Police Officer Application

Application Information

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Date Available(Required)

Hour of work (per week) desired?(Required)

Employment Desired?(Required)

Full Time

Part Time

Are you eligible to work in the United States(Required)

Yes

No

Have you ever worked for this organization?(Required)

Yes

No

Have you ever been convicted of a felony?(Required)

Yes

No

If yes, please explain:

(Number of conviction(s), nature of offense(s), how recently such offense(s) was/were committed, and sentence(s) imposed)

Education

Where did you attend High School and College? (Please include other relevant education information)

School Name

School Address

Did you graduate?

Degree/Major

Military Service

Military Branch

Rank at Discharge

From

To

Are you currently in the Armed Forces?

Yes

No

Employment History (Most Recent)

Company Name (Most Recent)

Company Address (Most Recent)

Street Address Address Line 2 City State ZIP Code

Company Phone (Most Recent)

Supervisor (Most Recent)

Your Job Title (Most Recent)

Starting Salary (Most Recent)

Ending Salary (Most Recent)

Responsibilities (Most Recent)

From

To

Reason for Leaving (Most Recent)

May we contact your previous supervisor for a reference? (Most Recent)

Yes

No

Employment History (Second Most Recent)

Company Name (Second Most Recent)

Company Address (Second Most Recent)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor (Second Most Recent)

Company Phone (Second Most Recent)

Your Job Title (Second Most Recent)

Starting Salary (Second Most Recent)

Ending Salary (Second Most Recent)

Responsibilities (Second Most Recent)

From

To

Reason for Leaving (Second Most Recent)

May we contact your previous supervisor for a reference?

Yes

No

References

Please list at least three professional references.(Required)

Full Name

Relationship

Company

Phone

Address

Resume Upload

Max. file size: 40 MB.

If you have a resume you’d like to attach, please do so here. This is not required.

Cover Letter

Max. file size: 40 MB.

If you have a cover letter you’d like to attach, please do so here. This is not required.

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First Choice

Second Choice

Third Choice

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Job Application – Police Officer

Application Information

Education

Military Service

Employment History (Most Recent)

Employment History (Second Most Recent)

References

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