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Job Application

Please complete this accurately, giving as many details as possible about your skills and experience related to this position. Thank you.

About You

Address 1

Address 2

City

State

ZIP Code

Educational Background

Address

Degree Received

Address

Degree Received

Military Service

Type of Discharge

EMPLOYMENT HISTORY

Current/Most Recent Employer

City

State

ZIP Code

Name of Supervisor

Salary

Position

2nd Most Recent Employer

Employer

City

State

ZIP Code

Name of Supervisor

Salary

Position

If yes, please answer all questions below:

Type

Location/Department

Charge

Disposition

Conviction

Sentence

You will not be denied employment solely because of a conviction record unless required by law or the offense is related to the job for which you have applied or there is a legitimate concern due to the nature of the company’s business

PHYSICAL REQUIREMENTS

You must be able to: • Walk 5 miles on foot performing patrols in ALL weather conditions • Stand on post for periods of time up to and including 8 hours without sitting. • Stay seated in a patrol vehicle or behind a desk for periods up and including 8 hours. • Operate a computer keyboard, data entry, and answering phones for up to 8 hours. • Combine the above (bend, sit, stand, walk and run) for an 8 hour shift. • Hear voices, noises, and sounds with an excellent degree of accuracy. • See objects, writing, colors and obstacles with an excellent degree of accuracy. • Wear a duty belt with a minimum of 10 pounds of gear on it. • Lift 50 lbs repeatedly during a shift.

DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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