Personal Reference Form

2. Date
   Date

4. First Name*

5. Last Name*

7. Your Email:

8. Your Phone Number

12. You have been identified as a "Personal Reference" by an individual who has applied for a position of police officer with the Sherman Police Department. You have been directed by the background investigator to this web site to complete the Personal Reference Form. When you were contacted by the background investigator, they identified the applicant by name and supplied you with an identification number. (If this information was not supplied, please contact the Office of Professional Standards at 903-892-7337).

16. Please identify the applicant at this time:

18. Applicant Name

19. Applicant Identification #

21. Please complete the following questions and submit. The information supplied will be forwarded to the background investigator. All information submitted will be held in the strictest confidence. Your cooperation is greatly appreciated.

23. 1. How long have you known the applicant?

    1. 10 years/more
    2. 5 to 10 years
    3. 1 to 5 years
    4. 1 year/less

25. 2. Are you related to the applicant in any way?

    1. Yes
    2. No

26. If yes, what relation?

28. 3. In what capacity do you know the applicant? (i.e. social, business, etc.)

30. 4. How well acquainted are you with the applicant?

    1. Very well
    2. Well
    3. Not so well
    4. Not at all

32. 5. Please rate the applicant in the following areas?

34. Reliability:

    1. Excellent
    2. Good
    3. Fair
    4. Poor

35. Honesty:

    1. Excellent
    2. Good
    3. Fair
    4. Poor

36. Integrity:

    1. Excellent
    2. Good
    3. Fair
    4. Poor

38. 6. Describe the applicant's character:

40. 7. Describe your evaluation of the applicant's maturity level:

42. 8. Do you have knowledge of any domestic disputes involving the applicant?

    1. Yes
    2. No

43. If yes, please explain:

45. 9. What kind of driver is the applicant?

    1. Very good
    2. Good
    3. OK
    4. Not so good

47. 10. Has the applicant been involved in any actions with the police that you know of?

    1. Yes
    2. No

48. If yes, please explain:

50. 11. Does the applicant abuse alcohol or drugs?

    1. Yes
    2. No

51. If yes, please explain:

53. 12. Do you know of any community organizations the applicant is active with?

    1. Yes
    2. No

54. If yes, please explain:

56. 13. Do you recommend the applicant for a position of trust as a member of the Sherman Police Department

    1. Yes
    2. No

57. Please explain why or why not:

59. 14. Can you name two other people who know the applicant well?

    1. Yes
    2. No

61. If yes, Person # 1:

    Name, Address, Phone Number, Email Address

63. Person # 2

    Name, Address, Phone Number, Email Address

65. Any additional comments would be helpful:

67. YOUR COOPERATION IS GREATLY APPRECIATED.

Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field