Form 10-2201, "Personal Qualifications Statement"

United States Park Police Pre-Employment Suitability Determination Process

USPP Applicant Processing Instructions 07112023

Form 10-2201, "Personal Qualifications Statement"

OMB: 1024-0245

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United States Department of the Interior
NATIONAL PARK SERVICE
United States Park Police
Headquarters
1100 Ohio Drive, S.W.
Washington, D.C. 20240

IN REPLY REFER TO:

[INSERT DATE]

Dear Applicant:
Thank you for your interest in employment with the United States Park Police. The following
information will assist you with planning your arrival to the test site. Arrive early for parking and security
arrangements. THIS PROCESS CAN TAKE UP TO 8 HOURS TO COMPLETE. BRING SOMETHING
TO EAT SINCE LEAVING THE PROCESSING FACILITY IS NOT PERMITTED DURING TESTING.
IT IS ESSENTIAL THAT YOU REVIEW THE FOLLOWING INFORMATION CAREFULLY AND
IMMEDIATELY.
When you arrive at the designated facility you will be required to complete a Physical Efficiency
Battery (PEB). The PEB is a physical fitness screening test designed to determine if you are
physically able to perform the duties of a police officer. We recommend that you wear comfortable
exercise clothing. You are required to bring a pair of non-marking court shoes and a pair of
running shoes. YOU MUST ALSO BRING YOUR SIGNED AND DATED PHYSICIAN’S CONSENT
FORM (Form 10-2201E) IN ORDER TO PARTICIPATE.
You have been scheduled for the PEB on:

See the PEB testing schedule on reverse;
you must attend the session according to
the first letter of your last name

While you are completing the PEB, members of our Human Resources Office will review your Personal
Qualification Statement (Form 10-2201) for completion and for clarification of any issues or questions
resulting from answers you provided.
After successfully completing this phase, you will be scheduled for a written examination at a later
date. Further processing will depend upon your overall scores. You will be notified of future processing
steps if you qualify.
Candidates who pass all phases of the process will be considered along with other qualified candidates
for the position of Recruit Park Police Officer.
If you fail to respond to the PEB test, your name will be removed from our register and you will no
longer be considered for a police officer position with the United States Park Police under the current
announcement. It is your responsibility to keep our office informed of any changes that will
impede our qualification review processes (i.e. current work, address and telephone numbers).
If you have any questions, please contact our Human Resources Office at [insert telephone number]
between 9:00 a.m. and 5:00 p.m.
Sincerely,

[Insert Recruiter Name]

Recruiting / Applicant Processing Supervisor

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TABLE OF CONTENTS
PEB TESTING DATES AND LOCATIONS ................................................................................... 3
DIRECTIONS TO THE UNITED STATES PARK POLICE ........................................................... 4
ANACOSTIA OPERATIONS FACILITY ........................................................................................ 4
DIRECTIONS TO THE ATLANTA AIRPORT MARRIOTT ............................................................ 6
DIRECTIONS TO THE UNITED STATES PARK POLICE ........................................................... 8
NEW YORK FIELD OFFICE - FORT WADSWORTH ................................................................... 8
DIRECTIONS TO THE UNITED STATES PARK POLICE ........................................................... 9
SAN FRANCISCO FIELD OFFICE – PRESIDIO OF SAN FRANCISCO ..................................... 9
APPLICANT CHECKLIST ........................................................................................................... 10
INSTRUCTIONS FOR COMPLETING ENCLOSED FORMS ..................................................... 11

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PEB TESTING DATES AND LOCATIONS
Check the dates/times below for your testing time. You must reserve your testing time and
location at the following website:
[ADD EVENTBRITE SCHEDULING WEBSITE HERE]
Select only one testing date. You must attend the testing session that you reserved. Failure to
attend the session you have reserved will remove your name from further consideration. No
make-up dates will be available.
PEB Location
U.S. Park Police Anacostia
Operations Facility
1901 Anacostia Drive, SE
Washington, DC 20020
Telephone: (202) 610-3525

U.S. Park Police
Fort Wadsworth
120 New York Avenue
Staten Island, NY 10305
Telephone: (718) 338-3988

U.S. Park Police
Presidio
1217 Ralston Avenue
San Francisco, CA 94129
Telephone: (415) 561-5185

Atlanta Airport Marriott
4711 Best Road
College Park, GA 3033
Telephone: (404) 766-7900

Dates and Times
WASHINGTON, DC

STATEN ISLAND, NY

SAN FRANCISCO, CA

ATLANTA, GA

Saturday, Date & Time.
Saturday, Date & Time
Sunday, Date & Time
Sunday, Date & Time

Saturday, Date & Time
Saturday, Date & Time
Sunday, Date & Time
Sunday, Date & Time

Saturday Date & Time
Saturday Date & Time

Saturday, Date & Time
Sunday, Date & Time

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DIRECTIONS TO THE UNITED STATES PARK POLICE
ANACOSTIA OPERATIONS FACILITY
1901 Anacostia Drive, SE
Washington, DC. 20020

FROM BALTIMORE
• Merge onto I-695 S/BALTIMORE BELTWAY OUTER LOOP
• Merge onto I-95 S via exit number 11B toward WASHINGTON
• Take the BALTIMORE-WASHINGTON PKWY exit-exit number 22B toward
WASHINGTON
• Merge onto MD-295 S
• Take the HOWARD ROAD exit-exit number 3B toward DOWNTOWN
• Turn RIGHT onto HOWARD RD SE
• Keep RIGHT onto HOWARD RD SE
• Keep RIGHT at the fork in the ramp
• Turn RIGHT onto ANACOSTIA DR. SE
FROM PENNSYLVANIA
• Merge onto CAPITAL BELTWAY/I-495 S.
• Take the VA-193 exit-exit number 43-44- toward GEORGE WASHINGTON MEMORIAL
PKWY/GEORGETOWN PIKE
• Merge onto GEORGE WASHINGTON MEMORIAL PKWY S.
• Take I-395 N toward WASHINGTON
• Merge onto I-295 S via the exit on the left
• Take the HOWARD ROAD exit-exit number 3B toward DOWNTOWN
• Turn RIGHT onto HOWARD RD SE
• Keep RIGHT onto HOWARD RD SE
• Keep RIGHT at the fork in the ramp
• Turn RIGHT onto ANACOSTIA DR. SE
FROM DC/MARYLAND
 Take MD-5 N/BRANCH AVENUE
 Merge onto SUITLAND PKWY SE toward WASHINGTON
 Turn SLIGHT RIGHT onto NAYLOR RD/MD 637 W. Continue to follow NAYLOR RD SE.
 Turn LEFT onto GOOD HOPE RD SE
 Turn RIGHT onto ANACOSTIA DR SE
(Continued on next page)
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FROM VIRGINIA
• Take the I-395 N / US -1 exit towards WASHINGTON
• Merge onto I -395 N
• Take the I -295 S exit on the left
• Merge onto I -295 S exit on the left
• Take the HOWARD ROAD exit-exit number 3B toward DOWNTOWN
• Turn RIGHT onto HOWARD RD SE
• Keep RIGHT onto HOWARD RD SE
• Keep RIGHT at the fork in the ramp
• Turn RIGHT onto ANACOSTIA DR. SE
FROM NEW YORK
• Take the I-95/NJ TURNPIKE
• Keep RIGHT at the fork in the ramp
• Merge onto NEW JERSEY TURNPIKE S (Portions toll)
• NEW JERSEY TURNPIKE S becomes I-95 S (Portions toll)
• Take the I-95 N exit on the left towards WILMINGTON
• Take the I-95 N exit on the left
• Keep RIGHT at the fork ramp
• Merge onto I-95 S (Portions toll)
• Take the I-895 S/HARBOR TUNNEL THRUWAY exit, exit number 62 on the left towards
ANNAPOLIS/BAY BRIDGE
• Merge onto HARBOR TUNNEL TRWY
• Take the MD-295 S/BALT/WASH PARKWAY exit, exit number 4 towards BWI AIRPORT
• Merge onto MD – 295 S
• Take the HOWARD ROAD exit-exit number 3B toward DOWNTOWN
• Turn RIGHT onto HOWARD RD SE
• Keep RIGHT onto HOWARD RD SE
• Keep RIGHT at the fork in the ramp
• Turn RIGHT onto ANACOSTIA DR. SE

If you have travel problems, please call:
(202) 619-7056 (HR Office),
(202) 610-3525 (Anacostia Operations Facility), or
(202) 610-7505 (Communications Section).

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DIRECTIONS TO THE ATLANTA AIRPORT MARRIOTT
(This site could change)
471 Best Road
College Park, GA 30337
(404) 766-7900 (Phone)
(404) 209-6838 (Fax)

FROM 75 NORTH
Take 75 Southbound through downtown Atlanta until it merges with 85 Southbound
Antoine Southbound (Riverdale Rd.). Turn right at the light and go to the very next
street (Best Rd. Connector) and then turn left. Turn right at the stop sign onto Best Rd.,
and then turn right into the hotel.
FROM 75 SOUTH
Take 75 Northbound to 285 Westbound. Take Exit #60 (Riverdale Rd.) and turn right.
Go through 5 traffic lights and cross the bridge. After crossing the bridge, you will turn
left at the first street (Best Rd. Connector) and go to the stop sign and turn right onto
Best Rd. and immediately on your right you will see the entrance to the hotel.
FROM 85 NORTH
Take 85 Southbound through downtown Atlanta (85 & 75 merge through Atlanta). Stay
on 85 Southbound to Riverdale Rd. (exit #71), turn right, and turn left onto Best Rd.
Connector. Turn right at the stop sign onto Best Rd., and then take first right into hotel.
FROM 85 SOUTH
Take 85 Northbound to Riverdale Rd. (exit #71). Take a left, then another left after you
cross the bridge onto Best Rd. Connector. Then turn right onto Best Rd. Immediately
on the right you will see the hotel entrance.
FROM 285 WEST/SOUTH
Take 285 East to Old National Highway (exit #61). Take a left back over 285. After the
bridge, take the first right at the light (Waffle House is on the left) onto Sullivan Rd. Go
about 1 mile to the stop sign (Bennigan’s Restaurant will be on the right). Take a left at
the stop sign, the first left into the hotel.
FROM 285 EAST/SOUTH
Take 285 West to Riverdale Rd. (exit #60). Take a right onto Riverdale Rd. and go
through 5 traffic lights. After you cross the bridge, turn left at the next street (Best Rd.
Connector). At the next stop (Best Rd.), turn right. Immediately on the right you will see
the entrance to the hotel.
FROM 20 EAST
Take 20 West to 285 South/West. Follow 285 to Riverdale Rd. (exit #60). Take a left
onto Riverdale Rd. and go through 5 traffic lights. After you see the cross bridge, turn
left onto Best Rd. Connector. Turn right onto Best Rd. Immediately on your right will be
the entrance to the hotel.
FROM 20 WEST

Take 20 Eastbound to 285 South/East to Riverdale Rd. (exit #60). Take a
left onto Riverdale Rd. and after you cross over the bridge, take a left onto Best Rd.
Connector. Turn right onto Best Rd. Immediately on your right will be the entrance to
the hotel.
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FROM HARTSFIELD ATLANTA AIRPORT
Follow Riverdale Rd. signs. Turn right onto Riverdale Rd. and go through 3 stop lights. Go over
the bridge and turn left onto Best Rd. Connector. Continue to the stop sign (Best Rd.). Turn
right onto Best Rd. and the hotel entrance will be immediately on your right.
SHUTTLE SERVICE
Leave baggage claim and head toward ground transportation. Go to the third island and look
for the red and white Marriott shuttle. A new shuttle arrives every fifteen minutes.

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DIRECTIONS TO THE UNITED STATES PARK POLICE
NEW YORK FIELD OFFICE - FORT WADSWORTH
210 New York Avenue
Staten Island, NY 10305

NEW JERSEY
Take the Garden State Parkway to the Outer-bridge Crossing to the West Shore Expressway to
the Staten Island Expressway East. Get off the Bay Street exit and follow the signs to Bay
Street and Fort Wadsworth.
Take the New Jersey Turnpike to the Goethals Bridge to the Staten Island Expressway. Get off
the Bay Street exit and follow the signs to Bay Street and Fort Wadsworth.
WESTCHESTER/BRONX
NY State Thruway to the Major Deegan Expressway, go over the Tri-borough Bridge and follow
the Brooklyn Queens Expressway to the Verrazano Narrows Bridge.
MANHATTAN
Take the FDR Drive to the Brooklyn Bridge. Go over the Brooklyn Bridge and follow the
Brooklyn Queens Expressway to the Gowanus Expressway to the Verrazano Narrows Bridge.
Take the Henry Hudson Parkway to the West Side/Joe DiMaggio Highway, go through the
Brooklyn Battery Tunnel, and follow the Gowanus Expressway to the Brooklyn Queens
Expressway to the Verrazano Narrows Bridge.
LONG ISLAND
Take the Southern State, Sunrise Highway or Cross Island Parkway to the Belt Parkway (west).
“Follow directions for Brooklyn/Queens”
BROOKLYN/QUEENS
Take the Belt Parkway westbound to the Verrazano Narrows Bridge. Go over the Verrazano
Narrows Bridge, after the tollbooth take the Bay Street or Hylan Boulevard exit and follow the
signs to Bay Street and Fort Wadsworth.
Enter through the front gate and park in the visitor’s center parking lot approximately 1/4 of a
mile past the guard booth on your left. Building 120 is the building that is next to the parking lot.
24-hour number for communications (718) 338-3988

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DIRECTIONS TO THE UNITED STATES PARK POLICE
SAN FRANCISCO FIELD OFFICE – PRESIDIO OF SAN FRANCISCO
210 New York Avenue
Staten Island, NY 10305

FROM NORTH OF THE GOLDEN GATE BRIDGE
From North of the Golden Gate Bridge: Hwy 101/ Hwy 1 South. Cross the Golden Gate Bridge,
take first exit on right immediately past tollbooth onto Merchant Rd. Drive to the stop sign at the
intersection that is Lincoln Blvd. Cross Lincoln Blvd. Merchant Rd. will become Storey Ave.
Stay on Storey Ave, at Ralston Ave turn right. At the stop sign, USPP Bldg. 1217 will be on
your right- parking on left.
FROM HWY 101
As you approach the Golden Gate Bridge take the “Last San Francisco Exit” just before passing
the toll plaza. Veer right at the stop sign at the end of the ramp that will take you to Lincoln
Blvd. At that stop sign turn right for about 0.2mi. Turn left on Storey Ave. Turn right on Ralston
Ave. At the stop sign, USPP Bldg. 1217 will be on your right- parking on left.
FROM LOMBARD ST.
Enter the Presidio from Lombard St. and drive to the intersection of Presidio Blvd. Turn right
onto Presidio Blvd. Presidio Blvd will become Lincoln Blvd. Stay on Lincoln Blvd. Turn left on
Storey Ave. Stay on Storey Ave, at Ralston Ave turn right. At the stop sign, USPP Bldg. 1217
will be on your right- parking on left.
FROM 25TH AVE.From 25th @ El Camino Del Mar Blvd., enter Presidio. You will be on Lincoln
Blvd. Turn right at Kobbe St. and turn left on Upton Ave. Turn right on Ralston. You will see
USPP Bldg. 1217.
For more information, contact Park Communications at (415) 561-5510

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APPLICANT CHECKLIST
This checklist is provided to assist you with the organization of the requested information. Failing to
provide this Information in a timely manner will delay the processing of your application and jeopardize
your consideration for employment with the United States Park Police. Please bring original documents
for review, and 1 copy of each document to provide to us. Please provide two photocopies of
your driver’s license. There will not be a copier available.
NOTE: The Personal Qualification Statement must be signed, dated, and notarized on page 31. The
Conditions of Employment must be signed by you on page 34 and signed as reviewed by a U.S. Park
Police representative when you attend the PEB. The Personal Qualification Statement will be reviewed
at the PEB. You should have the remainder of the following documents ready to provide upon request,
but they are NOT needed at the PEB event.
USE THE FOLLOWING CHECKLIST AS A GUIDE TO COMPLETE THE DOCUMENTS ENCLOSED
____
____
____
____

The following documents must be completed and provided at the screening orientation:
Form 10-2201A, “Information Release Form” (signed by applicant and notarized)
Form 10-2201B, “Release to Obtain a Credit Report” (completed by applicant and signed)
DD-214 for Veterans preference (if applicable)
SF-180 Request for Military Records (if applicable)

The following documents must be reviewed by a physician or notarized and presented at the PEB:
____ Form 10-2201D, “Physical Efficiency Battery Waiver” AND Form 10-2201E, “Physicians Consent Form”
(signed by applicant and signed/stamped by physician prior to taking the PEB)
____ Form 10-2201, “Personal Qualification Statement” (Sign Part XIII, “Applicant’s Certification and
Signature” and have the page notarized)

____
____
____
____

____
____
____
____
____
____

Copies of the following documents must be provided:
One (1) copy of your current valid driver’s license (your application cannot be processed without a valid
license from the state in which you reside, unless exempted)
Certified motor vehicle driving record (provide records from each state you have ever held a driver’s
license)
Federal tax return transcripts and copied of filed state tax forms for the past two years
(Provide proof that you filed you taxes and that each copy is signed, with the filing date)
Copy of most recent Form SF-50 (Notification of Personnel Action) (for Merit Status applicants)
Additional information that will be required:
____ Court documents, including:
Original birth certificate (show original &
(provide copies)
provide copy)
____ Separation, divorce, annulment
High school diploma or GED certificate
papers
(with GED test scores, if applicable)
____ Legal name change
College transcripts (for each college
____ Adoption
attended)
____ Bankruptcy
Naturalization certificate (if applicable)
____ Criminal/civil/traffic court
Marriage license (show original & provide
actions (if applicable)
copy)
Credit report (obtained from
www.equifax.com)
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INSTRUCTIONS FOR COMPLETING ENCLOSED FORMS
FORM
FORM 10-2201
“PERSONAL QUALIFICATIONS
STATEMENT”
FORM 10-2201A
“INFORMATION RELEASE FORM”
FORM 10-2201B
“RELEASE TO OBTAIN CREDIT
REPORT”

INSTRUCTION
Read all the instructions carefully and
complete this booklet in its entirety. Part
XIII – Applicant’s Certification and
Signature page must be notarized. Save
a completed copy for your records
This form must be completed and
notarized!
This form must be completed even though
you have provided a credit report.

FORM 10-2201E
“PHYSICIAN’S CONSENT FORM”

This form must be signed and stamped by
your physician and presented on the
scheduled date of your Physical Efficiency
Battery (PEB)

FORM 10-2201F
“APPLICANT DOCUMENTATION
FORM”

Complete and sign this form. This form is
required of any applicant who may wish to
defer employment.

SF-180
“REQUEST OF MILITARY RECORDS”

Read the instructions carefully. If this form
does not apply to you, return it with the
remainder of your application package

Failure to follow these instructions will remove you from further
consideration of employment with the United States Park Police.
Please bring only the following forms ” with you on the scheduled date of the PEB :
• Form 10-2201, “Personal Qualifications Statement”;
• Form 10-2201D, “Physical Efficiency Battery “Waiver””; and
• Form 10-2201E, “Physician’s Consent Form”.
The remainder of the documents will be requested at a later date.
If you have any questions, please contact :
USPP Human Resources Office
[Insert Phone Number]
9:00 a.m. and 5:00 p.m.
Monday through Friday.

THANK YOU FOR YOUR COOPERATION

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AuthorBaucum, Madonna
File Modified2023-07-11
File Created2023-07-11

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