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Troop AssignedDue DateApplication DateCADETLEOTXXXX 2019Pennsylvania State PoliceApplicant Polygraph Screening Booklet[PRINT LEGIBLY]Full Name(Last Name) (Suffix)(First Name)(Middle Name)Street AddressCity, State and ZipCountySocial Security #Driver’s License #Date of BirthHome Telephone #Work Telephone #Cellular Telephone #Email AddressList any relatives who are active/retired/deceased from the Pennsylvania State Police,including Officers and Civilians (list name, rank, relationship, location assigned etc.) orcheck block:NONEOFFICIAL USE ONLYDate of TestExaminer’s NameTelephone #PF #Badge #TroopPOLYGRAPH SCREENING BOOKLET1
CONFIDENTIALITY AGREEMENTANDINSTRUCTIONS TO APPLICANTSAs an applicant taking the Pennsylvania State Police Polygraph Examination, I certify that Iwill not divulge to anyone, anything about the polygraph questions or any facet of thisexamination. Additionally, I understand that my failure to comply with this confidentialityagreement may result in my disqualification from further consideration for the position withthe Pennsylvania State Police.You are advised that the contents of this booklet are held strictly CONFIDENTIAL and noinformation will be disseminated to any person except when necessary to conduct properreview of your qualifications or when necessary to disclose to the appropriate authoritiesfor use in the performance of their duties or to any law enforcement agency who provides asigned release for records. You consent to the release of your name, date of birth, socialsecurity number, date(s) of the polygraph examination(s), and any other informationdeemed appropriate to any electronic database.You are advised that should an investigation at any time disclose any suchmisrepresentation, falsification, omission or concealment of material fact, you will bedisqualified for employment. If you are already employed by the Pennsylvania StatePolice, you will be dismissed from your position and you will be subject to prosecution forperjury or other criminal violations as punishable by law.Every answer entered will be reviewed during the polygraph examination. If you wish tosubmit a long explanation in your reply to any question, addendum forms are available toprovide all details for all questions.Answer every question in this booklet. If the question is not applicable, enter “N/A.”All corrections shall have a single line through the incorrect answer and be initialed.Legibly print all information in this booklet, with the exception of required signatures.By placing your signature in the space allotted below, you are giving your writtenpermission for the examiner to administer the polygraph examination.Printed Name of Applicant (First-Middle-Last-Suffix)Signature of ApplicantDate2
PENNSYLVANIA STATE POLICEAUTHORIZATION TO OBTAIN INFORMATIONI hereby authorize the release to the PENNSYLVANIA STATE POLICE, or itsrepresentative, any and all personnel and/or personal information about me, which ismaintained by your institution/agency/company. This release pertains to recordsmaintained in your files with regard to: Employment History, Education, Financial Records,Criminal Arrest and/or Conviction, Examination and/or Treatment for Diagnostic, Medical,Surgical, Psychological or Psychiatric Reasons, and any other information, includingcharacter, observations, or opinions.I further request that such records be provided and/or forwarded to the PENNSYLVANIASTATE POLICE for inclusion with my application for employment with this Department toascertain my qualifications and fitness for appointment with the PENNSYLVANIA STATEPOLICE.I acknowledge, by signing this authorization, that I release all parties concerned from anyand all obligation or liability in the disclosure of the contents of such files and theobservations or opinions contained therein.I further understand that in consideration for said release, the PENNSYLVANIA STATEPOLICE will regard all information so obtained as confidential and shall not release thesame to any other person without my express, written consent.I additionally certify that a copy of this Authorization to Obtain Information is as valid as theoriginal as signed by me.I certify that I have read and fully understand the foregoing statements.Printed Name of Applicant (First-Middle-Last-Suffix)Signature of ApplicantDateSignature of Witness3
PERSONAL DATA1.Name:(First-Middle-Last-Suffix)2.Other names used:3.Explanation of other names used:SOCIAL dWidowedSpouse’s name (including maiden name) and/or ex-spouse’s name:adfk;aslf'6.Cohabitant’s name and/or name(s) of person(s) who reside with you:7.How long have you been married?yearsN/A8.Is this your first marriage?9.If not married, list your fiancée, fiancé, boyfriend, girlfriend, or significant other,along with a contact number.NoneN/AYesNo10.Have you ever been a subject of a Protection from Abuse Order?YesNoIf yes, list date, city, county, and explanation:11.Are you currently paying alimony and/or child support?YesNoIf yes, explain:4
12.Are alimony payments and/or child support payments being made voluntarily?N/AYesNoIf no, explain:13.Have you ever been a subject of a Child Protective Services investigation?YesNoIf yes, explain:14.Was the Child Protective Services investigation employment-related?N/AYesNoIf yes, explain:MILITARY15.Have you ever served in the military?YesNoIf yes, list branch of service, dates of service and type of discharge received:16.Have you ever been subject to any disciplinary action while in the military (includingquestioning for involvement or participation, non-judicial punishment, Article 15s,court-martial, etc.)?N/AYesNoIf yes, explain:17.Upon discharge from the military, did you keep any serviceable governmentproperty that was required to be returned upon completion of your military service(list each item and provide a value for each item)?N/AYesNoIf yes, explain:5
EMPLOYMENT18.Name of present employer(s):Date of hire with present employer(s):Would your current employer(s) recommend you for employment with thePennsylvania State Police?YesNoIf no, explain:19.Did you list all current employers or previous employers from age 18 in your FormalApplication for Employment?YesNoIf no, explain:20.List any employer(s) who terminated your services, asked you to resign, and/orthose who you would not expect to give you a positive reference.NoneEmployer(s):Reason for termination or negative reference:6
21.Have you ever been disciplined or reprimanded by an employer?YesNoIf yes, explain:22.Have you ever participated in a sex act while at work (fondling, sexual intercourse,oral sex, masturbation, etc.)?YesNoIf yes, explain:23.Have you ever reported for work while impaired or intoxicated?YesNoIf yes, explain:24.Have you previously applied with the Pennsylvania State Police or any other policeor law enforcement agency, to include online application?YesNoIf yes, list the law enforcement agency:7
25.Have you ever taken a polygraph examination while processing for a police or a lawenforcement position?YesNoIf yes, list when, where, and the outcome:26.Other than for law enforcement, have you ever taken a polygraph examination?YesNoIf yes, explain:27.Have you ever been disqualified as an applicant with any police or law enforcementagency (processes including written examination, oral examination, physical fitness,polygraph examination, background investigation, medical, psychological, and anyother processing to which you were subjected to as part of your application)?YesNoIf yes, explain:28.Have you ever withdrawn from the applicant selection process with any police or lawenforcement agency?YesNoIf yes, explain:29.Did anyone provide you with details or answers to Pennsylvania State Police writtenand/or oral tests, or information on automatic disqualifiers?YesNoIf yes, explain:8
IF YOU ARE CURRENTLY OR WERE EVER INVOLVED/EMPLOYED IN CRIMINALJUSTICE WORK, INCLUDING CORRECTION OFFICERS, OR ANY JOB WHERE YOUHAD POWERS OF ARREST, COMPLETE QUESTIONS 30 – 49. IF NOT, JUSTANSWER QUESTION # 30 AND GO TO QUESTION #50.30.Have you ever been employed with a law enforcement agency, including military lawenforcement?YesNoIf yes, list all law enforcement agencies:31.Have you ever been terminated from employment with another law enforcementagency?YesNoIf yes, list the agency and reason for termination:32.Have you ever received payoffs from criminals?YesNoIf yes, explain:33.Have you ever stolen anything while on duty?YesNoIf yes, explain:34.Have you ever accepted a bribe?YesNoIf yes, explain:9
35.Regardless of the policies or accepted practices of your employing agency, haveyou ever destroyed or tampered with evidence? (Thrown away small amount ofillegal drugs/paraphernalia or any other evidence)YesNoIf yes, explain:36.Have you personally kept for your own use, given away, or sold any seized orrecovered property?YesNoIf yes, explain:37.Have you ever intentionally destroyed a case file, computer record, or officialreport?YesNoIf yes, explain:38.Have you ever intentionally falsified a case file, computer entry, or official report?YesNoIf yes, explain:39.Did you ever "plant" any evidence?YesNoIf yes, explain:40.Did you ever receive any type of disciplinary action, including but not limited tocounseling, oral reprimand, written reprimand, suspension, restricted duty status,etc.?YesNoIf yes, explain:41.Did you ever "cover up" a criminal offense for a friend or relative?YesNoIf yes, explain:10
42.Did you ever tell a civilian friend, acquaintance, or relative about an activeinvestigation involving them?YesNoIf yes, explain:43.List acts of legal intervention used during law enforcement activity (i.e., using yourpolice vehicle to intentionally ram another vehicle, rolling roadblocks, etc.).44.Have you ever participated in a sex act while at work (fondling, sexual intercourse,oral sex, masturbation, etc.)?YesNoIf yes, explain:45.Have you ever reported for duty while impaired or intoxicated?YesNoIf yes, explain:46.Have you ever been investigated for an allegation of excessive force as a result ofperforming your duties?YesNoIf yes, explain:11
47.Did you ever intentionally not appear for any court hearings?YesNoIf yes, explain:48.Have you ever been the subject of or are you currently under any pendinginvestigation(s), including Internal Affairs, Equal Opportunity, etc., whether it wasdue to your participation or knowledge of an incident under investigation?YesNoIf yes, explain:49.Have you ever done anything illegal while employed in Criminal Justice work?YesNoIf yes, explain:12
ARRESTS/UNDETECTED CRIMESWHEN ANSWERING THE FOLLOWING QUESTIONS, INCLUDE PARTICIPATION,ARREST, CONVICTION, QUESTIONING, ACCUSATION OR PLANNING.ALLQUESTIONS ANSWERED ‘YES’ MUST INCLUDE AN EXPLANATION, AND NOTE THEDATE (OR AGE), LOCATION, PARTICIPANTS, AND PROPERTY VALUES. YOU MUSTPROVIDE AS MUCH INFORMATION AS POSSIBLE. ALL OF THE QUESTIONS COVERYOUR ENTIRE LIFE. BEING EMBARRASSED TO ANSWER THE QUESTIONTRUTHFULLY TODAY IS NO EXCUSE AND WILL BE CONSIDERED INTENTIONALFALSIFICATION, WHICH WILL RESULT IN YOUR DISQUALIFICATION.50.Any sexual contact with a person under 13 years of age, regardless of your age atthe time.YesNoIf yes, explain:51.Act of soliciting sex from a person less than 13 years of age, regardless of your ageat the time.YesNoIf yes, explain:52.Any sexual contact with a person less than 16 years old when you were four ormore years older than the person.YesNoIf yes, explain:53.Any sexual contact with a person less than 18 years old when you were 18 yearsold or older.YesNoIf yes, explain:54.Act of producing, purchasing, selling, viewing or possessing child pornographythrough either printed material or computer.YesNoIf yes, explain:13
55.Act of indecent exposure (display of genitals) committed in public.YesNoIf yes, explain:56.Sex act against an individual’s consent/knowledge.YesNoIf yes, explain:57.Have you ever been accused by anyone of sexual assault or any other sexualmisconduct?YesNoIf yes, explain:58.Any sexual contact with an animal.YesNoIf yes, explain:59.Act of voyeurism (“peeping tom” behavior).YesNoIf yes, explain:60.Sex act with a family member (other than spouse).YesNoIf yes, explain:61.Act of unlawfully taking the life of another person.YesNoIf yes, explain:14
62.Act of abducting another person (kidnapping).YesNoIf yes, explain:63.Act of assault by striking another person (fighting with brothers/sisters, school fights,bar fights, military fights, etc).YesNoIf yes, explain:64.Act involving rsonusingany type ofYesNoIf yes, explain:65.Have you ever been involved in a domestic assault (hit, slapped, choked, pushedinto the wall, thrown items at each other or any other physical contact)?YesNoIf yes, explain:66.Act of harassment.YesNoIf yes, explain:15
67.Act of stalking (who was stalked, how often, reason, etc.).YesNoIf yes, explain:68.Act of terroristic threats.YesNoIf yes, explain:69.Act of endangering the welfare of children.YesNoIf yes, explain:70.Act of prostitution/solicitation (you or anyone else paying on your behalf for any sexact or receiving payment for any sex act - sexual intercourse, oral sex, anal sex,masturbation, etc., in the United States or any other country, regardless of legality inthe local jurisdiction).YesNoIf yes, explain:71.Act involving illegal gambling (all non-state sanctioned gaming).YesNoIf yes, explain:72.Have you ever engaged the services of an illegal gaming enterprise, including butnot limited to bookies and/or loan sharks?YesNoIf yes, explain:73.Act of breaking into a house (other than your own).YesNoIf yes, explain:16
74.Act of breaking into a building.YesNoIf yes, explain:75.Act of breaking into a vehicle (other than your own).YesNoIf yes, explain:76.Act of loitering or prowling at nighttime.YesNoIf yes, explain:77.Act of breaking into a coin-operated device.YesNoIf yes, explain:78.Act of filing a fraudulent insurance claim.YesNoIf yes, explain:79.Act involving vehicle theft, use of vehicle without the consent of the owner, orjoyriding in a stolen vehicle.YesNoIf yes, explain:80.Have you ever stolen or shoplifted anything?YesNoIf yes, explain and provide a value for every item:17
81.Have you ever stolen anything from an employer?YesNoIf yes, explain and provide a value for every item:82.Have you ever altered or swapped price tags in a store?YesNoIf yes, explain and provide a value for every item:83.Have you ever had or do you now have any stolen money, goods, or merchandise inyour possession?YesNoIf yes, explain and provide a value for every item:84.Have you ever been with anyone when they stole money, goods, merchandise, etc.(describe what you did during and after the incident)?YesNoIf yes, explain and provide a value for every item:85.Have you ever used another person’s identifying information with or without theirconsent?YesNoIf yes, explain:86.Have you ever engaged in the business of selling copyrighted property for profit,including but not limited to: tobacco, prescription drugs, alcohol, purses,audio/video recordings, etc.?YesNoIf yes, explain:18
87.Have you ever forged another person’s name on any document (as an adult – age18 to present)?YesNoIf yes, explain:88.Have you ever been questioned by law enforcement authorities as a suspect, or forknowledge of, criminal activities, other than military/employment?YesNoIf yes, explain:89.Have you ever been arrested or taken into custody as a juvenile or as an adult?YesNoIf yes, explain all arrests and dispositions:90.Have you ever had any juvenile or adult records expunged?YesNoIf yes, explain:91.Act involving resisting arrest, evading or fleeing from a police officer.YesNoIf yes, explain:19
92.Have you ever received a citation for any non-traffic incident (cited for DisorderlyConduct, Underage Drinking, Harassment, Fish or Game Violations, etc.)?YesNoIf yes, explain:93.Have you ever been in Court as a defendant?YesNoIf yes, explain:94.Have you ever lied under oath in Court?YesNoIf yes, explain:95.Have you ever been fingerprinted by any law enforcement agency?YesNoIf yes, explain:20
LIQUOR ESTABLISHMENT ISSUES96.Have you ever furnished alcohol to a minor/underage person?YesNoIf yes, list when it occurred, how many times it occurred, your age and the age ofthe minor/underage person at the time, what you furnished, name, etc.97.Have you ever used a fake or fraudulent ID?YesNoIf yes, explain:98.Have you ever made a fake or fraudulent ID?YesNoIf yes, explain:99.Have you ever given your ID to a minor/underage person to purchase alcohol?YesNoIf yes, explain:100.Have you ever worked at a licensed liquor establishment and paid off the credits ona video poker machine or other electronic game?YesNoIf yes, explain:21
CRASHES/TRAFFIC VIOLATIONS101.Do you possess a valid driver’s license?102.List ALL crashes you have had as the operator of a vehicle, regardless of fault orreportability, including approximate dates, citations issued, and if it was investigatedby police -- OR -- if none, check the block.NoneYesNo103.Were you under the influence of alcohol or controlled substances in any motorvehicle accident/crash?YesNoIf yes, explain:104.On approximately how many occasions have you driven a motor vehicle when youbelieve that you could have been stopped, arrested, and convicted for drivingunder the influence of alcohol or drugs?Number of times: Date of most recent occurrence:105.Have you ever been arrested for Driving Under the Influence?YesNoIf yes, explain all DUI arrests, if more than one, and include month and year foreach offense:106.Have you ever refused to take a breath, blood, or urine test when requested by aLaw Enforcement Officer (Implied Consent Law)?YesNoIf yes, explain:22
107.Has your driver’s license ever been suspended by Pennsylvania or any other state?YesNoIf yes, explain and include state where licensed:108.Has your automobile insurance ever been canceled by the carrier?YesNoIf yes, explain:109.List all traffic violations with approximate year and jurisdiction in which occurred. Ifnone, check block.None110.Do you have any outstanding traffic tickets, traffic warrants, or parking tickets, whichhave not been paid?YesNoIf yes, explain:111.While driving, have you ever hit another vehicle, pedestrian or object, and left thescene without stopping?YesNoIf yes, explain:23
CREDIT112.Have your debts always been paid on time?YesNoIf no, explain:113.Have any of your debts ever been turned over to a collection agency?YesNoIf yes, explain:114.Have you ever filed for bankruptcy?YesNoIf yes, explain:115.Have you ever had anything repossessed?YesNoIf yes, explain:116.Have you ever obtained or used any credit cards or ATM cards fraudulently?YesNoIf yes, explain:24
117.Do you have any undocumented loans or debts to non-family members (collegeroommates, bookies, loan sharks, etc.)?YesNoIf yes, explain:118.Have you ever deliberately written bad checks knowing there were insufficient fundsin your checking account?YesNoIf yes, explain:119.Have you filed your Federal and State income tax returns each year in accordancewith Federal and State laws?YesNoIf no, explain:25
DRUGS/ILLEGAL SUBSTANCESINDICATE USAGE OF EACH DRUG LISTED. LEAVE NO BLANK RESPONSES.120.Complete all information below.REGARDLESS OF LEGALITY ORMEDICINAL PURPOSE HAVE YOUUSED THE FOLLOWINGNUMBER OFTIMES USEDBEFOREAGE 18MarijuanaSynthetic Marijuana (including Salvia,Spice, K-2, etc.)HashishCocaineHeroinLSDEcstasy(also known as MDMA, Molly, etc.)GHBOxycontin (opiates)Adderall, Vyvanse, Ritalin, Concerta,or similar ADHD medicationsPCPSpeedMethamphetaminePsilocybin MushroomsBath SaltsAnabolic Steroids(pill or injected)Other Illegal Drugs or Substances26NUMBER OFTIMES USEDAGE 18 ANDLATERDATE OFMOSTRECENTUSAGE
121.Act of giving another person any of your prescription drugs.YesNoIf yes, explain who you gave it to, when, and why:122.Act of selling any prescription drugs.YesNoIf yes, explain:123.Act of using another person’s prescription drugs.YesNoIf yes, explain who gave it to you, when, and why:124.Act of manufacturing, distributing, delivering, or selling any illegal drug/substance.YesNoIf yes, explain:125.Have you ever purchased/possessed any illegal drug/substance?YesNoIf yes, explain:126.Have you ever given someone else any of your illegal drug(s) to use?YesNoIf yes, explain:127.Have you ever injected yourself with any illegal drugs?YesNoIf yes, explain:27
128.When were you last with someone when they were using illegal drug(s) in yourpresence?Month/Year:What illegal drugs were being used?Under what circumstances were you with the individual(s) who used the abovedrugs?129.Approximately how many friends or associates of yours use Marijuana?Other illegal drugs?130.Have you ever or do you now possess or use drug-related objects or paraphernalia?YesNoIf yes, explain:131.Have you ever intentionally abused another chemical or substance, i.e., householdcleaner, computer cleaner, glue, etc., for any other purpose than it was intended toinduce mind-altering affects (huffing, whip-its, sniffing glue, etc.)?YesNoIf yes, explain:132.Have you ever forged, altered or modified a drug prescription?YesNoIf yes, explain:28
MISCELLANEOUS CRIMES133.Did you ever knowingly violate a court order?YesNoIf yes, explain:134.Have you ever surreptitiously (without a person’s knowledge or consent)photographed/videotaped/audio recorded a person, known or unknown to you?YesNoIf yes, explain:135.Act of manufacturing explosives or devices.YesNoIf yes, explain:136.Act of starting or being involved in a fire (arson) or causing an explosion.YesNoIf yes, explain:137.Act of intentional damage or destruction of property (list your age, what wasdamaged, value of damaged property, etc.).YesNoIf yes, explain:138.Act of filing a false report to any police officer.YesNoIf yes, explain:29
139.Act of impersonating a police officer or law enforcement official.YesNoIf yes, explain:140.Do you have or have you ever had any tattoos or other markings that are related toor represent any criminal group, gang, drug organization, drug cartels, foreigngovernments, militias, or any group who advocates discriminatory acts against anyperson due to gender, race, religion, or sexual orientation (i.e. swastika, gangaffiliated tattoos, etc).?YesNoIf yes, explain the tattoo/marking, its meaning, and location on your body:141.Are you presently, or have you ever, participated in gang activities or anyorganizations advocating violent interruption of U.S. or State Governmentaloperations, i.e., militia, etc.?YesNoIf yes, explain:142.Have you ever been a member of a group who advocates discriminatory actsagainst persons due to their gender, race, religion or sexual orientation?YesNoIf yes, explain:30
143.Has any criminal group or foreign contact (e.g., gang, drug organizations, drugcartels, foreign government, etc.) ever asked you or solicited you to join any lawenforcement organization (including the Pennsylvania State Police) for any of thefollowing purposes: engage in espionage, recruitment for any subversive/terroristactivity, intelligence gathering, release of classified material, recruitment forespionage activity, aid to any foreign power or their representatives, etc.?YesNoIf yes, explain:144.Have you ever violated any of the sections of the Uniform Firearms Act, i.e., carryinga loaded firearm in a vehicle, carrying a concealed weapon on your person or inyour vehicle without a valid permit, possessing a sawed-off shotgun, crossing statelines with a hand gun in your vehicle, possessing a firearm when you are prohibitedby law, altering of a firearm, use of silencer, etc.?YesNoIf yes, explain in detail: type of handgun, loaded or unloaded, ammunition location:145. Have you ever been denied or are you currently prohibited from possessing afirearm for any reason including, but not limited to, an involuntary mental healthcommitment, criminal convictions, protection from abuse orders, or any other reason, inPennsylvania or any other state?YesNoIf yes explain:146.Have you ever been involved in any other criminal activities not specifically askedabout in this booklet?YesNoIf yes explain:31
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This completes the Polygraph Screening Booklet. You should now review youranswers to the questions in this booklet. You may go back through this bookletand change your answers. You are to ensure that your initials are placed besideany changes that you make. Ensure that you have answered each questiontruthfully. All of the questions cover your entire life. Being embarrassed toanswer the questions truthfully today is no excuse and will be consideredintentional falsification, which will result in your disqualification. This bookletwill be submitted to the Polygraph Examiner. The Polygraph Examiner willcontact you to schedule your Polygraph Examination.When reporting for the Polygraph Examination, you are required to bring two formsof identification, which you are to present to the Polygraph Examiner. One of thetwo forms of identification must have a photograph (such as a driver’s license).Make sure you appear for your Polygraph Examination appropriately attired and wellrested. Your Polygraph Examination could last 3-4 hours and you could possiblyhave to drive up to 2 hours or more for your Polygraph Examination.PURPOSEFUL NON-COOPERATION:PURPOSEFUL NON-COOPERATION ISDEFINED AS ANY DELIBERATE ACTION(S) ON THE PART OF A POLYGRAPHEXAMINEE TO ALTER HIS/HER PHYSIOLOGICAL RESPONSES IN AN ATTEMPT TOMANIPULATE THE POLYGRAPH EXAMINATION. AS AN APPLICANT FOR THEPENNSYLVANIA STATE POLICE, YOU ARE HEREBY PLACED ON NOTICE THAT ANYPURPOSEFUL NON-COOPERATION DURING YOUR APPLICANT POLYGRAPHEXAMINATION WILL RESULT IN YOUR DISQUALIFICATION FROM THE HIRINGPROCESS.READ AND SIGN THE FOLLOWING STATEMENT:The information in this booklet contains true, complete and accurate statements. Iunderstand that withholding any information, falsification or misrepresentation of anyinformation in this booklet will result in disqualification.I further understand that any attempt by me to alter the outcome of the PolygraphExamination will result in disqualification.I have been advised and understand that this Polygraph Screening Booklet and anyaddendum forms completed by me will be presented to a Polygraph Review Panel fordetermination of continuing in the selection procedures.Signature of Applicant33Date
I AM A PENNSYLVANIA STATE TROOPER,A SOLDIER OF THE LAW.TO ME IS ENTRUSTED THE HONOR OF THE FORCE.I MUST SERVE HONESTLY, FAITHFULLYAND, IF NEED BE,LAY DOWN MY LIFEAS OTHERS HAVE DONE BEFORE ME,RATHER THAN SWERVE FROM THE PATH OF DUTY.IT IS MY DUTY TO OBEY THE LAW ANDTO ENFORCE IT WITHOUT ANY CONSIDERATION OFCLASS, COLOR, CREED, OR CONDITION.IT IS ALSO MY DUTY TO BE OF SERVICETO ANYONE WHO MAY BE IN DANGER OR DISTRESSAND, AT ALL TIMES, SO CONDUCT MYSELF THATTHE HONOR OF THE FORCE MAY BE UPHELD.34
List any relatives who are active/retired/deceased from the Pennsylvania State Police, including Officers and Civilians (list name, rank, relationship, location assigned etc.) or . Legibly print all information in this boo
