Clive Police Department Civil Service Packet 2017

Size: px
Start display at page:

Download "Clive Police Department Civil Service Packet 2017"

Transcription

1 City Application Clive Police Department Civil Service Packet 2017 Clive Police Department Applicant Check List Background/Polygraph Consent Wavier Release of Information Waiver (Obtain Records) Police Department Personal History Statement Physical Agility Testing Consent Wavier Release of Information Consent Wavier (Candidate) Credit History Consent Waiver How did you learn about this position? Driving Record Authorization Form Photo Copy of Driver s License Photo Copy of High School Transcript/Diploma Photo Copy of Transcript of Higher Education attended (College/University) Photo Copy of Military Discharge/Separation Papers Personal Resume Copy of Birth Certificate Check off and turn this sheet in with your forms 1

2 CLIVE CIVIL SERVICE COMMISSION CERTIFICATION STANDARDS 1. To apply for a position as a police officer for the Clive Police Department, applicants must complete the Application Forms provided by the City of Clive and all forms provided with the application. Applicants must also submit a copy of a personal resume. Copies of the applicant's Birth Certificate, and grade transcripts called for in the application may be submitted after submission of the application, but these items must be supplied as soon as possible and not later than the day of the candidate's oral interview with the Commission. All answers to questions on the application must be true and accurate. Any false statements in the application will mean immediate disqualification of the applicant and shall also constitute grounds for immediate dismissal should the applicant be hired. The following forms must be completed and returned to the Clive Police Department with the application: City of Clive Application for Employment, Clive Police Department Personal History Statement Form, Personal Resume, Photocopy of Driver's license, and Forms CS-3, CS-4, CS-1O, CS-11, and CS Applicants must agree to and complete letters authorizing the Clive Civil Service Commission and the Clive Police Department to conduct a thorough and complete background, scholastic, financial, and (post offer) medical investigation as well as a polygraph examination. Certification and appointment will also be subject to the applicant's successful completion of the Iowa Law Enforcement Academy's course within eighteen (18) months of appointment if not previously certified. 3. All applicants shall be judged for the position applied for based on the job description adopted by the City of Clive, the Clive Civil Service Commission's Procedures, and any applicable Clive City Ordinances. 4. Applicants will not be considered unless they meet the following minimum requirements: a) That he/she is a citizen of the United States of America; b) That upon employment, he/she will reside within thirty miles/thirty minute travel time of the Clive Police Department headquarters. c) That he/she is at least twenty-one years of age; d) That he/she currently holds a valid Driver's or Chauffeur's License and will have and hold a valid Iowa Driver's or Chauffeur's License prior to any final appointment; A photocopy of the applicant's current driver's license shall be submitted with other application materials. e) That he/she is not addicted to drugs or alcohol; f) That he/she be of good moral character as determined by a thorough background investigation including a fingerprint search conducted of local, state and national 2

3 fingerprint files. That he/she has not been convicted of a felony or a crime involving moral turpitude. (Moral Turpitude is defined as an act of baseness, vileness, or depravity in the private and social duties which a person owes to another person, or to society in general, contrary to the accepted and customary rule of right and duty between person and person.) It is conduct that is contrary to justice, honesty or good morals. The following nonexclusive list of acts have been held by the Courts to involve moral turpitude: income tax evasion, perjury, or its subornation, theft, indecent exposure, sex crimes, conspiracy to commit a crime, defrauding the government and illegal drug sales. Various factors, however, may cause an offense which is generally not regarded as constituting moral turpitude to be regarded as such. For example, a record of a number of convictions for simple assault would involve moral turpitude, whereas a singular act would not); g) That he/she, by reason of conscience or belief, are not opposed to the use of force when appropriate and necessary to fulfill the duties of a Police Officer; h) That he/she be of a weight proportional to their height as deemed appropriate by the examining physician; i) That he/she be a high school graduate with a diploma or possess an equivalency certificate and are able to read and write the English language; j) That he/she have uncorrected vision of not less than 20/100 in each eye which is correctable to 20/20 and normal color vision (Normal color vision, as determined by the American Optical Company, Pseudo-Isochromatic Plates test, requires correct identification of ten out of the fourteen plates); k) That he/she have normal hearing ability in each ear. (Hearing is considered normal when, tested by an audiometer, hearing sensitivity thresholds are within 2000Hz, and 3000Hz averaged together); tested by an audiometer, 25db measured at 1000Hz, l) That he/she be free from any physical, emotional or mental condition, which would render him/her of performing the essential functions of duty as determined by a physician. m) That he/she attain a satisfactory grade in a pre-employment written test, the National Police Officer Selection Test, (POST) as prescribed by the Iowa Law Enforcement Academy; n) That he/she have been tested, by the use of testing instruments approved by the Iowa Law Enforcement Academy to determine the possession of personality characteristics and suitability of an applicant for a law enforcement career; and o) That he/she attain a passing grade in the physical agility test developed by the Iowa Law Enforcement Academy. 5. With the exception of a consumer report obtained pursuant to the Fair Credit Reporting Act, no information regarding the applicant obtained by the Clive Civil Service Commission or the Clive Police Department as part of the application, examination or investigation process shall be released to the applicant or any representative of the applicant. 3

4 CLIVE CIVIL SERVICE COMMISSION EXAMINATION AND CERTIFICATION RULES 1. Completed applications must be returned to the Clive Police Department no later than 5:00 P.M., Friday, August 25, or, if mailed, postmarked no later than Friday, August 25. When returning the application packet in person the applicant will be fingerprinted and photographed at that time. 2. The Physical Agility test will be administered at a place and time to be determined. Candidates will be notified by where and when to report. This test will be administered according to the standards and protocol set forth in the physical performance manual prepared by the Iowa Law Enforcement Academy (which may be reviewed at their web site). This test is given in four sections, each of which must be satisfactorily completed in order to obtain a passing grade. Each section of the test is adjusted for age and gender and consists of: a)the Sit and Reach Test, which measures the flexibility of the applicants lower back and upper leg area; b) The 1 Minute Sit Up Test, the score is based upon the number of bent leg sit-ups performed in 1 minute; c) The 1 Minute Push Up Test, the score is calculated by the number of push-ups performed in 1 minute; and d) The 1.5 Mile Run, the score is based upon the minutes and seconds needed to complete the run. All applicants must pass the minimum standards for each section of the physical agility test as determined by the Iowa Law Enforcement Academy. An applicant failing to pass any portion of the physical agility test will no longer be considered for employment during this testing period. All applicants must participate in the physical agility testing unless excused in advance for good reason with the approval of the Chief of Police. Transfer scores from another police agency will be accepted if completed within the previous six months and only with valid documentation of scores from the administering police agency. It is the responsibility of each applicant to be physically prepared to participate in the physical agility test and to wear the proper athletic clothing and running shoes to the test site. 3. Applicants passing all phases of the physical agility test shall be given a written examination, Standard and Associates, National Police Officer Selection Test (POST) at a place and time to be determined. Candidates will be notified by where and when to report. The examination will be administered by the Clive Civil Service Commission. Applicants must bring a valid driver's license with them to the testing site. The POST test covers four areas of desired abilities, math, reading comprehension, grammar, and incident report writing. An applicant who has taken and passed the POST test within the previous six months will be allowed to repeat the test, or may have their previous score accepted and considered along with other applicants who pass the test. An applicant must have a score of at least 70% on each of the four sections of the test to have a passing score. The test has a total of 75 questions and a total time limit of 83 minutes. The written POST test will then be scored and posted by approximately 12 PM, Noon on the following Monday. The top 30 passing scores, including ties for 30th place, will then proceed to the next phase of the applicant testing process. Those applicants failing the test or who pass but fail to place in the top 30, will not be considered further during this testing period. Applicants who have previously taken and 4

5 passed the written POST test within the previous six months will have their score compared against other passing scores, and must place among the top 30 written test scores to be considered further. 4. Any violation of testing procedures shall result in a disqualification of the applicant. 5. A detailed background investigation will be conducted on each applicant successfully passing the written POST test and physical agility test. The background investigation will be conducted through interviews of references, teachers, past and present employers, co-workers, acquaintances, neighbors, and other associations. A credit report on the applicant's financial stability may also be requested. The application submitted by each candidate will be checked for accuracy, omissions, and falsifications. Any omissions or false statements of fact in the application may result in disqualification and may be grounds for immediate dismissal if discovered following the appointment of an applicant. A criminal history and driving record check will be performed on each applicant. Fingerprints of each applicant will be submitted to the Iowa Division of Criminal Investigation (DCI) and the Federal Bureau of Investigation (FBI) as part of a criminal records check. Any applicant who posts on a social media account must permit to having that account accessed as part of the background investigation. 6. A polygraph examination will be administered to each applicant that passes the background investigation, the POST written test and the physical agility test. A previously passed polygraph examination may be considered for this requirement. 7. Applicants passing the written examination, physical agility test, and polygraph examination will be given an oral examination before the Commission relating to general background of the applicant, the applicant's work experience, general knowledge, demeanor, and ability to communicate verbally. Any false statement of fact shall result in disqualification of the applicant and will be grounds for immediate dismissal if discovered following the appointment of an applicant. 8. Following the written examination, the physical agility test, the background investigation, the polygraph examination, and the oral examination, all applicants with passing scores will be graded and ranked in accordance with paragraph 10 below. Those applicants with a passing grade will be ranked one through ten and will then be certified to the Clive City Council as eligible for appointment as Clive Police Officers subject to: 1) successfully passing a detailed medical physical examination and 2) attaining a satisfactory score on the Minnesota Multiphasic Personality Inventory, (MMPI) a psychological test. 9. The applicant's application will be subject to a detailed examination by the Commission. Any false statement of fact in the application may result in disqualification and may be grounds for immediate dismissal if discovered following the appointment of an applicant. 10. Applicants will be graded and ranked according to the following procedures: (a) Forty percent of the grade will consist of the score achieved on the written examination (b) Forty percent of the grade will consist of the individual board member s combined evaluation of the applicant s oral examination 5

6 (c) Twenty percent of the grade will consist of the individual board members' evaluation of the applicant's background and previous work experience. A combined grade of seventy percent shall be considered a passing grade. Ranking will be based on the combined grades. 11. Applicants claiming a Veterans Preference are required to provide a discharge and/or full-sized photo copy of service record with their application 12. Candidates meeting the requirements of Chapter of the Code of Iowa qualifying for veterans preference shall have five (5) points added to their score attained in the qualifying examinations and an additional five (5) points if the veteran has a service connected disability. However the points shall be given only upon passing the exam and shall not be the determining factor in passing. 6

7 CLIVE CIVIL SERVICE COMMISSION I hereby consent to a background investigation, which I know to be necessary for my consideration by the Clive Civil Service Commission. I further specifically consent to a polygraph examination. I also hereby consent to a post-offer and pre placement inquiry into my physical and mental condition. With the exception of any rights to which I am entitled under the Fair Credit Reporting Act, and which have been explained to me in a separate notice and consent, I hereby waive any and all rights I may now or hereafter possess to obtain, review or copy all, or any part, of such information, opinion or assistance, or any other information or document obtained by the Clive Civil Service Commission or the Clive Police Department pursuant to this consent. I am familiar with the physical agility test required and know of no reason why I should not undertake the task of passing that test and I relieve the Commission, the City of Clive and the test administrators of any and all liability of any nature based upon any injury sustained by me as a result of my taking the physical agility test. I understand that it is my own obligation and responsibility to discontinue any test including the physical agility test, when necessary or helpful to protect my health or well-being, and I hereby release the Clive Civil Service Commission, the City, its officers and agents from any and all liability or responsibility in this respect. I further request that the Clive Civil Service Commission evaluate my competency in a closed session when the Commission deems it necessary to do so to prevent needless and irreparable injury to my reputation. Dated this day of, 20 Applicant Name Printed Witness Applicant Signature 7

8 TO WHOM IT MAY CONCERN: I am a candidate for appointment to the Clive Police Department. This is your full and sufficient authority to give any representative of the Clive Police Department or Clive Civil Service Commission, as requested, any information, opinion or assistance about reports or records of the undersigned or any other information or documents that you may have in your custody or under your control, with reference to me. It is my intent that the foregoing shall apply to any doctor or hospital; psychologist; educational institution or school; savings, banking or lending institution; governmental body; or any other person or organization which may have information in its possession concerning my character, education, physical or medical condition, psychological condition, or financial responsibility regardless of its nature. I hereby release for every person or entity providing such information, opinion or assistance from any and all liability providing the same. A photocopy, or exact reproduction of this authorization, as duly executed, shall have the same force and effect as this original. Dated this day of, 20 Applicant Name Printed Witness Applicant Signature 8

9 RELEASE In consideration for receiving permission from the Clive Civil Service Commission to participate in the Civil Service examinations and be evaluated for the position of Clive Police Officer and in further consideration of receiving permission to participate in the physical agility test associated therewith, receipt of such permission being also hereby acknowledged, I hereby release the Clive Civil Service Commission, the City of Clive, and their agents, officers, servants and employees, of and from any and all liability, claims, demands, actions, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained (whether or not due to the negligence of the Clive Civil Service Commission, City of Clive, or its agents, officers, servants or employees) or any property that belongs to me, while in, on, or upon the premises at which the physical agility test is being conducted, or in route to or from these premises, or any other premises under the control or supervision of the Clive Civil Service Commission, the City of Clive, or facilities being used by the City of Clive. I, being duly aware of the risks and hazards inherent upon participating in the physical agility test and having been given the opportunity to personally inspect all testing devices and the testing program, hereby elect voluntarily to participate in the physical agility test knowing the present conditions existing and knowing that said conditions may become more hazardous and dangerous during the time that I am engaged in said examination. I hereby voluntarily assume all risks of loss, damage, injury, including death, that I may sustain or any property while engaged in said examination, or upon said premises. This release shall be binding upon the distributee, heirs, next of kin, executors and administrators of each of the undersigned. I further state that I am capable of undertaking this examination without endangering my health or safety and understand my own obligation to discontinue any testing phase when necessary to protect my own well-being. In signing the foregoing release, I hereby acknowledge and represent: A. That I have read the foregoing release, understands it and signs it voluntarily; and B. That I am 21 years of age or older and of sound mind. Dated this day of, 20 Applicant Name Printed Applicant Signature 9

10 WAIVER FOR RELEASE OF INFORMATION TO WHOM IT MAY CONCERN: I,, do hereby authorize a review of and full disclosure of all testing results or data, whether public or confidential in nature, accumulated as a result of mandated testing, concerning my qualifications to be a law enforcement officer. I understand that such information will be accessible to The City of Clive, The Clive Civil Service Commission, and law enforcement agencies, or their designees, for employment purposes only, and do hereby consent to its dissemination. I further consent to the utilization of the mandated testing data or test results by The City of Clive, The Clive Civil Service Commission, and the Iowa Law Enforcement Academy, or their designees, for purposes of educational or scientific research. I certify that any person(s) or entities who may furnish information concerning my mandated test data or test results shall not be held accountable for releasing this information; and I do hereby release said person(s) and entities from any and all liability for damage of whatever kind which may at any time result to me, my heirs, and family or associates because of compliance with this waiver and release of information, or any attempt to comply with it. I further release The City of Clive, the Clive Civil Service Commission and the State of Iowa, the Iowa Law Enforcement Academy, and their designees individually or collectively from any and all liability for damage of whatever kind which may at any time result to me, my heirs, and family or associate because of compliance with this waiver and release of information, or any attempt to comply with it. FULL NAME SIGN NAME DATE CURRENT ADDRESS WITNESSED THIS DAY OF, 20 SIGN NAME, WITNESS ( ) PHONE NUMBER, WITNESS PRINT NAME, WITNESS CURRENT ADDRESS, WITNESS 10

11 NOTICE TO APPLICANTS THE PHYSICAL AGILITY TEST WILL BE ADMINISTERED. THOSE PASSING THE PHYSICAL AGILITY TEST WILL TAKE THE WRITTEN POLICE OFFICER EXAMINATION (POST TEST. IT IS IMPORTANT THAT YOU BRING OR WEAR THE PROPER APPAREL FOR THE PHYSICAL AGILITY TEST, SUCH AS RUNNING SHOES, SHORTS, T-SHIRT, SWEAT CLOTHES, ETC., THAT WOULD BE APPROPRIATE FOR STRENUOUS PHYSICAL ACTIVITY AND THE TESTING ENVIRONMENT. IT IS YOUR RESPONSIBILITY TO BE PHYSICALLY FIT TO PERFORM THE PHYSICAL AGILITY TEST. THE WRITTEN POLICE OFFICER EXAMINATION, WILL BE ADMINISTERED AT A DATE & TIME TO BE DETERMINED IN THE COMMUNITY ROOM OF THE DYMOND PUBLIC SAFETY CENTER, 8505 HARBACH BLVD., THE TEST WILL BE SCORED AND THE TOP THIRTY APPLICANT SCORES, INCLUDING TIES, WILL BE POSTED. ALL APPLICANTS WILL BE PHOTOGRAPHED AND FINGERPRINTED UPON FILING AN APPLICATION WITH THE POLICE DEPARTMENT. THIS MUST BE COMPLETED AT THE CLIVE POLICE STATION. IF THE APPLICATION IS MAILED, ARRANGEMENTS WILL HAVE TO BE MADE BY APPLICANTS TO HAVE THEIR FINGERPRINTING DONE EITHER PRIOR TO WRITTEN EXAMINATION OR ON THE DAY OF THE EXAM. PROPOSED TIME LINE TO DEVELOP A CERTIFIED CIVIL SERVICE LIST. August 25, 2017 CUT OFF DATE FOR ACCEPTING COMPLETED APPLICATIONS September, 2017 PHYSICAL AGILITY TEST AND WRITTEN POST EXAM October, 2017 November 2017 November 2017 December, 2017 CRIMINAL HISTORY CHECKS, POLYGRAPH EXAMINATIONS, ETC. CIVIL SERVICE INTERVIEWS CERTIFIED CIVIL SERVICE LIST ESTABLISHED CERTIFIED CIVIL SERVICE LIST TO CLIVE CITY COUNCIL FOR APPROVAL 11

12 FAIR CREDIT REPORTING ACT NOTICE TO EMPLOYEE This is to advise you that for employment purposes, and once we have received your written consent, the City of Clive may obtain various consumer reports about you from one or more consumer reporting agencies. A consumer report, including a credit history report, may also include information regarding your character, general reputation, personal characteristics and mode of living, and is used to determine your eligibility for employment. In the event any adverse action is taken against you based in whole or in part on the consumer report, the City of Clive will first provide you with a copy of your consumer report and a full description of your rights under the Fair Credit Reporting Act, 15 U.S.C. 1681a, et seq. Under the Federal Fair Credit Reporting Act, you have the right to ask for complete and accurate disclosure of the nature and scope of the consumer report we may request on you. Your request for this additional disclosure must be: (1) in writing and made within a reasonable time period after you receive this notice; and (2) sent to the Clive City Manager, Dennis Henderson. The City will send you the additional disclosure within five days from the date we receive your written request or five days after the date we first request the consumer report on you, whichever is later. CONSENT TO OBTAIN CONSUMER REPORT The undersigned, and applicant for employment with the City of Clive Police Department, hereby acknowledges that I have read the notice informing me that the City may obtain a consumer report on me for employment purposes. I understand that I have a right to request additional disclosures concerning the nature of the report, and that if the report is used to take any adverse action against me, I will be provided a copy of the report and a full description of my rights under the Fair Credit Reporting Act. I authorize the City and give it my consent to order a consumer report on me, if needed. I consent to the City s use of such reports for employment purposes. Date: Signature: Printed Name: 12

13 CITY OF CLIVE Driving Record Authorization Form I authorize the City of Clive to obtain my motor vehicle driving record no less than annually. I understand this is a requirement for use of private and city-owned transportation to fulfill the job requirements of employment by the city. Date of Birth First Name Middle Name Last Name Driver s License Number (As it appears on Driver s Li cense) License Expiration Date Employee Signature Date Signed 13

14 How did You Learn about This Job Opening? Applicant Name Date How did you first learn about this job opening? Please choose and circle only one. 1. Newspaper ad (if so, name of publication) 2. Employment Website (discover policing, monster, etc.) 3. City of Clive/Clive Police Website 4. College or University (if so, name of institution) 5. Social Media 6. Clive Police Department Employee(name of employee) 7. Other (please list) 14

Village of Lisle Police Department

Village of Lisle Police Department Village of Lisle Police Department Thank you for your interest in the Village of Lisle Police Department. Please read this document carefully, paying particular attention to deadlines and required documents:

More information

Police Officer Minimum Requirements

Police Officer Minimum Requirements Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Village of Indian Head Park Police Department Thank you for your interest in the

More information

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com City of Pekin Police Department Thank you for your interest in the City of Pekin

More information

CITY OF CHAMPAIGN POLICE DEPARTMENT POLICE OFFICER HIRING PROCESS

CITY OF CHAMPAIGN POLICE DEPARTMENT POLICE OFFICER HIRING PROCESS Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com CITY OF CHAMPAIGN POLICE DEPARTMENT POLICE OFFICER HIRING PROCESS Thank you for

More information

FIREFIGHTER. Public Safety Recruitment 1127 S. Mannheim Road, #203 Westchester, IL

FIREFIGHTER. Public Safety Recruitment 1127 S. Mannheim Road, #203 Westchester, IL Public Safety Recruitment 1127 S. Mannheim Road, #203 Westchester, IL 60154 www.publicsafetyrecruitment.com 1-800-343-HIRE FIREFIGHTER The City of Peru Board of Fire and Police Commissioners will be accepting

More information

Please visit our website to pay the application fee, complete the online application and download all release forms:

Please visit our website to pay the application fee, complete the online application and download all release forms: City of Berwyn Police Department Thank you for your interest in the City of Berwyn Police Department. Please read this document carefully, paying particular attention to deadlines and required documents:

More information

10. The applicant must be of good moral character and reputation. 11. The applicant must have a satisfactory prior employment record.

10. The applicant must be of good moral character and reputation. 11. The applicant must have a satisfactory prior employment record. Policy 401, page 3 (2) OTHER VISUAL FACTORS An applicant may be rejected for color deficiencies as determined by the Director of Police after examination by an approved ophthalmologist. b. HEARING The

More information

CITY OF DIXON FIRE DEPARTMENT

CITY OF DIXON FIRE DEPARTMENT Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com CITY OF DIXON FIRE DEPARTMENT Thank you for your interest in the City of Dixon

More information

Keokuk Police Department

Keokuk Police Department Keokuk Police Department Mission Statement: The Keokuk Police Department is committed to providing Quality Professional Law Enforcement Services to the community. History: The Keokuk Police Department

More information

IMPORTANT INFORMATION READ CAREFULLY

IMPORTANT INFORMATION READ CAREFULLY IMPORTANT INFORMATION READ CAREFULLY Civil Service Commission Amy Lay, Civil Service Director City of Denison P.O. BOX 347 Denison, TX 75021 DATE POSTED: January 16, 2018 in the Main Lobby, more than 10

More information

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE Village of Campton Hills Police Department Thank you for your interest in the Village of Campton Hills Police Department. Please read this document carefully, paying particular attention to deadlines and

More information

City of Painesville Police Department

City of Painesville Police Department City of Painesville Police Department Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Thank you for your interest in the City of

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Eyerly Ball CMHS is an Equal Opportunity Employer. Federal & State law prohibit discrimination on the basis of race, color, religion, gender identity, age, disability, sexual orientation,

More information

City of Princeton Fire Department Firefighter/EMT-I

City of Princeton Fire Department Firefighter/EMT-I City of Princeton Fire Department Firefighter/EMT-I Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Minimum Requirements: $15.00

More information

THE COUNTY OF MIDLAND APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

THE COUNTY OF MIDLAND APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER THE COUNTY OF MIDLAND APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Please answer all questions and return to: Human Resources Department Midland County Services Building

More information

Village of Johnsburg Police Department

Village of Johnsburg Police Department Village of Johnsburg Police Department Thank you for your interest in the Village of Johnsburg Police Department. Please read this document carefully, paying particular attention to deadlines and required

More information

City of Mattoon Fire Department

City of Mattoon Fire Department City of Mattoon Fire Department Thank you for your interest in the City of Mattoon Fire Department. Please read this 16-page document carefully, paying particular attention to deadlines and required documents:

More information

KUTZTOWN BOROUGH POLICE DEPARTMENT SUMMARY OF APPLICATION AND HIRING PROCESS FOR PATROL OFFICER

KUTZTOWN BOROUGH POLICE DEPARTMENT SUMMARY OF APPLICATION AND HIRING PROCESS FOR PATROL OFFICER In order to be eligible for participation in any Examination for any position with the Police Department, every Applicant must submit a completed application form to the Kutztown Borough Civil Service

More information

Village of Stickney Police Department

Village of Stickney Police Department Village of Stickney Police Department Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com info@publicsafetyrecruitment.com Thank you

More information

City of Painesville Police Department

City of Painesville Police Department City of Painesville Police Department Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Thank you for your interest in the City of

More information

Application for Employment

Application for Employment 4100 Jackson Avenue Austin, Texas 78731 (512) 454-4711 Application for Employment If you need help to complete this application form or during any phase of the employment process, please notify Human Resources

More information

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Grayslake Fire Protection District Thank you for your interest in the Grayslake

More information

Dear Prospective Police Candidate:

Dear Prospective Police Candidate: Dear Prospective Police Candidate: Thank you for your interest in a career with the Goose Creek Police Department. Upon submission, your application will be reviewed and considered along with other applications

More information

NIPSTA: *Registration MUST be completed at least three days prior to desired POWER test date.

NIPSTA: *Registration MUST be completed at least three days prior to desired POWER test date. Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Village of Plainfield Police Department Police Officer Minimum Requirements Thank

More information

TOWN OF COLUMBINE VALLEY POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT

TOWN OF COLUMBINE VALLEY POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT TOWN OF COLUMBINE VALLEY POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT BASIC REQUIREMENTS SEX: AGE: EDUCATION: HEIGHT & WEIGHT: EYESIGHT: Equal Opportunity Employer Officer Position-Between 21 and 65 Years

More information

VILLAGE OF THORNTON POLICE DEPARTMENT

VILLAGE OF THORNTON POLICE DEPARTMENT VILLAGE OF THORNTON POLICE DEPARTMENT Thank you for your interest in the Village of Thornton Police Department. Please read this document carefully, paying particular attention to deadlines and required

More information

APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE

APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE MATERIALS TO BE SUBMITTED (Retain this Sheet for Your Records) The Board prefers that the materials listed below be submitted with your application;

More information

WHATCOM COUNTY CIVIL SERVICE COMMISSION RULES & REGULATIONS

WHATCOM COUNTY CIVIL SERVICE COMMISSION RULES & REGULATIONS WHATCOM COUNTY CIVIL SERVICE COMMISSION RULES & REGULATIONS Adopted by Civil Service Commission May 12, 2011 Civil Service Commissioners: Francine Kincaid, Kim Poster, Bob Scanlon Amended August 10, 2017

More information

SCOTTSBURG FIRE DEPARTMENT APPLICATION of MEMBERSHIP

SCOTTSBURG FIRE DEPARTMENT APPLICATION of MEMBERSHIP SCOTTSBURG FIRE DEPARTMENT APPLICATION of MEMBERSHIP Scottsburg Fire Department Applicant: To ensure the continuation of prestige and reputation of the department each applicant will be required to met

More information

Director of Public Safety Wixom Police & Fire Departments City of Wixom, Michigan

Director of Public Safety Wixom Police & Fire Departments City of Wixom, Michigan Director of Public Safety Wixom Police & Fire Departments City of Wixom, Michigan Salary: $74,833 - $97,283 The City of Wixom is accepting resumes and cover letters from those qualified individuals who

More information

Salt Lake City Civil Service Commission Rules and Regulations

Salt Lake City Civil Service Commission Rules and Regulations Salt Lake City Civil Service Commission Rules and Regulations August 2012 Table of Contents CHAPTER I... 1 GENERAL PROVISIONS... 1 1-1-0. INTRODUCTION... 1 1-2-0. CLASSIFIED POSITIONS... 2 1-2-1. POSITIONS

More information

Living Arrangements for the Developmentally Disabled, Inc. (LADD) Consent for Obtaining Background Checks. Name: Social Security Number: - -

Living Arrangements for the Developmentally Disabled, Inc. (LADD) Consent for Obtaining Background Checks. Name: Social Security Number: - - Living Arrangements for the Developmentally Disabled, Inc. (LADD) Consent for Obtaining Background Checks Name: Social Security Number: - - I understand that LADD is required to conduct a Bureau of Criminal

More information

V I L L A G E O F R I C H T O N P A R K P O L I C E D E P A R T M E N T

V I L L A G E O F R I C H T O N P A R K P O L I C E D E P A R T M E N T Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 www.publicsafetyrecruitment.com info@publicsafetyrecruitment.com 800-343-HIRE VILLAGE OF RICHTON PARK POLICE DEPARTMENT Police

More information

CHECKLIST OF DOCUMENTS NEEDED FOR THE TEACHER/LIBRARIAN RELATED SERVICES/ADMINISTRATOR CERTIFICATION IN THE CNMI

CHECKLIST OF DOCUMENTS NEEDED FOR THE TEACHER/LIBRARIAN RELATED SERVICES/ADMINISTRATOR CERTIFICATION IN THE CNMI CHECKLIST OF DOCUMENTS NEEDED FOR THE TEACHER/LIBRARIAN RELATED SERVICES/ADMINISTRATOR CERTIFICATION IN THE CNMI Applicant s Name: Social Security No. EMPLOYEE REQUIREMENTS: Check One: Is the application

More information

CITY OF LAREDO CIVIL SERVICE COMMISSION

CITY OF LAREDO CIVIL SERVICE COMMISSION CITY OF LAREDO CIVIL SERVICE COMMISSION MINIMUM STANDARDS FOR POLICE DEPARTMENT The City of Laredo is an equal opportunity employer and is committed to evaluating each candidate on a nondiscriminatory

More information

ARKANSAS STATE POLICE PRIVATE BUSINESS RECOGNITION APPLICATION

ARKANSAS STATE POLICE PRIVATE BUSINESS RECOGNITION APPLICATION ARKANSAS STATE POLICE PRIVATE BUSINESS RECOGNITION APPLICATION FOR OFFICE USE ONLY EFFECTIVE 1-7-2019 EXPIRES PROCESSED BY NOTICE: Information contained on this application is considered a public record

More information

Name Social Sec. No. - - LAST FIRST MI Present Address STREET City STATE ZIP Permanent Address. Telephone No.( ) Referred by?

Name Social Sec. No. - - LAST FIRST MI Present Address STREET City STATE ZIP Permanent Address. Telephone No.( ) Referred by? 47 TH DISTRICT COURT 31605 WEST 11 MILE RD. FARMINGTON HILLS, MI 48336 Telephone: 248-871-2900 Fax: 248-871-2901 www.ci.farmington-hills.mi.us/services/47thdistrictcourt/employmentopps.asp APPLICATION

More information

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE

Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL HIRE Public Safety Recruitment 1127 S. Mannheim Rd., #203 Westchester, IL 60154 1-800-343-HIRE www.publicsafetyrecruitment.com Village of Lincolnwood Police Department Thank you for your interest in the Village

More information

APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE

APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE APPLICATION FOR DENTAL HYGIENE/ PROVISIONAL LICENSURE MATERIALS TO BE SUBMITTED (Retain this Sheet for Your Records) The Board prefers that the materials listed below be submitted with your application;

More information

Amory Police Department Chief Ronnie Bowen, 200 South Front Street, Amory, MS (662) FAX (662)

Amory Police Department Chief Ronnie Bowen, 200 South Front Street, Amory, MS (662) FAX (662) Amory Police Department Chief Ronnie Bowen, 200 South Front Street, Amory, MS 38821 (662) 256-2676 FAX (662) 256-6330 Page 1 of 15 LAW ENFORCEMENT EMPLOYMENT APPLICATION FORM DO NOT WRITE IN THIS SPACE

More information

South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators

South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone:

More information

THE CITY OF LAKE FOREST BOARD OF FIRE AND POLICE COMMISSIONERS

THE CITY OF LAKE FOREST BOARD OF FIRE AND POLICE COMMISSIONERS THE CITY OF LAKE FOREST BOARD OF FIRE AND POLICE COMMISSIONERS RULES AND REGULATIONS As Amended Effective September 1, 2018 TABLE OF CONTENTS CHAPTER I: ADMINISTRATION... 1 Section 1. Source of Authority....

More information

CITY OF WATERBURY HUMAN RESOURCES DEPARTMENT

CITY OF WATERBURY HUMAN RESOURCES DEPARTMENT HUMAN RESOURCES DEPARTMENT OPEN COMPETITIVE EXAMINATION FOR: POLICE OFFICER Open Competitive Exam # 2150 SALARY: $1,095.00 per week FRINGE BENEFITS: Choose from available health insurance plans (employee

More information

ARKANSAS STATE POLICE ALARM SYSTEMS BRANCH LOCATION APPLICATION

ARKANSAS STATE POLICE ALARM SYSTEMS BRANCH LOCATION APPLICATION ARKANSAS STATE POLICE ALARM SYSTEMS BRANCH LOCATION APPLICATION FOR OFFICE USE ONLY EFFECTIVE 1-2019 EXPIRES PROCESSED BY NOTICE: Information contained on this application is considered a public record

More information

RULES AND REGULATIONS OF THE CIVIL SERVICE BOARD FOR THE POLICE DEPARTMENT CITY OF BAKERSFIELD 4/05/06. Table of Contents

RULES AND REGULATIONS OF THE CIVIL SERVICE BOARD FOR THE POLICE DEPARTMENT CITY OF BAKERSFIELD 4/05/06. Table of Contents RULES AND REGULATIONS OF THE CIVIL SERVICE BOARD FOR THE POLICE DEPARTMENT CITY OF BAKERSFIELD 4/05/06 Table of Contents Rule 1 Authority and Purpose....................................... 1 Rule 2 Definitions................................................

More information

APPLICATION FOR DENTAL/PROVISIONAL LICENSURE

APPLICATION FOR DENTAL/PROVISIONAL LICENSURE APPLICATION FOR DENTAL/PROVISIONAL LICENSURE MATERIALS TO BE SUBMITTED (Please Retain Sheet for Your Records) The Board prefers that the materials listed below be submitted with your application; however,

More information

Consumers. CONCRETECORPORATION P.O. BOX 2229, Kalamazoo, MI Corporate Phone Fax EMPLOYMENT APPLICATION

Consumers. CONCRETECORPORATION P.O. BOX 2229, Kalamazoo, MI Corporate Phone Fax EMPLOYMENT APPLICATION Consumers Please verify all information before hitting submit. CONCRETECORPORATION P.O. BOX 2229, Kalamazoo, MI 49003-2229 Corporate Phone 269.342.0136 Fax 269.384.0974 EMPLOYMENT APPLICATION Consumers

More information

West Virginia Board of Optometry

West Virginia Board of Optometry West Virginia Board of Optometry 179 Summers Street, Suite 231 Charleston, WV 25301 Phone: 304/558-5901 Fax: 304/558-5908 OFFICE USE ONLY Examination: Issued License Number Endorsement: Issued License

More information

1. 2. Last Name First Name Middle Name Social Security Number. 3. 3A. ( ) Alias(es), Nickname(s) Maiden Name, Other Changes in Name Telephone Number

1. 2. Last Name First Name Middle Name Social Security Number. 3. 3A. ( ) Alias(es), Nickname(s) Maiden Name, Other Changes in Name Telephone Number POLICE OFFICER APPLICATION SWARTHMORE BOROUGH POLICE DEPARTMENT GENERAL INSTRUCTIONS: This application consists of several sections: a questionnaire; a Notification Procedure Release; a Verification; a

More information

PERSONAL DATA Last Name First Middle Social Security No.

PERSONAL DATA Last Name First Middle Social Security No. APPLICATION FOR EMPLOYMENT CITY OF BRIDGEPORT 900 THOMPSON STREET BRIDGEPORT, TEXAS 76426 The City of Bridgeport is an Equal Opportunity Employer. It is the policy of the City of Bridgeport to provide

More information

Las Vegas Metropolitan Police Department CONCEALED FIREARM PERMIT APPLICATION

Las Vegas Metropolitan Police Department CONCEALED FIREARM PERMIT APPLICATION Submit completed application in person at: Las Vegas Metropolitan Police Department RECORDS & FINGERPRINT BUREAU (702)828-3271 400 S Martin Luther King Blvd - Bldg C Las Vegas NV 89106 Monday Friday (excluding

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Paramount Residential Mortgage Group, Inc. ( PRMG ) is an Equal Opportunity Employer. Please Print Date Last Name First Name Middle Present Address No. & Street City State Zip Permanent

More information

ARKANSAS STATE POLICE SECURITY OR INVESTIGATION COMPANY APPLICATION

ARKANSAS STATE POLICE SECURITY OR INVESTIGATION COMPANY APPLICATION ARKANSAS STATE POLICE SECURITY OR INVESTIGATION COMPANY APPLICATION FOR OFFICE USE ONLY EFFECTIVE 12-2016 EXPIRES PROCESSED BY NOTICE: Information contained on this application is considered a public record

More information

Questionnaire Last Name First Name Middle Name Social Security Number. 3. 3A. Alias(es), Nickname(s) Maiden Name, Other Changes in Name

Questionnaire Last Name First Name Middle Name Social Security Number. 3. 3A. Alias(es), Nickname(s) Maiden Name, Other Changes in Name General Instructions This application consists of several sections: a questionnaire; a Notification Procedure Release; a Verification; a General waiver; a Polygraph Release; and a description of essential

More information

ARKANSAS STATE POLICE ALARM SYSTEMS COMPANY APPLICATION

ARKANSAS STATE POLICE ALARM SYSTEMS COMPANY APPLICATION ARKANSAS STATE POLICE ALARM SYSTEMS COMPANY APPLICATION FOR OFFICE USE ONLY EFFECTIVE 1-7-2019 EXPIRES PROCESSED BY NOTICE: Information contained on this application is considered a public record and may

More information

Announces an Examination for POLICE RECRUIT

Announces an Examination for POLICE RECRUIT CIVIL SERVICE COMMISSION CITY OF TYLER, TEXAS Announces an Examination for POLICE RECRUIT ANNOUNCEMENT OPENS: FRIDAY, FEBRUARY 20, 2015 AT 9:30 A.M. APPLICATION DEADLINE: MONDAY, MARCH 23, 2015 AT 5:00

More information

ARKANSAS STATE POLICE SECURITY OR INVESTIGATION BRANCH LOCATION APPLICATION

ARKANSAS STATE POLICE SECURITY OR INVESTIGATION BRANCH LOCATION APPLICATION ARKANSAS STATE POLICE SECURITY OR INVESTIGATION BRANCH LOCATION APPLICATION FOR OFFICE USE ONLY EFFECTIVE 1-7-2019 EXPIRES PROCESSED BY FOR OFFICE USE ONLY: CMPY License Number NOTICE: Information contained

More information

YORKTOWN COMMUNITY SCHOOLS Administration Office 2311 S. Broadway St. Yorktown, IN Phone: (765)

YORKTOWN COMMUNITY SCHOOLS Administration Office 2311 S. Broadway St. Yorktown, IN Phone: (765) YORKTOWN COMMUNITY SCHOOLS Administration Office 2311 S. Broadway St. Yorktown, IN 47396 Phone: (765) 759-2720 NON-CERTIFIED APPLICATION INSTRUCTIONS: Please type or print legibly in black ink. All areas

More information

THE ALLEN POLICE DEPARTMENT - HIRING PROCESS

THE ALLEN POLICE DEPARTMENT - HIRING PROCESS POLICE RECRUIT The information listed below is intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive

More information

Occupational License Application

Occupational License Application West Virginia Lottery Commission 900 Pennsylvania Avenue, Charleston, WV 25302 Occupational License Application INSTRUCTIONS This form is authorized under Article 22C of the 2007 West Virginia Lottery

More information

Harris County Constable Pct 4 Explorer Post 26 and 901

Harris County Constable Pct 4 Explorer Post 26 and 901 Explorer Post 26 and 901 Explorer Application All pages must be completed in black or blue ink. All waivers must be signed to participate in the Explorer Program. Return this completed packet to the Post

More information

APPLICATION FOR EMPLOYMENT Allegany County Community Opportunities and Rural Development (ACCORD) Corporation

APPLICATION FOR EMPLOYMENT Allegany County Community Opportunities and Rural Development (ACCORD) Corporation APPLICATION FOR EMPLOYMENT Allegany County Community Opportunities and Rural Development (ACCORD) Corporation We consider applicants for all positions on the basis of qualifications without regard to race,

More information

CITY of LORAIN POLICE DEPARTMENT CITIZEN POLICE ACADEMY

CITY of LORAIN POLICE DEPARTMENT CITIZEN POLICE ACADEMY What is the Citizen Police Academy? The Citizen Police Academy is a look into the values, philosophy, and operations of the Lorain Police Department. Designed for the residents of Lorain, the Academy educates

More information

APPLICATION FOR EMPLOYMENT. Name: 1. These forms must be typewritten or printed in blue or black ink by the applicant himself/herself.

APPLICATION FOR EMPLOYMENT. Name: 1. These forms must be typewritten or printed in blue or black ink by the applicant himself/herself. Town of Westport Department of Police 818 Main Road Westport, MA 02790-4311 Tel. # 508.636.1122 - Fax # 508.636.4108 - CJIS: WST - NCIC: MA0032000 KEITH A. PELLETIER Chief of Police APPLICATION FOR EMPLOYMENT

More information

Salt Lake City Civil Service Commission. Rules and Regulations

Salt Lake City Civil Service Commission. Rules and Regulations Salt Lake City Civil Service Commission Rules and Regulations September 2017 i Table of Contents CHAPTER I... 1 GENERAL PROVISIONS... 1 1 1 0. INTRODUCTION... 1 1 2 0. CLASSIFIED POSITIONS... 2 1 2 1.

More information

Ride-Along Policy and Procedures

Ride-Along Policy and Procedures A 16-137 09/01/16 Ride-Along Policy and Procedures The purpose of this order is to set policy and procedures regarding the San Francisco Police Department's Ride-Along program. The San Francisco Police

More information

Please tell us how you heard of Jack Harwell Detention Center. Newspaper Ad. Texas Workforce Commission. On- Line Advertising

Please tell us how you heard of Jack Harwell Detention Center. Newspaper Ad. Texas Workforce Commission. On- Line Advertising Please tell us how you heard of Jack Harwell Detention Center. Newspaper Ad Sign in front of Jack Harwell Employee who works here now and who Texas Workforce Commission Bill Board On- Line Advertising

More information

CITY OF MILTON APPLICATION FOR EMPLOYMENT Fire Fighter Positions

CITY OF MILTON APPLICATION FOR EMPLOYMENT Fire Fighter Positions CITY OF MILTON APPLICATION FOR EMPLOYMENT Fire Fighter Positions The City of Milton is an equal opportunity employer. It adheres to a policy of making employment decisions without regard to race, color,

More information

Sanco Pipelines, Inc. Employment Application An Equal Opportunity Employer

Sanco Pipelines, Inc. Employment Application An Equal Opportunity Employer Sanco Pipelines, Inc. Employment Application An Equal Opportunity Employer Please Print Date Last Name First Name Middle Present Address - No. & Street City State Zip Permanent Address (if different from

More information

Municipal Police Officers' Training Academy Application

Municipal Police Officers' Training Academy Application Municipal Police Officers' Training Academy Application NOTE: A money order, personal check or cashier s check made payable to Westmoreland County Community College in the amount of $50 must accompany

More information

APPLICATION FOR SECOND HAND DEALER LICENSE

APPLICATION FOR SECOND HAND DEALER LICENSE Office of the City Clerk 255 Main Street, White Plains, NY 10601 (914) 422-1227 APPLICATION FOR SECOND HAND DEALER LICENSE In order to file you will need: This completed application with notarized signature

More information

2017 Multi-Jurisdictional Law Enforcement Explorer Academy

2017 Multi-Jurisdictional Law Enforcement Explorer Academy 2017 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application

More information

Westminster Fire Engine & Hose Co., No. 1

Westminster Fire Engine & Hose Co., No. 1 Westminster Fire Engine & Hose Co., No. 1 Volunteering Today for Your Tomorrow P.O. Box 357 28 John Street Westminster, Maryland 21158 410-848-1800 Fax: 410-848-3407 An Equal Opportunity Employer PRE-

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION POLICE OFFICER APPLICANTS READ THIS CAREFULLY!!! APPLICATIONS: Applications must be turned into the Montgomery Township Police Department (1001 Stump Road, P.O. Box 68, Montgomeryville,

More information

TOWN OF LAKEVIEW CHIEF OF POLICE APPLICATION

TOWN OF LAKEVIEW CHIEF OF POLICE APPLICATION TOWN OF LAKEVIEW CHIEF OF POLICE APPLICATION The Town of Lakeview is an equal employment opportunity employer. The Town considers applicants for all positions without regard to race, color, religion, sex,

More information

ILLINOIS STATE POLICE MERIT BOARD

ILLINOIS STATE POLICE MERIT BOARD ILLINOIS STATE POLICE MERIT BOARD POLICY NUMBER POLICY MB01 SUBJECT BOARD MEETINGS UPDATED 09/01/99 REVISION NO. REVISION DATE I. Authority 20 Illinois Compiled Statutes Section 2610/7. 2 Illinois Administrative

More information

LOS ANGELES POLICE DEPARTMENT Personal History Form for Police Officer Applicants

LOS ANGELES POLICE DEPARTMENT Personal History Form for Police Officer Applicants Background interview: Date: Time: Report to: LAPD Administrative Investigation Section Personnel Department Building 700 E. Temple Street, Room B-22 LOS ANGELES POLICE DEPARTMENT Personal History Form

More information

RULES AND REGULATIONS OF THE BOARD OF FIRE AND POLICE COMMISSIONERS VILLAGE OF LOMBARD, STATE OF ILLINOIS CHAPTER I: ADMINISTRATION

RULES AND REGULATIONS OF THE BOARD OF FIRE AND POLICE COMMISSIONERS VILLAGE OF LOMBARD, STATE OF ILLINOIS CHAPTER I: ADMINISTRATION RULES AND REGULATIONS OF THE BOARD OF FIRE AND POLICE COMMISSIONERS VILLAGE OF LOMBARD, STATE OF ILLINOIS Originally adopted by the Board of Fire and Police Commissioners of the Village of Lombard, Illinois,

More information

CITY OF SHERIDAN, WYOMING

CITY OF SHERIDAN, WYOMING CITY OF SHERIDAN, WYOMING Office Use Only Received: HUMAN RESOURCES DEPARTMENT Phone: (307) 674-6483 (Please Use for mailing) Fax: (307) 675-4270 55 Grinnell Plaza, P.O. Box 848 Email: hdoke@sheridanwy.net

More information

District Office 2083 College Avenue Elmira Heights, NY Mary Beth Fiore, Superintendent

District Office 2083 College Avenue Elmira Heights, NY Mary Beth Fiore, Superintendent EMPLOYMENT APPLICATION District Office Mary Beth Fiore, Superintendent Phone: (607) 734 7114 Fax: (607) 734 7134 CSE: (607) 734 5078 Transportation: (607) 739 1358 www.heightsschools.com Bus Driver Bus

More information

Dear Prospective Applicant:

Dear Prospective Applicant: Temple University Police Academy Criminal Justice Training Programs Bright Hall, Room 204 580 Meetinghouse Road Ambler, Pennsylvania 19002 Office: (267) 468-8600 Dear Prospective Applicant: Enclosed is

More information

APPLICATION FOR EMPLOYMENT CITY OF ALLEN PARK FIRE DEPARTMENT

APPLICATION FOR EMPLOYMENT CITY OF ALLEN PARK FIRE DEPARTMENT APPLICATION FOR EMPLOYMENT CITY OF ALLEN PARK FIRE DEPARTMENT The following is a summary of the application procedure: 1. You must complete the application in full. 2. The City of Allen Park conducts background

More information

Michael Gayoso, Jr. Office of the County Attorney TH

Michael Gayoso, Jr. Office of the County Attorney TH Michael Gayoso, Jr. Office of the County Attorney TH 11 Judicial District/Crawford County, Kansas DRUG DIVERSION PROGRAM Pursuant to K.S.A. 22-2906 et seq. the Crawford County Attorney of the Eleventh

More information

General Information Date of Application:

General Information Date of Application: 9849 FM 2171 HCR 1 Box 48 Skellytown, Texas 79080 SUBSTITUTE TEACHER EMPLOYMENT APPLICATION General Information Date of Application: Full Name: (Please print) Last First Middle Maiden Name Address: (Please

More information

PROFESSIONAL APPLICATION Main and Mitchell Road P. O. Box 288 Booker, TX Ph: (806)

PROFESSIONAL APPLICATION Main and Mitchell Road P. O. Box 288 Booker, TX Ph: (806) BOOKER INDEPENDENT SCHOOL DISTRICT PROFESSIONAL APPLICATION Main and Mitchell Road P. O. Box 288 Booker, TX 79005 Ph: (806) 658-4501 We consider applicants for all positions without regard to race, color,

More information

REQUIREMENTS FOR EMPLOYMENT: To Be Provided By Applicant ***THESE DOCUMENTS ARE MANDATORY AND WILL BE VERIFIED AT THE TIME OF INITIAL INTERVIEW.

REQUIREMENTS FOR EMPLOYMENT: To Be Provided By Applicant ***THESE DOCUMENTS ARE MANDATORY AND WILL BE VERIFIED AT THE TIME OF INITIAL INTERVIEW. REQUIREMENTS FOR EMPLOYMENT: To Be Provided By Applicant 1. COPY OF HIGH SCHOOL OR COLLEGE TRANSCRIPT 2. VAILD NORTH CAROLINA DRIVERS LICENSE 3. SOCIAL SECURITY CARD 4. YEARLY TB SKIN TEST 5. COPY OF CURRENT

More information

City of Southfield Evergreen Road P.O. Box 2055 Southfield, MI Dear Applicant,

City of Southfield Evergreen Road P.O. Box 2055 Southfield, MI Dear Applicant, City of Southfield 26000 Evergreen Road P.O. Box 2055 Southfield, MI 48037-2055 www.cityofsouthfield.com Dear Applicant, When applying for a Food Truck License with the City of Southfield, please have

More information

READ CAREFULLY BEFORE COMPLETING APPLICATION FOR SUPPORT STAFF

READ CAREFULLY BEFORE COMPLETING APPLICATION FOR SUPPORT STAFF Grape Creek Independent School District 8207 US Highway 87 North Phone: (325) 658-7823 Fax: (325) 658-8719 READ CAREFULLY BEFORE COMPLETING APPLICATION FOR SUPPORT STAFF GENERAL Grape Creek ISD provides

More information

VOLUNTEER BACKGROUND CHECK Acknowledgment Form *Non-employment Background Checks Only*

VOLUNTEER BACKGROUND CHECK Acknowledgment Form *Non-employment Background Checks Only* ISHPEMING PUBLIC SCHOOL DISTRICT NO. 1 Rev. [7/13] Service to provide: VOLUNTEER BACKGROUND CHECK Acknowledgment Form *Non-employment Background Checks Only* Date to Provide Service: In order to ensure

More information

ALABAMA DENTAL HYGIENE BOARD EXAM LICENSURE APPLICATION

ALABAMA DENTAL HYGIENE BOARD EXAM LICENSURE APPLICATION ALABAMA DENTAL HYGIENE BOARD EXAM LICENSURE APPLICATION 1. An unmounted passport photograph, 2x2, of applicant taken not more than six months before date of application, must be securely pasted, NOT STAPLED,

More information

What is the Citizens Police Academy? What topics are covered? What is the purpose? When is the academy? Who can apply?

What is the Citizens Police Academy? What topics are covered? What is the purpose? When is the academy? Who can apply? What is the Citizens Police Academy? The Citizen Police Academy is a look into the values, philosophy, and operations of the Columbus Division of Police. Designed for the residents of Columbus, the Academy

More information

ALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS ADMINISTRATIVE CODE CHAPTER 190-X-2 LICENSURE TABLE OF CONTENTS

ALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS ADMINISTRATIVE CODE CHAPTER 190-X-2 LICENSURE TABLE OF CONTENTS ALABAMA STATE BOARD OF CHIROPRACTIC EXAMINERS ADMINISTRATIVE CODE CHAPTER 190-X-2 LICENSURE TABLE OF CONTENTS 190-X-2-.01 Requirements For Licensure By Examination 190-X-2-.02 Application Fee And Examination

More information

MMA Carpet Restoration

MMA Carpet Restoration 1 MMA Carpet Restoration Base Location: Charlotte Raleigh Chicago D.C. (circle one) Everything must be filled out completely and signed or this application will not be processed. Attaching a resume will

More information

Private Process Server Program Application Requirements

Private Process Server Program Application Requirements Private Process Server Program Application Requirements Minimum Qualifications 18 yrs. or older Resident of Guam (at least 1 yr. preceding application Must have no felony or misdemeanor convictions involving

More information

Village of Arlington Heights Fire Department

Village of Arlington Heights Fire Department Village of Arlington Heights Fire Department Thank you for your interest in the Village of Arlington Heights Fire Department. Please read this 20 - page document carefully, paying particular attention

More information

RULES AND REGULATIONS OF THE CIVIL SERVICE COMMISSION OF THE VILLAGE OF NORTH RIVERSIDE STATE OF ILLINOIS CHAPTER I - ADMINISTRATION

RULES AND REGULATIONS OF THE CIVIL SERVICE COMMISSION OF THE VILLAGE OF NORTH RIVERSIDE STATE OF ILLINOIS CHAPTER I - ADMINISTRATION -1- RULES AND REGULATIONS OF THE CIVIL SERVICE COMMISSION OF THE VILLAGE OF NORTH RIVERSIDE STATE OF ILLINOIS As adopted by the Civil Service Commission of the Village of North Riverside, Illinois, effective

More information

DRIVER S APPLICATION FOR EMPLOYMENT

DRIVER S APPLICATION FOR EMPLOYMENT DRIVER S APPLICATION FOR EMPLOYMENT Applicant Name (Print) Date of Application LuGreg Trucking, LLC P. O. Box 1289, 22476 N 2860 RD Kingfisher, OK 73750 In compliance with Federal and State equal employment

More information

Oglala Sioux Tribe Department of Public Safety PO Box 300 Pine Ridge, South Dakota Phone (605) Fax (605)

Oglala Sioux Tribe Department of Public Safety PO Box 300 Pine Ridge, South Dakota Phone (605) Fax (605) Oglala Sioux Tribe Department of Public Safety PO Box 300 Pine Ridge, South Dakota 57770 Phone (605) 867-5141 Fax (605) 867-5953 Required Documents for this OST DPS Application ADMINISTRATIVE & TELECOMMUNICATIONS

More information

OFFICE USE ONLY: Fee Submitted: Receipt #: CC: Police Department

OFFICE USE ONLY: Fee Submitted: Receipt #: CC: Police Department CITY OF MARION ALARM MAINTENANCE AND/OR MONITORING BUSINESS APPLICATION (This application shall be submitted as required by Chapter 134 of the Marion Municipal Code.) Please complete all sections of this

More information

NOTICE When submitting your application you will be asked to complete a written test. Please allow approximately 30 minutes to complete testing.

NOTICE When submitting your application you will be asked to complete a written test. Please allow approximately 30 minutes to complete testing. NOTICE Complete applications will be accepted Monday through Friday from 8 am to 3 pm. If you are applying for a specific open position, please include a letter of interest with your completed application.

More information