APPLICATION FOR POSITION OF POLICE OFFICER TENAFLY POLICE DEPARTMENT TENAFLY, NJ 07670

Transcription

1 APPLICATION FOR POSITION OF POLICE OFFICER TENAFLY POLICE DEPARTMENT TENAFLY, NJ The Borough of Tenafly is an Equal Opportunity Employer M/F Please type or print legibly. Incomplete or improperly filled out applications will not be accepted. 1. Name First Middle Initial Last 2. Present Address Number Street City State Zip Telephone number Social Security Number Driver s License Number / State (attach photocopy) Cellular Phone Number(s) Address: How long have you lived at your current address? 3. Has your Driver s License ever been suspended or revoked? If yes, please explain. 4. List all your addresses for the past 10 years. 5. Are you a U.S. citizen? (A copy of your government-issued birth certificate MUST accompany your application.) 6. Are you married and/or have any children? If so, please list their names. 7. Do you have any disabilities or are you currently taking any medications that would preclude you from satisfactorily performing as a police officer?

2 8. Have you ever served in the U.S. Armed Forces? If so, give date of enlistment, type of discharge, date of discharge, rank or ranks attained and any noteworthy assignments. 9. Do you have any experience as a sworn police / law enforcement officer? 10. Can you speak, read or write any foreign language? If yes, specify language and proficiency. 11. Have you ever been treated for a substance abuse problem (i.e. drugs or alcohol)? If yes, please explain. 12. Have you ever been arrested? If so, what for and what was the disposition of the case(s)? 13. Do you have any scars, tattoos, or other body markings and/or piercings? If yes, please describe. 14. What experience have you had with firearms? 15. Do you read frequently? Name some of the books you have read during the past two years. 16. What are your hobbies?

3 17. Please provide a detailed description of your education, including dates. A. Grade School: Name and location Attended from to Highest grade completed B. High School: Name and location Attended from to Highest grade completed Major courses C. College: Name and location Attended from to Highest level completed Major courses Degree(s) attained D. What other specialized training not indicated above do you have that is applicable to the police function? (You may attach a separate sheet if necessary.) Course Where taken Date(s) 18. References: Give the names and addresses of three reliable persons, other than relatives or past employers, who know you well enough to provide information about you. These references will be contacted prior to any offer of employment. Name Address Telephone Occupation Years Known 19. Give the name of all relatives now employed by the Borough of Tenafly, indicating relationship.

4 20. List below your complete work history below starting with your present position and working backward through your experience. Include part-time as well as full-time employment. Do not omit any employer, regardless of length of service. Attach additional sheets if necessary. Explain any gaps in the comments section below.

5 Comments 21. Have you ever been subjected to disciplinary action in connection with any employment? If yes, explain.

6 22. Please indicate in the space below any experience you have or specialized ability which, in your opinion, will qualify you for the position of police officer in the Borough of Tenafly. Describe fully any positions you have held which required executive ability, the exercise of authority and the ability to lead others. 23. Do you know of anything that might disqualify you for appointment to the Tenafly Police Department or prevent your full discharge of the official duties of the position? 24. What, if anything, prompts you to make application for appointment to this agency in particular? 25. Do you have any special interest(s) within the field of police work that you would like to pursue?

7 26. Are you currently NJ PTC Certified (currently certified as a law enforcement officer in the State of New Jersey)? If so, list where you received your NJ PTC certification and provide expiration date of same. (If applicable, please attach a copy of your PTC certificate.) 27. All applicants must read and sign the following certification: I certify that the answers provided in the application are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. I release former employers and others from any liability that might arise from the disclosure of information. I certify that there are no willful misrepresentations or falsifications in the above statements and/or answers to questions. I am aware that should investigation disclose any such misrepresentations or falsifications, my application will be rejected or, if I am employed, my employment will be terminated. I also understand that I will be disqualified from applying in the future for any employment opportunities with the Borough of Tenafly, New Jersey. Printed Name of Applicant Signature of Applicant Date Application Completed Note: This application is a preliminary application. All candidates selected for further consideration will be required to proceed through additional steps which include an application and questionnaire, verification of a valid driver s license and driving record check, interview, background investigation, including criminal history background check, a conditional offer of employment, drug testing and a psychological examination and medical examination. Applicants will be notified after each step whether they are eligible to continue in the selection process. Please attach a recent, color passport photograph of yourself in this space. Do Not Write Below This Line For Departmental Use Only ************************************************************************************************************************************************************************* Application Received by: Date / Time Received: Resume Attached Copy of Birth Certificate Copy of Driver s License Signed Essential Functions Form Receipt # $75.00 Check / Money Order # Photograph Attached Notes: REV 04/2015