Village of Skokie Public Safety Employment Application. Village of Skokie Authorization for Release of Personal Information Agreement

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1 Thank you for your interest in the Village of Skokie Police Department. Please read this document carefully, paying particular attention to deadlines and required documents. THE FOLLOWING ITEMS ARE CONTAINED IN THIS PACKET: Application Instructions Minimum Requirements Check List: Village of Skokie Police Officer Recruitment Village of Skokie Public Safety Employment Application Village of Skokie Authorization for Release of Personal Information Agreement Village of Skokie Employment of Relatives Agreement Village of Skokie Abstinence from Tobacco Products Agreement Village of Skokie Separation From Employment Reimbursement Agreement Affirmative Action Information Police Officer Recruitment Data Information about the Village of Skokie and the Police Department: Village of Skokie Police Officer Fact Sheet Village of Skokie Police Officer Policy Summary Highlights Village of Skokie Police Officer Job Description Village of Skokie Police Department Personal Appearance Policy v6

2 IOS Recruitment Skokie Police Department Police Officer Application Instructions Thank you for your interest in the Skokie Police Department. Please be sure to carefully review all application instructions and testing information. POLICE OFFICER APPLICATION INSTRUCTIONS: 1. Carefully review the minimum requirements on the following page. All requirements must be met by the specified deadline date(s). Applicants who do not meet the minimum requirements will not be allowed to continue on in the testing process. 2. Complete the Village of Skokie Public Safety Employment Application using Adobe Reader s form fill feature (more instructions on the first page of the application). Make sure to provide a response for each question. 3. Applicants may mail/ship or hand-deliver their application, release forms and required documents to IOS Recruitment: Gather all required documents, sign release form(s) and print electronically-completed application and place all documents into an envelope. Mail/ship envelope via traceable carrier (FedEx. UPS, etc.) or hand-deliver to: IOS Recruitment ATTN: Skokie PD 1127 S. Mannheim Rd., Ste. 203 Westchester, IL Business Hours: 8:30 a.m. 5:00 p.m. M Th, 8:30 a.m. 3:00 p.m. Friday, closed weekends and holidays Please note that original, ink signatures must appear on release forms. Photocopies, faxes, or scanned copies of these documents will not be accepted. 4. Application and required documents must be received by IOS Recruitment no later 4:00 p.m. on Thursday, March 26, Documents delivered after the application deadline will not be accepted. Please contact IOS Recruitment at HIRE or recruitment@iosolutions.org with questions regarding the application, required documents or testing BEFORE the application deadline date. WRITTEN EXAMINATION INFORMATION: Shortly after the application deadline, all application packets received will be reviewed for accuracy and authenticity (if Village of Skokie Public Safety Application and other required documents are not received by the deadline date, you will not be admitted to testing). s will be sent to each candidate advising them of their eligibility to test. Eligible candidates must attend the written examination on Saturday, April 25, Please arrive no later than 8:45 a.m. with a photo ID (driver s license, state ID, military ID) to sign-in. Exam administration starts promptly at 9:00 a.m., there will be no admittance after the start of the exam. Test will be held at: Niles West High School 5701 Oakton Street Skokie, IL Doors will open at 8:00 a.m.; enter at the Main Entrance, Door 1A. Reserve approximately three (3) hours for this process.

3 IOS Recruitment Skokie Police Department Minimum Requirements APPLICATION DEADLINE: MARCH 26, 2015 AT 4:00 PM POLICE OFFICER MINIMUM REQUIREMENTS: $35.00 non-refundable application fee; Minimum of 21 years of age and under 35 years of age at the time of the written examination (4/25/15), U.S. citizen or legally authorized to work in the U.S.; ONE of the following: o Minimum of sixty (60) college semester hours from an accredited institution by the application deadline date (3/26/15) OR o Four (4) years of active military service with an Honorable Discharge by the application deadline date (3/26/15) Possess a valid Driver s License; Proof of completion of Peace Officer Wellness Evaluation Report (POWER) test with attainment date less than six (6) months prior to the written exam (valid if issued 10/25/14 4/25/15); o Information regarding the POWER test can be obtained by visiting one of the following: Northeastern Illinois Public Safety Training Academy (NIPSTA) Joliet Junior College Triton College o Note: In case of demonstrated financial hardship, accommodations can be made regarding the POWER testing fee. Contact the Village s Personnel Office for details; Compliance with Skokie Police Department Appearance Policy, specifically Article IV (Tattoos/Branding/Intentional Scarification/Body Art and Mutilation/Body Piercing) please see Appearance Policy included at the end of this packet; Have correctable vision to 20/20 and have the ability to distinguish colors; Within 24 months from hire, reside in Cook, Lake or DuPage County; Enter into an Employment of Relatives Agreement and Authorization for Release of Personal Information Agreement ; o NOTE: Applicants with relatives who are currently employed with the Village will not be eligible for hire please contact IOS Recruitment for details Enter into an Abstinence from Tobacco Products Agreement ; Enter into a Separation from Employment Reimbursement Agreement ; Must have ability to understand the English Language (written and spoken); Completion and submission of Village of Skokie Public Safety Application and other required documents to IOS Recruitment by Thursday, March 26, 2015 at 4:00 p.m. Salary and Benefits Information Annual Salary Range: $67,696 - $88,547 (As of May 1, 2014) Medical Insurance Dental Insurance Group Life Insurance Pension Also available: Deferred Compensation Programs (457 Plans), Credit Unions, Flexible Compensation Plans (Section 125) for Unreimbursed Medical and/or Child Care Details included at the end of the application packet.

4 Recruitment Process Information After the test date, a preliminary eligibility list of applicants is established in numeric order based on a minimum passing score on the written examination. As applicable, Veteran s points are applied. Veteran s points are earned for periods totaling a minimum of twelve (12) months military service in a branch of the U.S. Armed Forces. Eligible periods of service are determined by the applicant s DD214 form. A final eligibility list is established and the eligibility list is valid for a period of two (2) years from the date of certification by the Board of Fire & Police Commissioners. Further participation in the selection process will take place as vacancies occur. Candidates will be invited, in rank order, to participate in and successfully advance through the following steps. Polygraph evaluation Background investigation including criminal, credit, business, education and employment history, and oral interview with the Board of Fire & Police Commissioners Conditional offer of employment to undergo a psychological examination Conditional offer of employment based on successful completion of Medical examination including drug screen Appointment and swearing-in ceremony before the Skokie Board of Trustees Following appointment, a Police Officer is required to satisfy certain other requirements. Those requirements include: Successful completion and certification as a Police Officer at a State of Illinois mandated Basic Police Academy, as designated by the Department Successful completion of the Department s in-house training program, (approximately 4 weeks) Successful completion of the Department s field training program (approximately 12 weeks) Within 24 months from hire, reside in Cook, Lake or DuPage counties of Illinois Successful completion of a 24 month probationary period Equal Employment Opportunity Employer

5 IOS Recruitment Skokie Police Department Police Officer Application Checklist SKOKIE POLICE OFFICER APPLICATION DOCUMENTS - Due Thursday, March 26, 2015 at 4:00 p.m. BE SURE TO PROVIDE ANSWERS FOR ALL APPLICABLE QUESTIONS IN THE APPLICATION. IF NOT APPLICABLE, PLEASE FILL IN N/A. INCOMPLETE APPLICATIONS MAY RESULT IN DISQUALIFICATION. PLEASE NOTE THAT ORIGINAL SIGNATURES ARE REQUIRED ON ALL APPLICATION DOCUMENTS AND RELEASE FORMS. Village of Skokie Public Safety Application (10 pages) - must be signed IN INK Authorization for Release of Personal Information (1 page) - must be signed IN INK Employment of Relatives Agreement (1 page) - must be signed IN INK Abstinence from Tobacco Products Agreement (1 page) - must be signed IN INK Separation from Employment Candidate Reimbursement Agreement (3 pages) - must be signed IN INK Affirmative Action Information Police Officer Recruitment Data (1 page) - must be signed IN INK Appearance Policy I acknowledge that I have read and understand the appearance policy set forth by Skokie PD No documentation is required to be submitted for acknowledgement of appearance policy REQUIRED DOCUMENTS - Due Thursday, March 26, 2015 at 4:00 p.m. BE SURE THAT ALL PHOTOCOPIES/SCANS ARE CLEAR AND LEGIBLE. ONE OF THE FOLLOWING: Original, official college/university transcripts indicating successful completion of sixty (60) college semester hours by the application deadline (scanned copies/photocopies/unofficial transcripts NOT accepted); OR COPY of complete DD-214 Form indicating at least four (4) years active military service with an Honorable discharge by the application deadline; COPY of VALID DRIVER S LICENSE Include copy of both sides if license bears renewal sticker. COPY of BIRTH RECORD AS PROOF OF CITIZENSHIP/LEGAL AUTHORIZATION TO WORK IN THE U.S. The following documents are accepted as proof of citizenship/legal authorization to work in the U.S.: COPY of U.S. COUNTY-/STATE-ISSUED BIRTH RECORD COPY of VALID U.S. PASSPORT COPY of NATURALIZATION PAPERS COPY of VALID/CURRENT PERMANENT RESIDENT CARD Hospital-issued birth certificates are not verifiable, and therefore cannot be accepted. COPY of VALID POWER TEST CERTIFICATION Valid if issued between 10/25/14 and 4/25/15. Applicants taking the POWER test after the deadline MUST submit a copy to IOS Recruitment before the date of the written examination OR present a copy of their POWER test card at sign-in on the day of the written examination. Please deliver completed application, release form and all required documents to the address below by MARCH 26, 2015 at 4:00 PM: IOS Recruitment ATTN: Skokie PD 1127 S. Mannheim Rd., Ste. 203 Westchester, IL Please be sure to carefully review checklist and application instructions before submission. Incorrect, missing, or otherwise incomplete applications will be cause for disqualification. IOS Recruitment is not responsible for late, misdirected or incomplete applications. Contact IOS Recruitment before the application deadline with any questions regarding the application, required documents or testing.

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8 VILLAGE OF SKOKIE, ILLINOIS POLICE DEPARTMENT CONDITION OF EMPLOYMENT AGREEMENT ABSTINENCE OF TOBACOO PRODUCTS I,, acknowledge that by accepting employment with the Village of Skokie Police Department as a Police Officer, I am agreeing to the following condition of employment: From my date of hire, I will not smoke, chew or use any tobacco product(s) on or off duty during the entire tenure of my employment; if I do smoke, chew or use any tobacco product(s) at any time during the entire tenure of my employment, I will be subject to dismissal for cause. I understand this condition; agree to it; and accept such as a condition of employment with the Village of Skokie. Signature Date #6508 v3

9 Name of Candidate: Position: Police Officer Date: Department: Police Village of Skokie Candidate Reimbursement Agreement This Candidate reimbursement Agreement is entered into as of the date written above, between the Village of Skokie, Illinois, and the Candidate. The Candidate has been selected by the Village to serve the Village as either a Firefighter/Paramedic or a Police Officer and the Candidate has agreed to be employed by the Village as such. In connection with such employment, the Village of Skokie will incur certain substantial expenses in the selection process, training of entry-level persons and provision of uniform items and equipment to the Candidate. The Candidate acknowledges that, in the event the Candidate resigns or is terminated within the first four years of employment, the Village will not have realized the value for the expenses it incurred. The Candidate and the Village acknowledge that the value to the Village of the expenses incurred cannot be accurately amortized, but the reimbursement schedule included in this Agreement is a fair and accurate estimate thereof. The Candidate hereby agrees to reimburse the Village for the funds it expends concerning the selection, training and the provision of uniforms and equipment. The expenses are exclusive of any wages or other forms of compensation. In the event that an employee chooses not to remain with the Village of Skokie during the first forty-eight (48) months of employment, the value of these expenses are lost to the Village. In consideration of the expenses paid or incurred by the Village in anticipation of the Candidate s continued employment with the Village, the terms and conditions contained herein, and other good and valuable considerations, the receipt of which is hereby acknowledged by Name (print candidate s full name) Social Security #: The Candidate and the Village of Skokie agree to the following terms and conditions of employment: 47992v5 1) If the Candidate leaves employment prior to the completion of forty-eight (48) months, including but not limited to, the failure to successfully complete the requirements of the probationary period, he/she agrees to reimburse the - 1 -

10 Village for any and all selection, training, equipment and supply expenses paid or incurred by the Village as set out in paragraph 9 hereafter. Commencement of training begins with the Candidate s first day of employment. A. If the Candidate leaves employment with the Village on or before completion of the first twenty-four (24) months of employment, he/she shall pay to the Village all of the actual expenses paid or incurred by the Village as set out in paragraph 9 hereafter. B. If the Candidate leaves employment with the Village after completion of the first twenty-four (24) months, but on or before completion of the first forty-eight (48) months, the amount owed to the Village shall be decreased by one twenty-fourth (1/24) for each month of completed service after the first twenty-four (24) months. C. Reimbursement to the Village shall occur within 90 days of the Candidate s last day of employment with the Village. However, if the amount due the Village exceeds $1,000 owed by the Candidate, at the option of the Village Manager, the Candidate may enter into an agreement with the Village for monthly payments. Such an agreement shall provide for equal monthly payments for a period which shall not exceed nine (9) months from the Candidate s last date of employment with the Village. 2) The Village directly or through its agents, contractors or employees, will provide pre-hire/employment evaluations and testing (to include background investigations, polygraph test, and post-offer psychological examination medical examination) and, equipment, supplies, clothing, training and wages for the Candidate in a manner to be determined by the Village and the Fire or Police Department. 3) Reimbursement of expenses incurred and paid by the Village, as discussed in Paragraph 1 above and as set out in Paragraph 9, is not required in the event that the Candidate must terminate his/her employment due to a disabling illness or injury. 4) Reimbursement of expenses incurred and paid by the Village, as discussed in Paragraph 1 above and as set out in Paragraph 9, is not required in the event that the Candidate is terminated from employment due to layoff or reduction in force with the Village of Skokie. 5) This agreement shall constitute an express written consent by the Candidate hereunder to authorize the Village within the meaning of the Illinois Wage Payment and Collection Act, 820 ILCS 115/9, to offset against any amount owed the Village by said Candidate, pursuant to this Agreement, with any wages or final compensation due the Candidate by the Village v5 6) This Agreement is not intended as a contract for employment and is only intended to set forth the obligations of the parties with respect to the cost and - 2 -

11 potential reimbursement of selection examinations and evaluations, equipment, clothing/supplies, training, and other expenses incurred during the development of the employee. 7) This Agreement shall become effective and be deemed dated on the date the last party, as set forth below, executes this agreement. 8) This document embodies the entire Reimbursement Agreement between the parties. There are no inducements, promises, terms, conditions or obligations made or entered into by the Village or the Candidate concerning reimbursement of expenses other than that contained herein. 9) Except as provided in paragraph 5 hereof, the following is a list of the estimated expenses to be reimbursed to the Village by the Candidate, actual expenses will be determined if the reimbursement is assessed: Selection evaluations: Background Investigation $ Psychological $ Medical $ Fire/Police Academy: $ 3, Department Operations Training: $ 1, Equipment/Supplies/Clothing $ Total Obligations: $ 5, Fire or Police Chief (signature) Date Expenses Determined 10) This Agreement shall be binding on the parties, their successors, executors, administrators, and personal representatives. The foregoing provisions are understood and agreed to by the undersigned: Candidate Date Village of Skokie, by: Village Manager Date 47992v5-3 -

12 AFFIRMATIVE ACTION INFORMATION POLICE OFFICER RECRUITMENT DATA April 2015 IT IS THE POLICY OF THE VILLAGE OF SKOKIE TO OFFER EQUAL EMPLOYMENT OPPORTUNITY WITHOUT REGARD TO AGE, RACE, COLOR, SEX, RELIGION, NATIONAL ORIGIN, MARITAL OR VETERAN STATUS, SEXUAL ORIENTATION, PHYSICAL OR MENTAL DISABILITY OR ANY OTHER LEGALLY PROTECTED STATUS. THE INFORMATION COLLECTED ON THIS FORM IS FOR STATISTICAL VALIDATION ONLY. IT WILL NOT AFFECT YOUR APPLICATION IN ANY WAY. GENDER (Select One): Male Female YEAR of birth: How did you learn of this test? Skokie.org Blueline.com Village Employee (employee name) Newspaper Ad (specific paper) Internet Site Other RACE: Please answer the following: (select the category that most closely identifies you) White Black or African American Hispanic or Latino Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Two or More Races A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. A person having origins in any of the black racial groups of Africa. A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. A person who identifies with more than one of the above five races. The Village of Skokie is an Equal Opportunity Employer

13 VILLAGE OF SKOKIE Police Officer Fact Sheet Annual Salary Range: Citizenship: Brief Description of Duties: $67,696 - $88,547 (As of May 1, 2014) A citizen of the United States, or an alien lawfully admitted for permanent residence; or an alien authorized by the Department of Homeland Security U.S. Citizenship and Immigration Services to work in the United States. Performs work in the enforcement of law and maintenance of order, protection of life and property and prevention of crime. Patrols all assigned areas for the prevention of crime and enforcement of laws and ordinances. Responds to requests for police services and takes appropriate action. Arrests violators of laws and ordinances, enforces all laws and ordinances including Federal, State and local laws. May serve in a variety of assignments involving property, evidence and fingerprint control and community relations. Prepares reports concerning criminal cases; prepares material evidence for courtroom presentation. Education: A minimum of 60 college semester hours from an accredited institution, OR Four (4) years of active military service with an Honorable Discharge. Age: Residency: Other Requirements: Probationary Period: Questions: The candidate must be a minimum of 21 years of age and under 35 years of age by the date of the written examination. Police Officers must reside within Cook, Lake or DuPage counties within 24 months from date of hire. The candidate must pass a written examination and a physical fitness examination. Other selection steps conducted by the Skokie Board of Fire and Police Commissioners include: a polygraph examination and a complete background investigation. An oral interview with the Board of Fire & Police Commissioners. A conditional offer of employment based on successful completion of a psychological evaluation, and a conditional offer of employment based on successful completion of a medical examination that includes a drug test. Have vision correctable to 20/20 in both eyes and be free from color blindness. A valid Illinois driver s license is required at the time of employment. Abstinence from tobacco products on and off duty is a condition of employment. Separation From Employment Candidate Reimbursement Agreement Employment of Relatives Agreement Skokie Police Department Personal Appearance Policy Acknowledgement All new employees must complete a twenty-four month probationary period. Questions concerning the requirements of this position should be directed to the Village of Skokie Personnel Department at (847) THE VILLAGE OF SKOKIE IS AN EQUAL OPPORTUNITY EMPLOYER v1

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