Arizona Rangers Phoenix Company

					                                   Arizona Rangers Phoenix Company 14 
                                                                      Office Of Internal Affairs 
                                                           P.O. Box 11388 Glendale, AZ 85305 
                                                      Phone: 623‐866‐7357 Fax: 623‐866‐7358 
 

The Arizona Rangers were organized in 1901 to protect the Arizona Territory from outlaws and rustlers so the 
Territory could apply for Statehood. These men were law officers, military men, ranchers and cowboys, and 
with maximum company strength of 26 men, they covered the entire Territory of Arizona. By 1909, the 
Arizona Rangers had largely accomplished their goals and were disbanded by the Territorial Governor. In total 
only 107 men served as original Territorial Arizona Rangers. 

Re‐established in 1957 by four original Territorial Arizona Rangers, the present day Arizona Rangers are an all 
volunteer, law enforcement support and assistance civilian auxiliary, who work at the request of and under 
the direction, control, and supervision of established law enforcement agencies. We also provide youth 
support and community service and work to preserve the tradition, honor and history of the Territorial 
Arizona Rangers. 
                                                             
  We are looking for a few good men and women to join us in our efforts to assist law enforcement and serve 
                                            our communities statewide. 
                                                             
                                                     Qualifications 
                                                             
The individuals who join the Arizona Rangers receive no monetary compensations for their service.  Rangers 
provide their own uniforms, weapons and transportation. The following summarizes the requirements for 
becoming a Sworn Arizona Ranger.  Requirements beyond those indicated below will be identified during the 
recruitment and probationary periods. 
‐ Be at least 21 years of age with no criminal history 
‐ Reside in Arizona for at least six (6) months of the calendar year 
‐ Sincerely subscribe to the aims and objectives of the Arizona Rangers 
                                                             
                                                  Application Process 
 
The following is the application process for joining the Arizona Rangers. 
 
Step 1: Fill out and turn in an Arizona Rangers Application. 
Step 2: Interview with Internal Affairs. 
Step 3: State and Company Background Check, Reference verification, employment verification 
Step 4: Oral Board  (Scheduled by Internal Affairs)  
Step 5: Attend a Business Meeting. 
Step 6: Be voted in as a Probationary Ranger at the Company Level (following a favorable recommendation 
from Internal Affairs). 
Step 7: Obtain Arizona CCW (Conceal Weapons Permit). 
Step 8: Complete a minimum 90 day probationary period and 24 duty hours. 
Step 9: Upon successful completion of all requirements, be voted in and sworn in as a full Arizona Ranger. 
 

                                          “FEW BUT PROUD, THEN AND NOW” 
 
                                    Arizona Rangers Phoenix Company 14 
                                                                      Office Of Internal Affairs 
                                                           P.O. Box 11388 Glendale, AZ 85305 
                                                      Phone: 623‐866‐7357 Fax: 623‐866‐7358 
 
 
                                  Arizona Rangers Phoenix Company  
                                       APPLICATIONCHECKLIST 
 
                         Thank you for your interest in becoming an Arizona Ranger. 
                   It is your responsibility to review your application for completeness 
                                                                 
      I.   The following information and documents are required to complete your application. 
     II.   Should you have questions, please contact the Internal Affairs officer. 
    III.   Please mail your completed application 30 days before the Oral board to begin your application 
           process. 
IV.        Application form with all questions completed ‐ Notarized signature on application 
 V.        Ensure that your full name is spelled out, and there is an N/A for any section not pertaining to you. 
VI.        $45 application fee’ this fee is for processing the application only, Cash or Money Order ONLY!! 
VII.       A photocopy of a government issued identification showing same name used on the application. 
           (Driver’s license or passport). 
VIII.      A photocopy of acceptable documentation demonstrating your citizenship, alien status, legal residency 
           or lawful presence in the United States (A.R.S. §1‐504 (HB2467)). 
    IX.    Photocopy of DD214 – Certificate of Release/Discharge from Active Military Service (if applicable) 
     X.    Photocopy of certificate(s) or official letter(s) showing completion of any law enforcement training or 
           Training Certificates (if applicable). 
    XI.    High School Diploma or G.E.D. Certificate 
    XII.   Photocopies of legal documentation showing change of name (if applicable). 
 
    Any requested information missing from your packet will result in an incomplete packet and you will not be permitted to 
                                               proceed with your oral‐board. 
 
                                                                     
                                                                     
                                                                     
                                                                     
                                                                     
Internal Affairs Contact                                            Mail Completed Applications To: 
Lt. Tom Williams                                                    Arizona Rangers Phoenix Company 14 
Email: Tom.Williams@azrangersphx.com                                ATT: Internal Affairs 
Phone: (623) 866‐7388                                               P.O. Box 11385  
Cell:      (480) 363‐7254                                           Glendale, AZ 85308 
Fax:      (623) 866‐7358 
 
 
 
                                          “FEW BUT PROUD, THEN AND NOW” 
 
 

                                                                                                                        

                                                                                                                           EST 1901 

 


PRELIMINARY BACKGROUND CHECK  

Please answer the questions below for a preliminary background check. We will be searching several data bases to
verify any criminal, civil, and traffic violations. We will also verify information that you give us such as addresses
and phone numbers.

Print name: ______________________________________

Birth date: _____________________________

SS#:____________________________

Home Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________

Mailing Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________

Is this your permanent residence?                                              __________ How long have you lived here? __________________

Phone number:(_______)_________________ Is this number listed to your name? _________________________

If no why and who is it listed to?__________________________________________________________

Do you have a cell phone? (_______)______________________

If Female: What is your maiden name? _________________________ Past Married Name:____________________

Male & Female: Any other names you have gone by in the last 5 years.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Have you ever been convicted of a felony? When (year) and where (State)?
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Have you ever been the victim of identity theft?
_____________________________________________________________________________________________
_____________________________________________________________________________________________

I _____________________________ have voluntarily given the Arizona Rangers permission to check my
background and verify information. The information that I have provided is accurate and true.



AR Form 002;rev.15;Jan.10                                                                                                                    Page 1 of 1 
                                                                                                                       
                                            Company Name: ARIZONA RANGERS PHOENIX COMPANY 14   Ranger Number: ________ 
                                                                                                                       

                                           ARIZONA RANGERS 
                                                 BACKGROUND 
                                      QUESTIONNAIRE NOTICE 
                                       
       EST. 1901

In order to make a proper evaluation of you for appointment to the Arizona Rangers, it is essential that all of the
following questions be answered completely and truthfully. Read each question carefully. Omissions or
untruthful answers will disqualify you from further consideration for appointment. Truthful answers will be
considered along with all other information in deciding your appointment suitability, even if these answers
appear to contain information of a negative nature.

An initial interview will be conducted by members of the Arizona Rangers to verify information in your completed
Background Questionnaire. After the interview results are established, the Office of Internal Affairs will conduct
a pre-appointment investigation consisting of reference checks, current and former employer contacts and other
inquiries that may be appropriate to establish your suitability for appointment.

To the extent allowed by law, all aspects of your background investigation are kept confidential except under the
following conditions:

When a felony criminal activity involving assaultive behavior or crimes against children is revealed, appropriate
law enforcement actions will be taken.

If you are currently certified by Arizona POST as a Peace Officer, any revealed violation of Arizona POST
standards may be reported to Arizona POST.

Prospective appointees may be requested to undergo drug testing, or a pre-appointment medical examination. If
information developed in their background investigation warrants such drug testing and/or medical evaluation, it
will be at the expense of the prospective appointee.

If you agree to the Background Procedures you must print your name and sign this page where the space
appears for your signature. If you do not agree to these procedures, you will not be considered for appointment.



                                    I have read the above and understand its contents.


____________________________________________                              ___________________________________
Applicant’s Printed Name                                                    Date (mm/dd/yyyy)


________________________________________
Signature of Applicant




Confidential
AR Form a-001; rev.15; Jan.10                                                                        Page 1 of 7
                                                          Arizona Rangers
                                                      Background Questionnaire

                                                                 Instructions
TYPE, or PRINT your responses neatly in black ink. You must respond to each and every question. DO NOT LEAVE ANY
QUESTIONS UNANSWERED OR ANY BLANK SPACES. If the question is not applicable, write N/A. If the space provided is
inadequate, add another page and identify the additional information by item number. Complete addresses, with sip codes, must be
provided where requested, i.e. Personal References, Employment History. Personal references must be LOCAL REFERENCES,
unless you have lived in Arizona for less than (5) years in which case, you may use out-of-state or out-of-town references.

COPIES OF THE FOLLOWING DOCUMENTS MUST BE SUBMITTED WITH THIS QUESTIONNARIE AND WILL
BECOME PERMANENT PROPERTY OF THE ARIZONA RANGERS: BIRTH CERTIFICATE AND/OR PROOF OF
CITIZENSHIP, HIGH SCHOOL DIPLOMA, GED, OR COLLEGE DEGREE (OR TRANSCRIPT SUPPORTING A
DEGREE), P.O.S.T OR OTHER PUBLIC SAFETY CERTIFICATIONS TO SUPPORT LAW ENFORCEMENT
EXPERIENCE; AND FORM DD214 IF MILITARY SERVICE IS CLAIMED.

        1.    NAME:___________________________________________DATE OF BIRTH: ______________________________

              OTHER NAMES (maiden or A.K.A’s): ________________________________________________________________

        2.    HEIGHT:______________WEIGHT:______________HAIR COLOR:_____________ EYE COLOR: ______________

        3.    STREET ADDRESS:__________________________________CITY:________________________________________
                                    (Number)          (Street)

             STATE: _____________________ZIP CODE: ______________EMAIL ADDRESS: ____________________________

             TELEPHONE NUMBERS: HOME :(_____) _______________________WORK :(_____) _______________________

             CELL/MOBILE: (_____) _____________ MESSAGE: (_____) _______________ PAGER: (_____) _______________

        4.    SOCIAL SECURITY NUMBER: ________ - _____ - ____________

              OTHER SOCIAL SECURITY NUMBER(S):___________________________________________________________

        5.    DRIVER’S LICENSE NUMBER:________________________STATE:________________EXP. DATE: ___________

        6.    PLACE OF BIRTH: ________________________________________________________________________________

             SPOUSE’S NAME: ___________________________________________



EDUCATION:

        7.    HIGH SCHOOL(S) ATTENDED:
       FROM           TO                   NAME OF SCHOOL                     STREET ADDRESS, CITY STATE, ZIP              LAST GRADE
                                                                                                                           COMPLETED




    HIGH SCHOOL GRADUATE                            GENERAL EDUCATION DEGREE (GED)                                  YEAR: __________


    Confidential 
    AR Form a‐001:rev.15; Jan.10                                                                                                         Page 2 of 7 
          
             8. FORMAL TRAINING COURSES ATTENDED: 
            FROM       TO           NAME OF SCHOOL                                                           COURSE OF STUDY                                      HOURS OF 
                                                                                                                                                                  TRAINING 
                                                                                                                                                           
         
                                                                                                                                                           
         
                                                                                                                                                           
         
                                                                                                                                                           
         

             9. UNIVERSITY OR COLLEGES ATTENDED: 
            FROM       TO            NAME OF SCHOOL                                                    MAJOR                        MINOR                     TOTAL SEMESTER 
                                                                                                                                                                  HOURS 
                                                                                                                                                           
         
                                                                                                                                                           
         
                                                                                                                                                           
         
                                                                                                                                                           
         
 
          10. DEGREE(S) EARNED: 
          YEAR                COLLEGE OR UNIVERSITY                                                                   DEGREE                                     MAJOR
                                                                                                                                                  
         
                                                                                                                                                  
         
                                                                                                                                                  
         
                                                                                                                                                  
         
     
            11. U.S. CITIZEN?             YES                     NO                       IF “YES,” BY BIRTH?                                NATURALIZED?    

                 IF “NO,” DO YOU POSSESS A VALID WORK PERMIT?                                        YES                       NO

            12. CAN YOU PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB YOU ARE APPLYING FOR WITH OR WITHOUT
                ACCOMMODATIONS?                             YES           NO

                 IF YOU ARE IN NEED OF AN ACCOMMODATION, PLEASE INDIACATE WHAT ACCOMMODATION YOU ARE

                  REQUESTING: _____________________________________________________________________________________________

            13. LIST THREE (3) PERSONAL REFERENCES, NOT RELATED TO YOU AND NOT FORMER EMPLOYERS, WHO
                HAVE KNOWN YOU FOR AT LEAST FIVE (5) YEARS.

                              NAME                                     ADDRESS – CITY, STATE, ZIP CODE                                         TELEPHONE
                                                                                                                                         (INCLUDING AREA CODE)




    Confidential
    AR Form a-001; rev.15; Jan.10                                                                                                                                    Page 3 of 7
     14. LIST YOUR LAST THREE (3) EMPLOYERS BEGINNING WITH THE MOST RECENT EMPOLYER
         (INCLUDE COMPLETE ADDRESSES AND TELEPHONE NUMBERS).

        NAME AND ADDRESS                                            JOB TITLE                                                   SUPERVISOR                                                    FROM mm/yy                        TO mm/yy


                                                               Reason for Leaving:




 Phone: ( )
      NAME AND ADDRESS                                              JOB TITLE                                                   SUPERVISOR                                                  FROM mm/yy                          TO mm/yy


                                                               Reason for Leaving:




 Phone: ( )
      NAME AND ADDRESS                                              JOB TITLE                                                   SUPERVISOR                                                    FROM mm/yy                        TO mm/yy


                                                               Reason for Leaving:




 Phone: (          )


     15. INDICATE YOUR RESPNOSE BY MARKING AND “X” OR “NO” BOX. EXPLAIN ALL “YES” ANSWERES
         IN DETAIL ON PAGE 5.
                                                                                                                                                                                                                              YES             NO
 A      Is any member of your or your spouse’s family currently on Probation, Pardon, or Parole?
 B      Have you ever been dismissed from a job or forced to resign?
 C      Do you object to working shifts, weekends, or holidays?
 D      Have you ever stolen from an employer?
 E      Have you ever been suspended or demoted by a former employer?
 F      Have you ever stolen or shoplifted anything worth $5.00 or more?
 G      Have you ever purchased stolen property?
 H      Have you ever falsified an insurance claim?
 I      Have you ever been a member of any organization that had as its goal the overthrow of the
        government or any government program?
 J      Have you ever had a warrant issued for your arrest?
 K      Have you ever been a suspect, charged with or convicted of a crime?
 L      Have you ever petitioned any court to seal or expunge a criminal or juvenile record?
 M      In the past five (5) hears have you instigated any fights?
 N      Have you ever caused serious physical injury to any person?
 O      Have you ever struck anyone you were living with or committed an act of domestic violence?
Definition of Domestic Violence:

     Domestic violence means any act which includes endangerment, threatening, assault, aggravated assault, custodial
     interference, unlawful imprisonment, trespass and burglary, criminal damage, disorderly conduct, or any act which
     is a dangerous crime against children, if the relationship between the victim and the defendant is one of the following:
     spouse, former spouse, parent, child, grandparent, grandchild, brother, sister, if the relationship between the victim
     and the defendant is one of former marriage, if the victim and defendant are persons of the opposite sex residing or
     having resided in the same household, if the victim and defendant or the defendant’s spouse are related to each other
     by consanguinity or affinity to the second degree, if the victim and defendant have a child in common, or if the victim
     or the defendant is pregnant buy the other party.


     Confidential 
     AR Form a‐001; rev.15; Jan.10                                                                                                                                                                                                         Page 4 of 7 
               16. HAVE YOU EVER IN YOUR LIFETIME USED, TRIED, EXPERIMENTED, OR IN ANY WAY INGESTED INTO YOUR 
                   BODY ANY OF THE FOLLOWING?                      (EXPLAIN ALL “YES” ANSWERES ON PAGE 5) 
                   LIST ANY OTHER ILLEGAL DRUGS YOU TRIED OR EXPERMINENTED WITH IN THE LAST TWO BOXES. 
                    
                                  DRUGS                         YES   NO   DATE FIRST USED            DATE LAST USED                                       TOTAL
                                                                              mm/yyyy                    mm/yyyy                                        LIFETIME USE 
          A        MARIJUANA 
          B        COCAINE 
          C        AMPJETAMINES / CRYSTAL METH/ 
                   METHAMPHETAMINES 
      D            HALLUCINOGENS  (LSD, MUSHROOMS) 
      E            HEROIN 
      F            PCP / ANGEL DUST / PSILOCYBIN 
      G            STEROIDS 
      H            STIMULANTS  (SPEED / UPPERS) 
      I            BARBITUATES  (DOWNERS) 
                    
                    
                
               17. HAVE YOU EVER SOLD MARIJUANA OR NARCOTIC DRUGS?         YES                          NO  
 
               18. LIST ALL TRAFFIC DITATIONS: 
                                                                                
                           CITY / STATE                         APPROX. DATE         NATURE OF VIOLATION                                PENALTY/DISPOSITION
                                                                                                                                         
                                                                                                                                         
                                                                                                                                         
                                                                                                                                         
                                                                                                                                         
  
               19. LIST ALL CRININAL CHARGES, ARRESTS, SUMMONS, OR CITE AND RELEASE INCIDENTS: 
                DATE              LAW ENFORCEMENT AGENCY                      CHARGES                                                                          CONVICTION
                                                                                                                                                                YES   NO
                             
                             
                             
                             
                             
 
        MILITARY SERVICE 
 
               20. HAVE YOU EVER SERVED IN THE ARMED FORCES OF THE UNITED STATES? 
                
                   YES                         NO                      IF “YES” COMPLETE THE FOLLOWING: 
                     
                    BRANCH OF SERVICE: _____________________________________ FROM: __________________________ TO: __________________________ 
                     
                    DUTY OR JOB HELD: ____________________________________________ HIGHEST RANK OBTAINED: __________________________ 
                     
                    DISCHARGE DATE: _________________________ TYPE OF DISCHARGE: ______________________________________________ 
                     
                    AS A MEMBER OF THE ARMED FORCES, DID YOU EVER RECEIVE ANY TYPE OF DISCIPLINE? 
                     
                    YES                         NO                       IF “YES”, LIST AND EXPLAIN THE DISCIPLINE BELOW: 
       
       
       
 
Confidential 
AR Form a‐001; rev.15; Jan.10                                                                                                                                                 Page 5 of 7 
PRIOR RESEDENCES: 
 
       21. LIST YOUR LAST THREE (3) RESIDENCES BEGINNING WITH THE CURRENT (INCLUDE COMPLETE 
           ADDRESSES). 
            
             FROM                              TO                                                                               ADDRESS – SITY, STATE, ZIP CODE 
                                                                      
                                                                      
                                                                      
 
            22. EXPLAIN IN DETAIL ALL “YES” ANSWERS FOR QUESTIONS 15 AND 16.  INDICATE QUESTION NUMBERS AND 
                ITEM NUMBER FOR EACH RESPONSE, i.e.:  15L, 16A, RTC.  
                 
       
       
       
       
       
       
       
       
       
                      
                                                    CERTIFICATION AND RELEASE FROM LIABILITY 
                                                                                                                         
    THE  TERMS  “BACKGROUND  INVESTIGATION”  AND  “PRE‐APPOINTMENT  INVESTIGATION”  AS  USED  IN  THIS  DOCUMENT      
    REFERENS  TO  ANY  AND  ALL  INFORMATION  AND  SOURCES  OF  INFORMATION  THAT  THE  ARIZONA  RANGERS  IN  ITS  SOLE 
    DISCRETION MAY DEEM NECESSARY TO OBTAIN OR CONTACT TO DETERMINE FITNNESS AS A CANDIDATE FOR APPOINTMENT 
    WITH THE ARIZONA RANGERS. 
     
    I HEREBY CERTIFY THAT ALL STATEMENTS MADE IN THIS QUESTIONNAIRE ARE TRUE AND COMPLETE.  I UNDERSTAND THAT 
    ANY MISSTATEMENTS OR OMISSIONS WILL SUBJECT ME TO DISQUALIFICATION OR DISMISSAL, REGARDLESS OF WHEN THEY 
    ARE DISCOVERED. 
     
    I  HEREBY  RELEASE  FROM  LIABILITY  AND PROMISE  TO  HOLD  HARMLESS,  UNDER  ANY  AND  ALL  POSSIBLE  CAUSES  OF LEGAL 
    ACTION,  THE  ARIZONA  RANGERS,  OR  ANY  OF  ITS  OFFICERS,  AGENTS,  OR  EMPLOYEES  FOR  ANY  STATEMENTS,  ACTS,  OR 
    OMISSIONS IN THE COURSE OF MY BACKGROUND INVESTIGATION. 
     
    I HEREBY RELEASE FROM LIABILITY AND PROMISE TO HOLD HARMLESS UNDER ALL POSSIBLE CAUSES OR LEGAL ACTION, ANY 
    OFFICER, AGENT, OR EMPLOYEE OF THE ARIZONA RANGERS WHO MAY DONDUCT MY BACKGROUND INVESTIGATION. 
     
     
     
     
    PRINTED NAME IN FULL 
     
     
    SIGNATURE IN FULL                                                                                                                                  (DATE) 
     
     
     
    SIGNATURE OF COMPANY COMMANDER                                                                                               (DATE REVIEWED) 
     
    COMMANDERS APPROVAL OF THIS CANDIDATE          YES                              NO 
     
 
 
    Confidential 
    AR Form a‐001; rev.15; Jan.10                                                                                                                                                                                                                   Page 6 of 7 
      DON NOT WRITE BELOW THIS LINE – INTERNAL AFFAIRS USE ONLY
 
              ACTIONS TAKEN                          INITITALS OF ACTION OFFICER                           DATE
APPLICATION REVIEWED:                                                                              
APPLICANT INTERVIEW COMPLETE:                                                                      
VERIFICATION OF CITIZENSHIP:                                                                       
VERIFICATION OF RESIDENCE:                                                                         
PERSONAL REFERENCES CHECKED:                                                                       
EMPLOYMENT REFERENCES CHECKED:                                                                     
BACKGROUND INTERVIEWED BY:                                                                         
COMMANDERS REVIEW:                                                                                 
 
COMPANY INTERNAL AFFAIRS OFFICER: ______________________________________________________________ DATE: ____________________ 
 
COMPANY INTERNAL AFFAIRS OFFICER REMARKS: 
 
 
 
 
 
 
 
 
 
 
 
 
STATE INTERNAL AFFAIRS OFFICER REMARKS: 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Confidential 
AR Form a‐001; rev.15; Jan.10                                                                                                                                                                                                                   Page 7 of 7 

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:57
posted:11/2/2011
language:English
pages:10