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Blank Alaska F 3 PDF Template

The Alaska F 3 form, governed by the Alaska Police Standards Council (APSC), serves as a comprehensive Personal History Statement required for those aspiring to become APSC Certified Officers. Its primary function is to assist in the background investigation process, evaluating an applicant's suitability for law enforcement positions in Alaska based on thoroughness and honesty of the responses given. It's crucial for applicants to provide complete, accurate, and truthful information, as failure to do so is the leading cause of background investigation failures.

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The Alaska F 3 form is a crucial document for individuals seeking to become APSC Certified Officers, a designation overseen by the Alaska Police Standards Council. This comprehensive Personal History Statement plays a pivotal role in the background investigation process, aiming to assess a candidate's suitability for the position. Applicants are urged to ensure they're working with the latest version of the form by visiting the APSC website, underlining the importance of adhering to current guidelines. It's imperative for every candidate to provide complete and accurate information in either blue or black ink if using a hardcopy, or via a typed document, avoiding the use of pencil to ensure clarity and permanence of the responses. Answering every question is mandatory, with a clear directive to mark 'N/A' for non-applicable queries and additional space provided at the end of the document for elaborate responses. The form highlights the few instances where prior misconduct may not automatically disqualify an applicant, emphasizing the significance of honesty in the application process. Moreover, it reassures applicants about the confidentiality and non-requirement of medical or disability-related disclosures in alignment with federal laws. Through meticulous completion and submission instructions, the form signifies a vital step towards achieving certification and a career in law enforcement within Alaska, underscoring the critical balance between comprehensive personal disclosure and privacy protections.

Document Example

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:

➤ Alaska F 3

Document Specifics

Fact	Detail
Purpose	Used in the background investigation to determine suitability for APSC Certified Officer positions.
Completion Responsibility	Applicant's responsibility to complete with all required information in blue or black ink or typed.
Disqualification Criteria	Misstatements or omissions may result in application rejection, not necessarily prior misconduct.
Governing Laws	U.S. Americans with Disabilities Act and the Genetic Information Nondiscrimination Act (GINA).

Instructions on How to Fill Out Alaska F 3

Filling out the Alaska F 3 form is a key step in the process of becoming an APSC Certified Officer. This form gathers personal history information that contributes to the background investigation, crucial for assessing one's suitability for the position. The process requires attention to detail and honesty. Providing complete, accurate, and truthful responses is imperative as any discrepancy, whether an omission or a misstatement, can disqualify an application.

Verify you have the most current version of the form by checking the APSC website.
Complete the form in blue or black ink or type, if filling out a hardcopy. Do not use a pencil.
Respond to every item and question. Write “N/A” (not applicable) in the response space if a question does not apply to you.
For additional space, use the last page (page 27) and indicate the question number for each piece of information provided.
Attach a copy of your birth certificate, passport, or certification of naturalization, as required.
Provide your full legal name, any other names used (including maiden names and nicknames), current address, mailing address (if different), contact numbers, and email addresses.
Indicate your citizenship status, place of birth, date of birth, social security number, driver’s license number including state and expiration date, and physical description. Include any scars, marks, and tattoos.
Fill in detailed information about your immediate family, former spouses, and significant others. Include any restraining or stay-away orders.
List all parents/guardians, siblings, and children, providing the requested details for each.
Provide a list of at least five references who know you well, excluding relatives, employers, housemates, or individuals listed elsewhere in the form. Include complete contact information and specify your relationship and the duration of your acquaintance.
Sign and date the form to affirm that you have provided complete and accurate information throughout the document.
Submit the completed form to your background investigator or the agency to which you are applying. Do NOT send it directly to APSC.

Upon completion and submission of the Alaska F 3 form, your application will undergo a comprehensive background investigation, evaluating the information provided to determine your eligibility and suitability for the role of an APSC Certified Officer. This step is crucial in ensuring that only individuals who meet the high standards of character and integrity are considered for these important positions. Therefore, accuracy, honesty, and thoroughness in filling out this form cannot be overstated.

What You Should Know About This Form

What is the Alaska F 3 form used for?

The Alaska F 3 form, also known as the Personal History Statement, is utilized in the background investigation process to help determine an applicant's suitability for the position of an APSC Certified Officer. The information provided on this form is critical for assessing eligibility in accordance with Alaska Police Standards Council (APSC) regulations.

How can I obtain the most current version of the Alaska F 3 form?

To ensure you have the most up-to-date version of the Alaska F 3 form, it's advised to visit the APSC website at https://dps.alaska.gov/APSC/Agency-Forms. The website hosts the latest version of the form for applicants.

What should I use to fill out the Alaska F 3 form?

When filling out a hardcopy of the form, applicants are instructed to use blue or black ink or type their responses. Pencil should not be used to complete the form to ensure all information remains legible and permanent.

Are there any automatic disqualifications for becoming an APSC Certified Officer?

There are very few automatic reasons for rejection based on the information provided in the Alaska F 3 form. Prior misconduct, including illegal drug use, driving under the influence, theft, or arrest or conviction, are typically not automatic disqualifiers. However, deliberate misstatements or omissions in the application can lead to disqualification, irrespective of the nature of the omitted or misrepresented information.

What happens if a question on the Alaska F 3 form does not apply to me?

If you encounter a question on the Alaska F 3 form that does not apply to your situation, you should write “N/A” (not applicable) in the provided space for your response. This indicates that the question is not relevant to your personal history.

Is it necessary to disclose medically-related information on the Alaska F 3 form?

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 disability-related information about themselves or their family members in response to questions on the Alaska F 3 form.

What should I do if I need more space for my responses?

If you require additional space for any response, the Alaska F 3 form instructions advise using the last page of the form (page 27) for extended answers. Make sure to identify the additional information by the question number to which it corresponds.

Where should I send the completed Alaska F 3 form?

The completed Alaska F 3 form should not be sent to the APSC. Instead, it must be sent to your background investigator or the agency to which you are applying. Ensure you have verified the correct recipient with the agency prior to sending your form.

What is the importance of providing complete and accurate information on the Alaska F 3 form?

Providing complete, accurate, and truthful responses on the Alaska F 3 form is critical. The primary reason applicants “fail” background investigations is due to deliberately withholding or misrepresenting job-relevant information. Such actions are likely to result in rejection of the application, highlighting the importance of honesty and thoroughness in completing the form.

Common mistakes

One common mistake is not verifying that the version of the Alaska F 3 form being filled out is the most current. It is crucial to check the Alaska Police Standards Council (APSC) website for the latest version to ensure all provided information meets the most recent requirements and guidelines.
Applicants often fail to use blue or black ink or type when filling out a hardcopy of the form. This can lead to processing delays and potentially impact the legibility of the information provided.
Another error involves not responding to all items and questions. Leaving items blank instead of properly marking them as “N/A” (not applicable) when they do not apply leads to incomplete forms. Incomplete forms may not be processed until they are fully completed, delaying the application process.
Failing to use the additional space provided on page 27 for extended responses is another common oversight. This space is intended for applicants who need more room to answer questions thoroughly. Not utilizing this space as directed can result in insufficient detail for the background investigation.
Lastly, many applicants mistakenly send the completed form to the APSC directly, instead of to their background investigator or the agency to which they are applying. This results in a misdirection of their application materials, potentially leading to significant delays in the application process.

When completing the Alaska F 3 form, applicants should pay careful attention to each section and instruction to avoid these mistakes. Providing complete, accurate, and truthful responses is fundamental to a successful application for the position of an APSC Certified Officer.

Documents used along the form

When navigating through the process outlined by the Alaska F 3 form, a comprehensive and accurate account of personal history is crucial for individuals aspiring to become APSC Certified Officers. However, to ensure a smooth and effective application process, several other documents often accompany the Alaska F 3 form. Understanding these documents and their purposes can significantly enhance your preparation and the likelihood of success in your application.

Background Check Authorization Form: This form grants permission to conduct a thorough background check as required by the Alaska Police Standards Council. It covers criminal history, employment verification, and other checks necessary to ascertain an applicant’s suitability for law enforcement roles.
Medical Examination Report: Prospective officers must undergo a medical exam to ensure they meet the health and fitness standards necessary for law enforcement duties. This report provides detailed information about the applicant's physical condition, including any limitations or health concerns.
Psychological Evaluation Form: This document is crucial for assessing the mental and emotional fitness of an applicant for the demands of police work. The evaluation typically involves a series of tests and interviews conducted by a licensed psychologist.
Drug Screening Consent Form: Applicants must consent to drug testing as part of the background investigation process. This form outlines the applicant's agreement to undergo such testing and the handling of the results.
Authorization for Release of Information: To facilitate a comprehensive background check, applicants need to provide authorization for the release of personal information. This document allows previous employers, educational institutions, and other entities to share information relevant to the applicant's eligibility for the position.

Understanding the importance and details of each required document can ensure applicants are thoroughly prepared and can navigate the application process more effectively. Each document plays a crucial role in building a complete profile of the applicant, enabling the Alaska Police Standards Council to make informed decisions on each candidate’s suitability for the role of an APSC Certified Officer. Being prepared with these documents, along with the Alaska F 3 form, sets the foundation for a strong application and a promising start to a career in law enforcement.

Similar forms

The Federal Employment Application Form is remarkably similar to the Alaska F 3 form in its collection of personal and historical data from applicants, aimed at assessing eligibility and suitability for federal employment. Both forms require detailed personal information, past employment history, and educational background. They also necessitate the disclosure of any criminal records or other legal issues that could affect one's ability to perform the job duties, underscoring a stringent background check process.

The Security Clearance Form, used by government agencies to grant access to classified information, shares similarities with the Alaska F 3 form in its thorough vetting process. These forms scrutinize an applicant's personal history, criminal background, and other factors that could influence their reliability, trustworthiness, and national security integrity. Applicants must provide detailed personal and professional information, ensuring a comprehensive background investigation.

Law Enforcement Background Check Forms, which are requisite for most police departments, parallel the Alaska F 3 form in their exhaustive exploration of the applicant's personal, professional, and moral history. They delve into employment history, criminal record, substance use, and financial status to evaluate the candidate's suitability for a position in law enforcement. The shared goal is to ascertain the integrity, reliability, and ethical standards of the applicant.

The Lawyers' Bar Association Application forms echo the Alaska F 3 form in their rigorous scrutiny of an applicant's history to uphold high professional and ethical standards in the legal field. Applicants must disclose extensive educational, personal background, and character references, similar to the requirements for potential law enforcement officers. Any past indiscretions or legal issues must be disclosed, emphasizing the importance of character in professions trusted by the public.

The Medical Licensure Application forms resemble the Alaska F 3 form in demanding a comprehensive accounting of an applicant's educational, professional, and personal history to ensure they meet the high standards required for medical practitioners. This includes queries about past misconduct or disciplinary actions, paralleling the Alaska F 3 form's approach to evaluate the potential for professional and personal integrity.

Bank Job Application forms mirror the Alaska F 3 form in their detailed collection of personal and professional information to assess trustworthiness and integrity in a high-security industry. Both types of forms require information on financial history, criminal records, and past employment, reflecting the sectors' mutual emphasis on security and reliability.

The Commercial Pilot License Application shares similarities with the Alaska F 3 form in its requirement for detailed personal history, professional experience, and any criminal records that might impact the applicant's eligibility. Both stress the importance of safety and reliability, necessitating a thorough background check to ensure the applicant's suitability for the responsibilities of the position.

The Merchant Mariner Credential Application form parallels the Alaska F 3 form in its comprehensive vetting process, designed to ascertain the applicant's qualifications and suitability for the maritime industry. This includes an in-depth look into the applicant's criminal history, substance use, and professional credentials, ensuring that only those of high character and reliability are entrusted with the safety and security responsibilities inherent in maritime positions.

Dos and Don'ts

When completing the Alaska F 3 form, crafted for the purpose of aiding in the process of background investigation by the Alaska Police Standards Council (APSC), one ought to tread carefully. Ensuring accuracy and honesty throughout the form is pivotal. Below are the crucial do's and don'ts you must observe:

Do check the APSC website to confirm you are filling out the most current version of the form.
Do complete the form in either blue or black ink if submitting a hardcopy, ensuring legibility and adherence to instruction.
Do answer every item and question on the form. If a question does not apply, accurately mark it as “N/A” (not applicable).
Do use the last page of the form to provide additional information if the space provided is insufficient, clearly citing the question number associated with your additional information.
Do send the completed form directly to your background investigator or the agency you are applying to, not to the APSC.
Don’t leave any questions unanswered. Incompleteness can be seen as an attempt to withhold information, which is a disqualifying factor.
Don’t provide misleading or false information. Honesty is critical, as misleading information can lead to disqualification.
Don’t include medically-related information. Such disclosures are not expected and should be avoided in accordance with the Americans with Disabilities Act and the Genetic Information Nondiscrimination Act (GINA).
Don’t use a pencil or any other non-permanent writing tool, as this can lead to information being easily altered or erased, compromising the integrity of your application.

It’s crucial to approach this form with the utmost responsibility and integrity. Complete and truthful responses are your duty and significantly impact the outcome of your application process. Following these guidelines will not only ensure a smoother process but will also exhibit your commitment and seriousness towards the position you're applying for. Always remember, the bottom line is providing clear, accurate, and complete information.

Misconceptions

When it comes to the Alaska F3 form, associated with the application process for becoming an APSC Certified Officer, numerous misconceptions swirl around. These misunderstandings can complicate or deter potential candidates from accurately completing their application forms. Here, we aim to dispel these myths to help applicants navigate the process more effectively.

Misconception 1: All past misconduct or criminal activities automatically disqualify an applicant.

Contrary to popular belief, not all past misconduct, including illegal drug use, driving under the influence, theft, or even arrests or convictions, results in automatic disqualification. The key issue is honesty; failure often comes from deliberate withholding or misrepresentation of relevant information.

Misconception 2: Applicants must disclose medical and disability-related information.

The instructions clearly respect privacy concerning medical or disability-related information, aligning with the U.S. Americans with Disabilities Act and the Genetic Information Nondiscrimination Act (GINA). Therefore, applicants aren’t expected or required to disclose such personal details.

Misconception 3: The form should be submitted directly to the APSC.

In fact, completed forms should be sent to the background investigator or the applying agency and not directly to the Alaska Police Standards Council (APSC). This ensures the proper channeling of your application for further processing.

Misconception 4: The use of a pencil is allowed for form completion.

Applicants are instructed to fill out the form in blue or black ink or type their responses. The use of a pencil is explicitly discouraged to prevent alterations and ensure the legibility and permanence of the provided information.

Misconception 5: Partially completed forms are acceptable.

The form mandates that all questions be answered. If a question does not apply to an applicant, they are instructed to indicate this by writing "N/A" (not applicable) in the provided space, rather than leaving it blank, which ensures a thoroughly completed form.

Misconception 6: Additional pages are not allowed for extended answers.

Should an applicant need more space for their responses, the form accommodates this by allowing the use of additional pages. These should be clearly marked with the question numbers to which the information corresponds, ensuring clarity and coherence in the application.:

Understanding these aspects of the Alaska F3 Application Form can significantly streamline the application process for candidates. It’s crucial for applicants to carefully read the instructions and follow them precisely, as the accuracy and completeness of the provided information directly impact the evaluation of their suitability for the position.

Key takeaways

Completing the Alaska F 3 form is a significant step toward pursuing a career in law enforcement within the state, offering a detailed insight into an applicant's personal and professional background. Here are ten key takeaways to consider when filling out and using the form:

The form is used by the Alaska Police Standards Council (APSC) to gauge an applicant's suitability for becoming an APSC Certified Officer, emphasizing the importance of each section in reflecting the applicant's qualifications.
Applicants must ensure they are filling out the most current version of the form, which can be confirmed by visiting the APSC website, demonstrating the need for thoroughness and attention to detail in the application process.
It is mandatory to complete the form using blue or black ink if submitting a hardcopy, or by typing, if that is an option provided by the agency, underscoring the formality of the document.
A response is required for every question; if a question is not applicable, applicants should note “N/A” instead of leaving it blank, which helps maintain the integrity of the application.
If additional space is needed for any response, applicants should use the last page of the form and reference the question number, ensuring that all information provided is clear and complete.
Direct submission of the form must be to the background investigator or the applying agency, not to the APSC directly, which points to the structured process of application submission.
The form highlights that few disqualifications are automatic; however, it emphasizes that honesty is critical, with omissions or misrepresentations being a significant reason for rejection, stressing the importance of transparency.
Applicants are not required to disclose medical or disability-related information, protecting their privacy and ensuring compliance with the Americans with Disabilities Act and the Genetic Information Nondiscrimination Act (GINA).
Detailing personal information, such as immediate family members, and providing references who are not relatives, underscores the comprehensive nature of the background check.
Applicants must initial the form to verify that the information provided is complete and accurate, reinforcing the applicant’s acknowledgment of the importance of truthfulness in the application process.

Understanding these key aspects can significantly impact an applicant's ability to successfully complete the Alaska F 3 form. It's imperative to approach the form with careful consideration, ensuring all information is accurately and fully provided.

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