: Some applicants might think it’s okay to withhold or alter information. This can lead to disqualification, so always be honest.
Failing to Verify Information: Before submitting, review your form for accuracy. Initialing to verify completeness is essential.
Ignoring the Submission Instructions: Remember to send your completed form to your background investigator or the agency you're applying to, not to APSC.
Not Using the Additional Page When Necessary: If you need more space for any answers, use the last page of the form and reference the question number. Don’t try to squeeze everything into the provided spaces.