Borouqh of Seaside Heiqhls

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1 Borouqh of Seaside Heiqhls SUN RESORT OCEAN JERSEY Application Number POLICE DEPARTMENT 116 Sherman Avenue, Seaside Heights, New Jersey Area Code (732) Fax Number ( 732) APPLICATION FOR EMPLOYMENT Thomas J. Boyd Chief Of" Police PRINT LAST NAME FIRST MIDDLE J STREET NUMBER STREET OR R.D. NUMBER CITY I ADDRESS COUNTY STATE ZIP CODE TELEPHONE# HOME WORK INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED D D Seasonal Status Permanent Status Dispatcher Status Date Received: Receiving Officer: READ CAREFULLY PRIOR TO FILLING OUT APPLICATION INSTRUCTIONS - Read every question carefully. Answer every question -leave no blank spaces - if question does NOT apply to you, so state. A candidate may be rejected who has intentionally made a false statement of a material fact or practiced, or attempted to practice, any deception or fraud in this application, in any examination, or in securing eligibility for appointment. The candidate shall personally prepare this form. All entries, except the signature must be printed legibly in block letters. Entries must be made in black ink. If space available for answering any question is insufficient, use a separate sheet of paper. SEE THE FOLLOWING PAGE FOR INSTRUCTIONS IN FILLING OUT THIS APPLICATION. AN EQUAL OPPORTUNITY EMPLOYER

2 ~f N_S_T_R_UC_T_IO_N_s,] (Read all instructions and follow same) These instructions are to assist you in properly completing your application for employment. The information provided by you must be accurate in all respects. It is used as a guide for a background investigation to be conducted and will help determine your eligibility for employment. 1. Read all directions and questions carefully before making entries on the application. Make sure all your information is correct before you fill in the answers. 2. Application should be downloaded to your computer so you can save your progress and return to it at a later time if necessary. Failure to download the application prior to filling it out may result in information not being saved. 3. When the application is complete, app should be printed out on legal size paper one side only. DO NOT PRINT TWO SIDED. 4. All questions are to be answered to the best of your ability and filled out on a computer. 5. Leave NO BLANK SPACES. If a question does not apply to you, put N/ A in the spaces provided. 6. Be sure all addresses and phone numbers are correct, current and complete. PO Boxes are not acceptable addresses. 7. Any deliberate omissions or falsifications may result in your removal from any further consideration for the position sought. 8. You are responsible to obtain copies ofthe following documents and attach them to the back of the completed application. A. Birth Certificate (2 copies) B. Naturalization Papers (If Applicable) C. Marriage Certificate(s) (If Applicable) D. Divorce Papers (If Applicable) H. Social Security Card/ Driver's License E. High School Diploma or GED F. College Diploma G. Military Discharge or Separation (DD0214) I. Passport (If Applicable)

3 ~--~ N_s_r_u_c_ri_O_N_s_c_o_N_r_. JJ 9. If additional space is required for answers to any questions in any section of this application submit your answers on a separate piece of paper, attach to application and make note in the applicable section. All additional sheets must be signed by the applicant. 10. The three vouchers sheets at the back ofthe application MUST be printed, filled out by the voucher and returned with the completed application. Any voucher sheets not included will be considered an incomplete application. 11. The following are to be mailed to you directly and must be available upon request. High School and College Transcripts. Open transcripts will not be accepted. APPLICATIONS MUST BE COMPLETED ON YOUR COMPUTER. Computers must have Adobe Acrobat and Microsoft Word. Apple Computers may adjust settings making information difficult to read or eliminate sections of the application, resulting in an incomplete application. Do not include Resume or additional papers not required. Read all instructions prior to filling out application DO NOT STAPLE OR USE PAPER CLIPS FOR APPLICATIONS USE BINDER CLIPS

5 PLACE CURRENT COLOR PHOTO HERE 1. What is your full Name? Last Name First Name Middle 2. Give any other names you have used or been known by, and attach a statement, giving the reasons. (If none, so state) Where were you born? City State County 4. Birth Certificate: Number City or Town State Country 5. Date of Birth: month/day/year Age: Sex: 6. Social Security No.: State Issued: Driver's License No.: State Issued: Pagel AN EQUAL OPPORTUNITY EMPLOYER

6 CITIZENSHIP 1 8. Are you a native born or naturalized citizen? Native Born: Naturalized: If you are of foreign birth, or are a naturalized citizen, fill the following: Port or place of departure for the United States: How were you transported into the United States: Name of transport conveyance or company you arrived on: Port or place of into the United States: If a naturalized citizen, name and address of person who sponsored you On arrival: Fist Address after arrival: How did you obtain Citizenship: Petition Number: Date: Court: State: Certificate Number: RESIDENCE J 9. Where do you now reside? Number Street Apt.# City County State Zip Code 10. How long have you resided there? With whom do you reside? Name Relationship 11. If you reside with someone other than a spouse or parents list: Name Date of Birth Occupation Social Sec. Number Page2 AN EQUAL OPPORTUNITY EMPLOYER

7 RESIDENCES (Cont'd) 12. In chronological order, beginning with your present address, list each and every place in which you have resided since birth. From To Mo. Yr. Mo. Yr. ADDRESS (Street, Apt., City, State, Zip Code) Page 3 AN EQUAL OPPORTUNITY EMPLOYER

8 13. List all places where you registered or voted: (If none, so state) COCNTY STATE YEAR I SOCIAL STATUS J 14. Are you single, married, separated, divorced, widowed or widowered? Give the following information regarding marriage or marriages. List Number of Times Married: DATE WHERE BY WHOM \\!FE'S 1\lAIDEN NAl\IE OR lll,sba;\!d 16. If separated, state reason: 17. If separated or divorced, what is the present address of that person? How many times were you legally or voluntarily separated? Were you ever divorced or had a marriage annulled? If ever separated, annulled or divorced, indicate which below, and fill in required information. Scp.tr.ttcd, Annulled D.tte \'\'hom \\here Issued? Offending.ts Dccrc{'d or l)j, OH'cd Issued / State La\\ On separate paper please give reasons for separation, annulment, and/or divorce. Page4 AN EQUAL OPPORTUNITY EMPLOYER

14 my home addess and be available upon request unopened. Any opened transcripts will not be accepted. Applicants Signature