JOB SPECIFICATION APPLICATION PACKET BOOKING SPECIALIST CURRY COUNTY ADULT DETENTION CENTER

Size: px
Start display at page:

Download "JOB SPECIFICATION APPLICATION PACKET BOOKING SPECIALIST CURRY COUNTY ADULT DETENTION CENTER"

Transcription

1 JOB SPECIFICATION APPLICATION PACKET BOOKING SPECIALIST CURRY COUNTY ADULT DETENTION CENTER The attached documents must be filled out completely and returned to the Personnel Office. The office is located in the Courthouse at the Curry County Administration Office. This is a summary of instructions and you must complete every question for the specific job you are applying. 1. The application should be filled out completely. All applications taken by this entity are by law public record and will be handled as such. Be sure to include your valid driver s license number. On the Employment History, list the last (5) employers. Most of our processing is done by mail so you must give complete and correct mailing addresses. If you prefer us to not contact your current employer, please let the Personnel Coordinator know when you return your application. 2. The Personal References on the back of the application must also have complete and correct mailing addresses and telephone numbers. Please make sure you read the disclosure statement and sign the application. 3. Read the Position Specifications carefully. All items must be read and answered with your initials whether you can or cannot perform the duties, with or without reasonable accommodations. All the questions must be answered and Employee Declaration signed. 4. The Doctor s Declaration will be processed by Curry County Personnel Office (do not take this form to your doctor). Only upon being hired will we make an appointment to have a physical done by our county physician at no cost to you to confirm whether you are able to perform the essential duties of the position with or without reasonable accommodations. 5. There are Release of Information forms on the back of this packet. To expedite background information from your current and past employers you will need to release the last four digits of your Social Security Number. We require your signature on each form. 6. The Release of Information Waiver must be signed in the presence of a Notary. We have a notary available at the Curry County Administrative Office. 7. Complete the Veteran s Certification Form. Please attach a copy of your military release DD 214 form if identifying as a Veteran. 8. You are welcome to attach your resume and any copies of relevant training or coursework with your application. 9. Please attach a copy of your motor vehicle driving record. Without this record you will not be considered for this position with Curry County. 10. Attach a copy of your GED Certificate, High School Diploma or your College Transcripts. **Any returned mail not deliverable due to incorrect addresses could result as an incomplete application. If you have any questions, please feel free to call the Curry County Personnel Office at (575) We appreciate your interest in applying for employment at Curry County.

2 ** APPLICATIONS TAKEN BY THIS ENTITY ARE BY LAW PUBLIC RECORD ** CURRY COUNTY NEW MEXICO APPLICATION FOR EMPLOYMENT DATE Job applied for: Monthly Salary Desired $ Were you referred to Curry County for employment? If so, by whom? Are you a former employee of Curry County? If yes, when? Where? How did you hear about this position? PERSONAL DATA Name First Middle Last Present Address Street City State Zip Present Phone No. Other Phone No. Are you 18 or over? High School Diploma? GED certificate? Do you have a valid driver's license?, if yes, give number Class State Do you have relatives, including those by marriage, working for Curry County? Name Relationship Department Are you related to any Curry County elected officials or department heads or their spouses? (Example: Commissioner, County Manager, Treasurer, Clerk, Assessor, Probate Judge, Sheriff, Road Superintendent, Jail Administrator, or Maintenance Supervisor) Name Relationship Department EDUCATION AND SKILLS Name of School and Location Major Subjects Last Yr Completed Show Degree or Certificate College or University Graduate School Business Technical 1 2 Vocational 1 2 Indicate degree of skill by FAIR, GOOD, VERY GOOD, where applicable: Calculator Typing Computer Shorthand Other Equipment you can operate/skills you possess EMPLOYMENT HISTORY Complete information on last five (5) employers, beginning with most recent. Mo/Yr Mo/Yr Employers Name, Address, City and State Position held/ Supervisor Exact Reason for Leaving

3 REFERENCES Names of Four Persons, Not related-known to You Five Years or More Name Address - City, State & Zip Phone Number Occupation Employer MILITARY RECORD Branch of Service From To Are you now an ACTIVE member of the Reserve? PHYSICAL AND MISCELLANEOUS INFORMATION Month Year Month Year If not ACTIVE, give status THE FOLLOWING IS IN COMPLIANCE WITH SECTION 503 OF THE REHABILITATION ACT OF 1973, AS AMENDED, AND SECTION 402 OF THE VIETNAM ERA VETERANS READJUST ASSISTANCE ACT OF 1974, THE PROVISIONS OF WHICH ARE INCORPORATED HEREIN BY REFERENCE: UNDERSTAND AND AGREE THAT: 1 I hereby authorize Curry County, New Mexico to make any inquiry it may desire for the purpose of determining whether or not it will employ me, and I do hereby authorize all persons to whom such inquiry may be made to answer same, and do hereby release and discharge such persons, and each of them, from any and all claims, damages and rights of action that I may at any time have, or be entitled to, caused by or arising from such inquiry and answers, or any of them. 2 Any misstatement, misrepresentation or omission in this application will constitute cause for immediate dismissal at the time of the discovery, and my signature below certifies that the application contains no misstatement or misrepresentation. 3 Reporting to work or working with impaired abilities; or the possession, consumption or distribution of drugs or alcohol shall be grounds for disciplinary action including discharge. 4 I may be required to take a physical examination, at County expense, at any time to determine if I am physically fit for the job I am to perform, and I authorize any hospital to release any information which may be necessary or appropriate to determine my ability to perform the duties of a job I am being considered for. 5 I understand that I am not required to disclose information about physical or mental limitations that I believe will not interfere with my capability to do the job. ON the other hand, if I want the employer to consider special arrangements to accommodate a physical or mental impairment, I may identify that impairment in the space provided and suggest the kind of accommodation that I believe would be appropriate. Signature of Applicant FOR COUNTY USE ONLY Reviewer's Signature Date Signed

4 POSITION SPECIFICATIONS POSITION TITLE: BOOKING SPECIALIST DIVISION: CURRY COUNTY ADULT DETENTION CENTER REPORTS TO: SHIFT SUPERVISOR-DETENTION CENTER CLASSIFICATION: CLASSIFIED REVISED DATE: DECEMBER 4, 2014 WAGE LEVEL: MIN $ to $ MID PER HOUR DOE/DOQ POSITION SUMMARY: Overall clerical maintenance of inmate s custody files and all documentation dealing with the inmate and Detention Facility. Responsible for the overall operation of the Booking Room and Facility File Room. Responsible for the booking and initial classification of all new inmates and all related files dealing with the inmates. Responsible for receiving and recording all incoming medication for inmates, monitor inmates and visitors during visits and complete necessary paperwork for visitation, and all other essential duties listed herein, but not limited to this listing only. MINIMUM QUALIFICATIONS 1. Must be twenty-one (21) years of age or older. 2. High School diploma or GED certificate. 3. Must be legally residing in the United States. 4. Must have vision correctable to 20/20, and no color blindness. 5. Successful passage of physical examination, background investigation, and polygraph, if needed. 6. Must have a valid driver s license. Must not have any felony convictions or pending felony charges and no DWI s in the past three (3) years. 7. Must possess good moral character. 8. Must be able to communicate orally and read/write English fluently. 9. Ability to work quickly and accurately. 10. Must be able to work with the public. 12. Must be able to work all shifts. 13. Must have at least one (1) year administrative office or related work experience. 14. Must be able to function well under stress. 15. Must be able to follow written or oral instructions. 16. Must have some computer experience. 17. Must be able to perform essential duties listed below. 18. Must be able to work in working conditions described below. 19. Must be able to work with equipment, tools, and products listed below.

5 DESIRABLE QUALIFICATIONS: 1. Some experience in detention work and knowledge of pertinent federal, state, and local laws and policies would be helpful. 2. Education or experience in interpersonal communications is helpful. 3. Bilingual in Spanish would be very helpful. ESSENTIAL DUTIES: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Monitor inmates and visitors during visits. 2. Advising the housing units and Transport Officers of inmates daily schedule, i.e., courts, arraignments, and doctor appointments. 3. Advising the housing unit of inmate court within the facility. 4. Monitor the movement of inmates within the facility through proper documentation in their custody record and computer system. 5. Maintain and issue keys to appropriate detention staff members as required from the key lock cabinet in the booking area only. 6. Record appropriate information in logbooks used within the booking area, filing area, and administration area. 7. Greet and communicate with the general public. 8. Sorting incoming and outgoing inmate and detention center mail. 9. Process indigent mail for inmates. 10. Process commissary orders for inmates. 11. Receive and record incoming property and money for inmates on proper logs and appropriate computers. 12. Receive and record incoming medications for inmates. 13. Complete all required paperwork for booking and processing an inmate into the facility, i.e., rules and regulations, good time, and use of inmate I.D. number. 14. Processing and figuring of good-time credit for inmates sentenced. 15. Operate and properly input information into the facility computer systems when booking, receiving or releasing inmate s property or money, when releasing a inmate from the facility, and inputting of arraignments and appointments.

6 16. Monitor and assist Detention Officer with inmates in the booking area by visual monitoring only. 17. Must be able to do normal administrative duties such as filing, distribution of documents, telephone techniques, and etc. 18. Must perform all duties with minimal supervision. May be required to work irregular hours, attend job related meetings, and perform other related duties as assigned. 19. Verify through review of appropriate written documentation that inmates booked in, released, or held legally. 20. Responsible for maintaining daily log. 21. Operate telephone, copy machine, fax machine, and computers. 22. At the Adult Detention Center we have multiple and you will be assigned to one of the shifts, you may be assigned to a different shift with seventy-two (72) hours notice. You may also be required to work 12 hour shifts. This does not apply when we ask you to work overtime Follow the State of New Mexico Purchasing and Procurement laws, County Purchasing Policy and grant agreements in making purchases, transferring and deposing of assets. Must comply with the County Personnel Policy, and other Policies as approved by the Board of Commission. OTHER REQUIREMENTS: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Employee must complete new hire physical. 2. Employee must pass a pre-employment drug urinalysis. 3. Employee must comply with the safety guidelines of the county. FUNCTION ANALYSIS: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Must be able to ask questions of supervisors and listen to and understand verbal directions in English. Must be able to read and understand 2. Must be able to communicate effectively with the inmates. 3. Must be able to communicate verbally and in writing with co-workers. 4. Must use sound judgment in determining level of incarceration of each inmate in responding to emergency situations. 5. Must possess basic math skills to deal with money, bonding procedures,

7 and figuring of good-time credit. 6. Must be able to input information into computer systems accurately. 7. Must be able to organize and plan own work activities in an efficient manner. 8. Must use sound reason and judgment to perform wide variety of Administrative Support Duties. 9. Must be able to speak clearly when dealing with wide variety of individuals in various situations. 10. Must be able to make basic decisions involving policies of the Detention Facility. 11. Must be able to work effectively in an environment, which may be stressful or potentially dangerous. PHYSICAL FUNCTIONS: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Ability to sit for up to four (4) hours at one (1) time, and eight (8) hours total per day. 2. Ability to stand and walk up to four (4) hours at one (1) time, and eight (8) hours total per day. 3. Ability to use hands and fingers to grasp/manipulate objects, sometimes in a bilateral coordinated manner. 4. Must be able to crouch or kneel up to a total of ten (10) times per day. 5. Must be able to bend at the waist and twist/rotate as necessary up to a total of twenty (20) times per day. 6. Must be able to work with arms bent for up to four (4) hours at one time and up to eight (8) hours per day. 7. Must be able to lift and carry for short distances objects weighing an estimated thirty-five (35) pounds or less. 8. Must be able to push/pull with arms with an estimated force of five (5) pounds or less up to twenty (20) times total per day. 9. Must be able to coordinate use of hands and eyes in operation of various office equipment as stated herein.

8 WORKING CONDITIONS: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Duty is performed in a controlled temperature room. Movement is restricted to the booking area, receptionist/file room area, and administration area. 2. Worker sometimes performs duties alone in a restricted environment with and without directions on a regularly scheduled eight (8) hour shift, five (5) days on, two (2) days off. Twenty-four (24) hour operation 365 days a year, shifts Days 0700 to 1500, Swings 1500 to 2300, and Mids 2300 to Some essential duties are performed as part of a select team. 3. All essential duties are performed indoors. 4. Worker may be exposed to intermittent noise factors, such as prisoners being booked into the facility, prisoners in the facility, computer printers and photocopy machine. 5. Work is performed on an even surface, which may be carpeted, rough tile, or concrete. Working surface is typically dry. 6. Work hazards, or potential work hazards, include regular exposure to inmates in performance of duties in a stressful atmosphere. EQUIPMENT, TOOLS, AND MATERIALS: (Please use your initials to indicate whether you are or are not capable of performing the duties listed below with or without reasonable accommodation.) YES NO 1. Equipment typically used in the performance of general clerical duties include telephone, computer terminal, computer keyboard, computer printer, typewriter, calculator, photocopy machine, camera, and fax machine. 2. May be required during the scope of duties to drive a County Vehicle in a manner that complies with the County Vehicle and Accident Polices. EMPLOYEE DECLARATION: I understand that the above specifications (Booking Specialist) outline general expectations and do not list every duty or function, which I may be, required to perform. I have read the above Position Specifications and I understand the demands and expectations of the position being applied for and to the best of my knowledge, believe I can perform these duties with or without reasonable accommodation. Signature: Date:

9 ******************************************* (THIS PAGE TO BE COMPLETED ONLY UPON BEING HIRED) DOCTOR S DECLARATION: I have read the above Position Specifications (Booking Specialist) and believe to the best of my knowledge can perform these duties. (Employee) Signature: Date: (Doctor)

10 CURRY COUNTY NEW MEXICO PERSONNEL DEPARTMENT 700 N. Main St., Suite 10 CLOVIS, NM RELEASE OF INFORMATION FORM I,, (print) give my current/previous employer listed below mailing address: (office will type information through personnel references on application) Mail back to: Curry County Administration 700 Main St., Suite 10 Clovis, NM Position: Booking Specialist ADC * Release the last 4 digits of your Social Security #: permission to release to Curry County Personnel Office information contained in my personnel file regarding the following area: Date of hire Date of termination Beginning salary Ending salary Number of times tardy (for the last two years) Days on administrative leave (for the past two years)... Days on leave without pay (for the last two years).... Position held Duties and responsibilities Quality of work Cooperation with other employees Cooperation with supervisors Did employee perform job duties satisfactorily during past two years? Yes No Why Disciplinary actions taken (for the last two years). Please describe. Reason for leaving? If discharged, why? Eligible for rehire? yes No Length of time reference has know/supervised employee? Current/previous Employer Signature: Title: I hereby release and discharge (current/previous employer) from all claims or actions for loss, liability, damage or expense which I now owe or which may hereafter arise from the making of any inquires about me or the furnishing of any information about me in connection with my application for employment with Curry County. Signature of Applicant: Date:

11 CURRY COUNTY NEW MEXICO PERSONNEL DEPARTMENT 700 N. Main St., Suite 10 CLOVIS, NM RELEASE OF INFORMATION FORM I,, (print) give my current/previous employer listed below mailing address: (office will type information through personnel references on application) Mail back to: Curry County Administration 700 Main St., Suite 10 Clovis, NM Position: Booking Specialist ADC * Release the last 4 digits of your Social Security #: permission to release to Curry County Personnel Office information contained in my personnel file regarding the following area: Date of hire Date of termination Beginning salary Ending salary Number of times tardy (for the last two years) Days on administrative leave (for the past two years)... Days on leave without pay (for the last two years).... Position held Duties and responsibilities Quality of work Cooperation with other employees Cooperation with supervisors Did employee perform job duties satisfactorily during past two years? Yes No Why Disciplinary actions taken (for the last two years). Please describe. Reason for leaving? If discharged, why? Eligible for rehire? yes No Length of time reference has know/supervised employee? Current/previous Employer Signature: Title: I hereby release and discharge (current/previous employer) from all claims or actions for loss, liability, damage or expense which I now owe or which may hereafter arise from the making of any inquires about me or the furnishing of any information about me in connection with my application for employment with Curry County. Signature of Applicant: Date:

12 CURRY COUNTY NEW MEXICO PERSONNEL DEPARTMENT 700 N. Main St., Suite 10 CLOVIS, NM RELEASE OF INFORMATION FORM I,, (print) give my current/previous employer listed below mailing address: (office will type information through personnel references on application) Mail back to: Curry County Administration 700 Main St., Suite 10 Clovis, NM Position: Booking Specialist ADC * Release the last 4 digits of your Social Security #: permission to release to Curry County Personnel Office information contained in my personnel file regarding the following area: Date of hire Date of termination Beginning salary Ending salary Number of times tardy (for the last two years) Days on administrative leave (for the past two years)... Days on leave without pay (for the last two years).... Position held Duties and responsibilities Quality of work Cooperation with other employees Cooperation with supervisors Did employee perform job duties satisfactorily during past two years? Yes No Why Disciplinary actions taken (for the last two years). Please describe. Reason for leaving? If discharged, why? Eligible for rehire? yes No Length of time reference has know/supervised employee? Current/previous Employer Signature: Title: I hereby release and discharge (current/previous employer) from all claims or actions for loss, liability, damage or expense which I now owe or which may hereafter arise from the making of any inquires about me or the furnishing of any information about me in connection with my application for employment with Curry County. Signature of Applicant: Date:

13 CURRY COUNTY NEW MEXICO PERSONNEL DEPARTMENT 700 N. Main St., Suite 10 CLOVIS, NM RELEASE OF INFORMATION FORM I,, (print) give my current/previous employer listed below mailing address: (office will type information through personnel references on application) Mail back to: Curry County Administration 700 Main St., Suite 10 Clovis, NM Position: Booking Specialist ADC * Release the last 4 digits of your Social Security #: permission to release to Curry County Personnel Office information contained in my personnel file regarding the following area: Date of hire Date of termination Beginning salary Ending salary Number of times tardy (for the last two years) Days on administrative leave (for the past two years)... Days on leave without pay (for the last two years).... Position held Duties and responsibilities Quality of work Cooperation with other employees Cooperation with supervisors Did employee perform job duties satisfactorily during past two years? Yes No Why Disciplinary actions taken (for the last two years). Please describe. Reason for leaving? If discharged, why? Eligible for rehire? yes No Length of time reference has know/supervised employee? Current/previous Employer Signature: Title: I hereby release and discharge (current/previous employer) from all claims or actions for loss, liability, damage or expense which I now owe or which may hereafter arise from the making of any inquires about me or the furnishing of any information about me in connection with my application for employment with Curry County. Signature of Applicant: Date:

14 CURRY COUNTY NEW MEXICO PERSONNEL DEPARTMENT 700 N. Main St., Suite 10 CLOVIS, NM RELEASE OF INFORMATION FORM I,, (print) give my current/previous employer listed below mailing address: (office will type information through personnel references on application) Mail back to: Curry County Administration 700 Main St., Suite 10 Clovis, NM Position: Booking Specialist ADC * Release the last 4 digits of your Social Security #: permission to release to Curry County Personnel Office information contained in my personnel file regarding the following area: Date of hire Date of termination Beginning salary Ending salary Number of times tardy (for the last two years) Days on administrative leave (for the past two years)... Days on leave without pay (for the last two years).... Position held Duties and responsibilities Quality of work Cooperation with other employees Cooperation with supervisors Did employee perform job duties satisfactorily during past two years? Yes No Why Disciplinary actions taken (for the last two years). Please describe. Reason for leaving? If discharged, why? Eligible for rehire? yes No Length of time reference has know/supervised employee? Current/previous Employer Signature: Title: I hereby release and discharge (current/previous employer) from all claims or actions for loss, liability, damage or expense which I now owe or which may hereafter arise from the making of any inquires about me or the furnishing of any information about me in connection with my application for employment with Curry County. Signature of Applicant: Date:

15 CURRY COUNTY JOB APPLICATION VETERAN S CERTIFICATION FORM Name: Position Applied for: Booking Specialist Pursuant to Curry County Resolution No , the Curry County Personnel Department has implemented a Veterans Hiring Initiative policy to provide opportunities for veterans who meet or exceed the minimum qualifications for County employment to obtain County employment. The purpose of this form is to provide all job applicants the opportunity to identify and certify that they are a veteran who has an honorable discharge from the military or to verify that the job applicant is a member of the National Guard or Reserve who has successfully completed basic training. Once certified as a veteran AND it is determined that the veteran applicant meets or exceeds the minimum qualifications on the recruitment announcement, the Personnel Department will identify the veteran applicant on the list and the department/division shall interview the identified veteran. Curry County does not guarantee that a veteran shall be hired for any position being applied for, only that the veteran will be given an interview. To identify yourself as a veteran or a member of the National Guard or Reserve who has successfully completed basic training, you must answer the following questions: Yes No 1. Have you ever served in the United Sates Military on Active, Guard or Reserve status? 2. Did you receive an honorable discharge? 3. Are you a member of the National Guard or Reserve who has successfully completed basic training? All applicants must attach a copy of their DD214 or DD215 form, and/or proof of current Active, Guard or Reserve enlistment. Please ensure your application clearly indicates your military experience and identify any education, job duties and/or responsibilities. Signature Date Print Name

16 Curry County 700 North Main, Suite 10 Clovis, NM Fax RELEASE OF INFORMATION WAIVER I consent and hereby authorize Curry County, by means of Curry County Sheriff s Department or Curry County Detention Center, the police departments or other entity/person who is suitable to and chosen by the County, to investigate my past and present work, character, credit record, former employment, police and credit records to ascertain any and all information which may concern my suitability for employment with Curry County. I consent to your release of any and all public and private information that you may have concerning me, my work record, my background and reputation, my military service records, educational records, my financial status, my criminal history record, including any arrest records, any information contained in investigatory files, efficiency ratings, complaints or grievances filed by or against me, the records or recollections of attorneys at law, or other counsel, whether representing records, polygraph examinations, and any internal affairs investigations and discipline, including any files which are deemed to be confidential, and/or sealed. I direct you to release such information upon request of the duly accredited representative of the County of Curry regardless of any agreement I may have made with you previously to the contrary. The release of any and all information is authorized whether same is of record or not and I do, hereby, release all persons, firms, agencies, companies or groups, whomsoever, from any damages because or resulting from, furnishing such information to the Curry County Sheriff s Department, the Curry County Detention Center, the Curry County Personnel Department, the County government, and its employees from any damages or claims which may otherwise result from use or release of such information. Applicant, Printed Date Signature DATE OF BIRTH SOCIAL SECURITY DRIVER S LICENSE # STATE ADDRESS CITY STATE ZIP PLACE OF BIRTH: CITY STATE OTHER NAMES USED: State of County of In witness hereof, I acknowledge that the above and foregoing document was signed before me this day of, 20. My commission expires: NOTARY PUBLIC

EMPLOYMENT APPLICATION FOR DETENTION OFFICER

EMPLOYMENT APPLICATION FOR DETENTION OFFICER Job Specific Application Packet Detention Officer Regular / Full-time / Union Represented EMPLOYMENT APPLICATION FOR DETENTION OFFICER Name Date Phone Number E-mail address READ the following information

More information

Albuquerque Police Department Applicant Additional Documents. Name: Page 1 of 9

Albuquerque Police Department Applicant Additional Documents. Name: Page 1 of 9 Albuquerque Police Department Applicant Additional Documents Name: Page 1 of 9 Additional Documents Needed Instructions You will need to locate/gather all of the following documents and bring them with

More information

CITY OF GLADSTONE APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer)

CITY OF GLADSTONE APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer) ~C t y i M o f i s G s l o a u d r s i t o n e ~ CITY OF GLADSTONE APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer) In keeping with our commitment to maintain a drug and alcohol-free workplace,

More information

Town of Southampton Police Department

Town of Southampton Police Department Town of Southampton Police Department David G. Silvernail Police Chief Business 413-527-1120 Fax 413-527-8776 PO Box 239, 8 East Street, Southampton, Ma 01073 Police Officer Application Applications are

More information

Filer Police Department 300 Main Street Office: P.O. Box 140 Dispatch: Filer, Idaho Fax:

Filer Police Department 300 Main Street Office: P.O. Box 140 Dispatch: Filer, Idaho Fax: Filer Police Department 300 Main Street Office: 208 326-4123 P.O. Box 140 Dispatch: 208 735-1911 Filer, Idaho 83328 Fax: 208 326-5004 www.cityoffiler.com 911 Emergency EQUAL OPPORTUNITY EMPLOYER Prospective

More information

AMHERST COUNTY SHERIFF'S OFFICE An equal opportunity employer Women and Minorities are encouraged to apply.

AMHERST COUNTY SHERIFF'S OFFICE An equal opportunity employer Women and Minorities are encouraged to apply. An equal opportunity employer Women and Minorities are encouraged to apply. Sheriff E.W. Viar Jr. P.O. BOX 410, 115 TAYLOR STREET, AMHERST, VIRGINIA 24521 BUSINESS 434.946.9381 ~ ADMINISTRATION 434.946.9301

More information

Employment Application NOTICE OF POLICY

Employment Application NOTICE OF POLICY Shayne E. Heap, Sheriff Elbert County Sheriff s Office 751 Ute Avenue, P.O. Box 486 Kiowa, Colorado 80117 Ph: 303-621-2027 Fax: 303-621-2055 www.elbertcountysheriff.com Employment Application NOTICE OF

More information

Jefferson County Sheriff s Office 200 Courthouse Way, Rigby, ID PH# ~ FX#

Jefferson County Sheriff s Office 200 Courthouse Way, Rigby, ID PH# ~ FX# Jefferson County Sheriff s Office 200 Courthouse Way, Rigby, ID 83442 PH# 208-745-9210 ~ FX# 208-745-9212 JOB APPLICATION Name: Application Date POSITION APPLIED FOR: Patrol Jail Dispatch Reserve Application

More information

GLYNN COUNTY SHERIFF S OFFICE IS AN EQUAL OPPORTUNITY EMPLOYER

GLYNN COUNTY SHERIFF S OFFICE IS AN EQUAL OPPORTUNITY EMPLOYER 100 Sulphur Springs Road Brunswick, GA 31520 Telephone: (912) 554-7600 Web Page Address: www.glynncountysheriff.org INSTRUCTIONS AND INFORMATION PLEASE READ CAREFULLY BEFORE BEGINNING 1. Please complete

More information

HOISINGTON POLICE DEPARTMENT 109 E. 1 st St. Hoisington, KS Telephone (620) Fax (620)

HOISINGTON POLICE DEPARTMENT 109 E. 1 st St. Hoisington, KS Telephone (620) Fax (620) Chief of Police Kenton L. Doze HOISINGTON POLICE DEPARTMENT 109 E. 1 st St. Hoisington, KS 675440060 Telephone (620) 6534995 Fax (620) 6532422 Captain of Police Josh Nickerson Job : Police Officer Under

More information

Washington County Tennessee Sheriff s Office. Ed Graybeal, Sheriff. Employment Application Packet

Washington County Tennessee Sheriff s Office. Ed Graybeal, Sheriff. Employment Application Packet Washington County Tennessee Sheriff s Office Ed Graybeal, Sheriff Employment Application Packet PLEASE READ CAREFULLY AND ANSWER ALL QUESTIONS COMPLETELY. INCLUDE A COPY OF YOUR DRIVER S LICENSE, BIRTH

More information

Carlisle Police Department Employment Application

Carlisle Police Department Employment Application Employment Application POLICE OFFICER APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 CARLISLE POLICE DEPARTMENT Instruction for Applicants **Please do Not

More information

EAGLE COUNTY SHERIFF S OFFICE APPLICATION FOR EMPLOYMENT JAMES VAN BEEK SHERIFF

EAGLE COUNTY SHERIFF S OFFICE APPLICATION FOR EMPLOYMENT JAMES VAN BEEK SHERIFF EAGLE COUNTY SHERIFF S OFFICE APPLICATION FOR EMPLOYMENT JAMES VAN BEEK SHERIFF Dear Applicant: Welcome and thank you for your interest in our organization. You have chosen to apply to the finest law enforcement

More information

Certified or able to be certified as a Michigan Law Enforcement Officer Must have one of the following:

Certified or able to be certified as a Michigan Law Enforcement Officer Must have one of the following: FULL TIME POLICE OFFICER The City of Lincoln Park is accepting applications to create an eligibility list for Full Time Police Officer. The starting salary offered is $42,525.30. The deadline to apply

More information

Applicant Information

Applicant Information POSITION APPLIED FOR: DATE City of Coos Bay at your service Applicant Information NAME Last First Middle ADDRESS CITY STATE ZIP TELEPHONE Home Message Work Cellular Best time to call: At work At home May

More information

Mission Statement Flint Township Fire Department is dedicated to promoting safety, saving lives, and fighting fires. We accomplish this by being

Mission Statement Flint Township Fire Department is dedicated to promoting safety, saving lives, and fighting fires. We accomplish this by being Mission Statement Flint Township Fire Department is dedicated to promoting safety, saving lives, and fighting fires. We accomplish this by being caring, committed, and courageous; while serving with integrity

More information

EMPLOYEE FILES. Applying for the Job

EMPLOYEE FILES. Applying for the Job EMPLOYEE FILES Applying for the Job 1 Assisted Living Center at Sendera Ranch 5406 Ranch Lake Dr Magnolia, Texas 77354 281.804.6182 Phone 936.441.8185 Fax alcsenderaranch@gmail.com email APPLICATION FOR

More information

Calhoun County Sheriff s Office. Sheriff Thomas Summers Jr. Employment Application

Calhoun County Sheriff s Office. Sheriff Thomas Summers Jr. Employment Application Name: Calhoun County Sheriff s Office Sheriff Thomas Summers Jr. Employment Application Equal Opportunity Employer 2811 Old Belleville Road (PO Box 749) St. Matthews, SC 29135 803-874-2741 www.calhounscsheriff.com

More information

SHERIFF OF GARFIELD COUNTY LOU VALLARIO

SHERIFF OF GARFIELD COUNTY LOU VALLARIO SHERIFF OF GARFIELD COUNTY LOU VALLARIO 107 8 TH Street Glenwood Springs, CO 81601 Phone: 970-945-0453 Fax: 970-945-7700 106 County Road 333-A Rifle, CO 81650 Phone: 970-665-0200 Fax: 970-665-0253 Dear

More information

Civil Service Commission Macomb County Sheriff s Office 120 North Main Street Mount Clemens, MI 48043

Civil Service Commission Macomb County Sheriff s Office 120 North Main Street Mount Clemens, MI 48043 Commissioners Robert Stanley, Chairman Diane McGee, Vice-Chair Ronald Geml, Commissioner Dear Applicant: Civil Service Commission Macomb County Sheriff s Office 120 North Main Street Mount Clemens, MI

More information

CITY OF MISSION CIVIL SERVICE APPLICATION

CITY OF MISSION CIVIL SERVICE APPLICATION CITY OF MISSION CIVIL SERVICE APPLICATION City of Mission Civil Service Department 1201 E. 8 th Street Mission, TX 78572 Applicant Name: Position Applying For: Police Officer Fire Fighter Page 1 of 15

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Page 1 of 3 This Employment Application will remain active for one year from the date of completion APPLICANT INFORMATION Last Name First M.I. Date Street Apartment/Unit # City State

More information

City of Pigeon Forge Police Department. Position: The City of Pigeon Forge Police Department is accepting applications for Communications Officer.

City of Pigeon Forge Police Department. Position: The City of Pigeon Forge Police Department is accepting applications for Communications Officer. City of Pigeon Forge Police Department Position: The City of Pigeon Forge Police Department is accepting applications for Communications Officer. Qualifications: Must be at least eighteen years of age

More information

Melbourne Beach Volunteer Fire Department FIREFIGHTER VOLUNTEER APPLICATION PACKAGE

Melbourne Beach Volunteer Fire Department FIREFIGHTER VOLUNTEER APPLICATION PACKAGE Melbourne Beach Volunteer Fire Department 507 Ocean Avenue Melbourne Beach, FL 32951 (321) 724-1736 FIREFIGHTER VOLUNTEER APPLICATION PACKAGE Thank you for your interest in the Melbourne Beach Volunteer

More information

Grand Prairie Fire Department Applicant Identification Form

Grand Prairie Fire Department Applicant Identification Form Revised 07/15 Grand Prairie Fire Department Applicant Identification Form Place Picture Name: Last First Middle DOB: Weight: Height: Hair Color: Eye Color: Social Security No.: D.L. #: Complete the areas

More information

Employment Application Henry County Sheriff s Office 120 Henry Parkway, McDonough, GA 30253

Employment Application Henry County Sheriff s Office 120 Henry Parkway, McDonough, GA 30253 Employment Application Henry County Sheriff s Office 120 Henry Parkway, McDonough, GA 30253 Henry County Sheriff s Office is an Equal Opportunity and Drug Free Employer Instructions: Read the application

More information

APPLICATION FOR EMPLOYMENT CLARK COUNTY SHERIFF S OFFICE

APPLICATION FOR EMPLOYMENT CLARK COUNTY SHERIFF S OFFICE APPLICATION FOR EMPLOYMENT CLARK COUNTY SHERIFF S OFFICE PO Box 566 / 221 West 9th Avenue Ashland, Kansas 67831 Office: 620-635-2802 Fax: 620-635-2148 www. clarkcountysheriffks.com Dear Public Safety Applicant:

More information

PLYMOUTH POLICE DEPARTMENT POLICE OFFICER EMPLOYMENT POLICIES

PLYMOUTH POLICE DEPARTMENT POLICE OFFICER EMPLOYMENT POLICIES PLYMOUTH POLICE DEPARTMENT POLICE OFFICER EMPLOYMENT POLICIES REQUIREMENTS Must be a citizen of the United States of America Must be at least 21 and may not have reached your 36th birthday by date of appointment

More information

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR PRE-SERVICE TRAINING Return to: GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL P.O. Box 349 Clarkdale, Georgia 30111 FOREWORD

More information

PLEASE TYPE OR PRINT CLEARLY USING A PEN. Today s Date:

PLEASE TYPE OR PRINT CLEARLY USING A PEN. Today s Date: Name: Previous Name/s: Home Phone No: Work Phone No: E-mail: What class of Administrative Certificate do you hold? PLEASE TYPE OR PRINT CLEARLY USING A PEN Today s Date: If you do not possess an administrative

More information

PERSONAL INFORMATION

PERSONAL INFORMATION PERSONAL INFORMATION All Questions on Both Sides Of This Form Must Be Answered Date Soc. Sec. No. -- - - NAME (LAST) (FIRST) (MIDDLE) (Maiden, if applicable) STREET ADDRESS CITY AND STATE HOME TELEPHONE

More information

Scott Ellis CLERK OF THE CIRCUIT AND COUNTY COURTS BREVARD COUNTY, FLORIDA

Scott Ellis CLERK OF THE CIRCUIT AND COUNTY COURTS BREVARD COUNTY, FLORIDA Scott Ellis CLERK OF THE CIRCUIT AND COUNTY COURTS BREVARD COUNTY, FLORIDA APPLICATION TO UPDATE EMPLOYMENT STATUS AND/OR APPLICATION FOR EMPLOYMENT We are an equal opportunity employer dedicated to non-discrimination

More information

EMPLOYMENT PRE-SCREEN QUESTIONNAIRE

EMPLOYMENT PRE-SCREEN QUESTIONNAIRE POSITION TITLE: APPLICANT NAME: APPLICANT MAILING ADDRESS: CONTACT NUMBER: EMAIL: 1. Have you ever served in the Military? 2. What is your highest level of education? HS Diploma/GED 2 Year degree 4 Year

More information

KING AND QUEEN COUNTY

KING AND QUEEN COUNTY KING AND QUEEN COUNTY TREASURER S OFFICE DEPUTY 1 Applications are being accepted for the position of full-time Deputy 1 to work in the King and Queen County Treasurer s Office located in the King and

More information

Please print clearly as you fill out the application. Social Security #: Are you known by other names while previously employed?

Please print clearly as you fill out the application. Social Security #: Are you known by other names while previously employed? San Xavier District Tohono O'odham Nation Please print clearly as you fill out the application. Human Resources Office Only Date Received: Title of Position Desired: How did you learn about this vacancy:

More information

Danville Fire Department. Application Packet. Full-Time Paramedic / Firefighter

Danville Fire Department. Application Packet. Full-Time Paramedic / Firefighter Application Packet Full-Time Paramedic / Firefighter Applicant# Minimum Applicant Requirements 1. All applicants must have a High School Diploma or a GED at the time of application. 2. The applicant must

More information

Last Name: First Name: Middle Name: Street Address: City: State: Zip Code: Home Phone: Work Phone: Cell Phone: May We Call You at Work?

Last Name: First Name: Middle Name: Street Address: City: State: Zip Code: Home Phone: Work Phone: Cell Phone: May We Call You at Work? City of Walker 205 Minnesota Avenue West PO Box 207 Walker MN 56484 218-547-5501 Employment application We welcome you as an applicant to employment! The City of Walker is an equal opportunity employer

More information

WHITMAN COUNTY CIVIL SERVICE COMMISSION

WHITMAN COUNTY CIVIL SERVICE COMMISSION WHITMAN COUNTY CIVIL SERVICE COMMISSION In compliance with Federal and State equal employment opportunity guidelines, qualified applicants are considered for employment without regards to race, creed,

More information

CITY OF BRANDON POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT. ALL applicants MUST attach items 1, 2, 3, 4 I. PERSONAL HISTORY

CITY OF BRANDON POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT. ALL applicants MUST attach items 1, 2, 3, 4 I. PERSONAL HISTORY CITY OF BRANDON POLICE DEPARTMENT APPLICATION FOR EMPLOYMENT MAIL OR DELIVER TO: THE CITY OF BRANDON 1000 MUNICIPAL DRIVE P.O. BOX 1539 BRANDON, MS 39043 ATTN: PERSONNEL Date: Notice: Application MUST

More information

Education and Training

Education and Training Cherriots accepts applications only for specific available positions. This application is valid only for the following position: (list specific position applied for) If offered position, length of time

More information

Last Name First Middle Initial Maiden Name (if applicable)

Last Name First Middle Initial Maiden Name (if applicable) Application For Sheriff Deputy Employment PLEASE PRINT IN INK OR TYPE Marinette County Human Resources 1926 Hall Avenue Marinette, WI 54143-1717 Marinette County is an equal opportunity employer. All hiring,

More information

Juvenile Services Officer Application Information

Juvenile Services Officer Application Information JUVENILE SERVICES CENTER Danny L. Glick 13794 Prairie Center SHERIFF Cheyenne, WY 82009 Juvenile Services Officer Application Information IMPORTANT- Applicants should read through the application instructions

More information

Sentinel Transportation, LLC

Sentinel Transportation, LLC Sentinel Transportation, LLC 3521 Silverside Road Concord Plaza Quillen Building Suite 2A Wilmington, DE 19810 Application for Employment - CDL Holder Only - Instructions Please fill out completely leaving

More information

King and Queen County Treasurer 242 Allen s Circle, Suite H P O Box 98 King and Queen CH., VA (804) or (804)

King and Queen County Treasurer 242 Allen s Circle, Suite H P O Box 98 King and Queen CH., VA (804) or (804) King and Queen County Treasurer 242 Allen s Circle, Suite H P O Box 98 King and Queen CH., VA 23085 (804) 785-5978 or (804) 769-5004 APPLICATION FOR EMPLOYMENT Directions: Fill out this application in

More information

EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134

EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134 EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134 The following information will be used to determine the effectiveness of the

More information

Name: The Town of East Haven. Application for Employment. Position: Secretary II, Grade Level 10

Name:   The Town of East Haven. Application for Employment. Position: Secretary II, Grade Level 10 Name: Email: The Town of East Haven Application for Employment Position: Secretary II, Grade Level 10 Instructions: Read each question carefully. Answer every question. If the question does not apply to

More information

The Marion County Sheriff s Office

The Marion County Sheriff s Office The Marion County Sheriff s Office Application Position: (Circle all that apply) Deputy Sheriff Dispatcher Auxiliary Deputy Other Part time Full Time MARION COUNTY SHERIFF S OFFICE EMPLOYMENT OR AUXILIARY

More information

APPLICATION FOR EMPLOYMENT. Directions: Fill out this application in its entirety using blue or black ink.

APPLICATION FOR EMPLOYMENT. Directions: Fill out this application in its entirety using blue or black ink. King and Queen County Office of the Commissioner of the Revenue 242 Allen s Circle, Suite I P O Box 178 King and Queen CH., VA 23085 (804) 785-5976 or (804) 769-5002 APPLICATION FOR EMPLOYMENT Directions:

More information

VERMILLION COUNTY SHERIFF'S OFFICE

VERMILLION COUNTY SHERIFF'S OFFICE VERMILLION COUNTY SHERIFF'S OFFICE Michael R. Phelps - Sheriff 1888 S State Rd 63 - P.O. Box 130 Newport, IN 47966 (765) 492-3737 / 492-3838 (Fax) 492-5011 sheriff@vcsheriff.com Employment applications

More information

Firefighter Application Packet City of Texarkana, Texas

Firefighter Application Packet City of Texarkana, Texas Firefighter Application Packet City of Texarkana, Texas Fire Department Human Resources 220 Texas Blvd. PO Box 1967 Texarkana, TX 75503 Texarkana, TX 75504 (903) 798-3994 (903) 798-3916 Thank you for your

More information

APPLICATION FOR EMPLOYMENT The City of DeBary is an Equal Employment Opportunity Employer

APPLICATION FOR EMPLOYMENT The City of DeBary is an Equal Employment Opportunity Employer APPLICATION FOR EMPLOYMENT The City of DeBary is an Equal Employment Opportunity Employer APPLICANT S STATEMENT: I understand that the City of DeBary is committed to providing equal opportunity in all

More information

Colleton County Sheriff's Office Employment Application

Colleton County Sheriff's Office Employment Application Colleton County Sheriff's Office Employment Application On behalf of the Colleton County Sheriff's Office we would like to thank you for your interest in employment with our agency. The following is a

More information

Legislative Administration Office Only. Last First Middle Are you known by other names while previously employed? YES NO.

Legislative Administration Office Only. Last First Middle Are you known by other names while previously employed? YES NO. Tohono O odham Nation Legislative Branch P.O. Box 837 Sells, Arizona 85634 Phone: (520) 383-2470 (520) 383-5260 Fax: (520) 383-2479 Website: www.tolc-nsn.org Legislative Administration Office Only Date

More information

CITY OF LAKE MARY 100 N. COUNTRY CLUB RD MAILING ADDRESS: P. O. BOX LAKE MARY, FL PHONE

CITY OF LAKE MARY 100 N. COUNTRY CLUB RD MAILING ADDRESS: P. O. BOX LAKE MARY, FL PHONE Date - - S.S. # - - CITY OF LAKE MARY 100 N. COUNTRY CLUB RD MAILING ADDRESS: P. O. BOX 958445 LAKE MARY, FL 32795-8445 PHONE 407-585-1445 EMPLOYMENT APPLICATION This City is an Equal Opportunity Employer

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION Thank you for your interest in Estes Park Medical Center. The mission of the Estes Park Medical Center is to make a positive difference in the health and wellbeing of all we serve. VOLUNTEER APPLICATION

More information

7547 Main Street John R. Williams, Jr. Sykesville, Maryland Police

7547 Main Street John R. Williams, Jr. Sykesville, Maryland Police Sykesville Police Department 7547 Main Street John R. Williams, Jr. Sykesville, Maryland 21784 Chief of Police Phone: (410) 795-0757 EMPLOYMENT OPPORTUNITIES LATERAL POLICE OFFICERS Chief John R. Williams

More information

Application Packet Page: 1. Instructions:

Application Packet Page: 1. Instructions: Application Packet Page: 1 Instructions: This application packet, all 35 pages, must be printed and then filled out. Please read ALL of the instructions and fill the packet out COMPLETELY. Be sure that

More information

DIRECTIONS FOR COMPLETING APPLICATION

DIRECTIONS FOR COMPLETING APPLICATION DIRECTIONS FOR COMPLETING APPLICATION 1. Use BLACK INK PEN in OWN HANDWRITING---DO NOT TYPE. This is a competitive process; therefore applications will not be accepted, processed, or evaluated until completed.

More information

Application for Employment. Rockingham County Sheriff s Office 25 South Liberty Street Harrisonburg, VA (540)

Application for Employment. Rockingham County Sheriff s Office 25 South Liberty Street Harrisonburg, VA (540) Application for Employment Rockingham County Sheriff s Office 25 South Liberty Street Harrisonburg, VA 22801 (540) 564-3850 Please read carefully and understand fully the contents of this application before

More information

Carlisle Police Department Employment Application

Carlisle Police Department Employment Application Employment Application ADMINISTRATIVE ASSISTANT APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 WAIVER I, agree to submit to written, physical agility, physical,

More information

Citrus County Tax Collector s Office Application for Employment

Citrus County Tax Collector s Office Application for Employment Citrus County Tax Collector s Office Application for Employment We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose

More information

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume.

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. Applicant Information Position Applied For: Are you employed now? Yes (

More information

ELMORE COUNTY SHERIFF S OFFICE EMPLOYMENT APPLICATION FORM

ELMORE COUNTY SHERIFF S OFFICE EMPLOYMENT APPLICATION FORM ELMORE COUNTY SHERIFF S OFFICE EMPLOYMENT APPLICATION FORM Employing Agency: DATE: A. INSTRUCTIONS Application must be typewritten or printed legibly in ink. All questions must be answered. Applications

More information

LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY 9892 Murray Ridge Rd. Elyria, Ohio , (Fax)

LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY 9892 Murray Ridge Rd. Elyria, Ohio , (Fax) LORAIN/MEDINA COMMUNITY BASED CORRECTIONAL FACILITY 9892 Murray Ridge Rd. Elyria, Ohio 4405 440-281-9708, 440-281-971 (Fax) Application for Employment (Resumes must be attached to application) Date: Position

More information

SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET

SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET Dear Applicant, Thank you for your interest in the Milwaukee Ballet Summer Intensive Resident Assistant Position. Resumes will be collected until

More information

Volunteer Receptionists

Volunteer Receptionists Duties: The South Bay Fire Department, Thurston County FPD 8, is currently accepting applications for Volunteer Receptionists Welcome and direct visitors to the District Answer multi-line phone promptly

More information

Sumter County Sheriff s Office

Sumter County Sheriff s Office Sumter County Sheriff s Office Application for Employment Sheriff Anthony Dennis 1281 NORTH MAIN STREET SUMTER, SC 29153 P.O. Box 430 Sumter, SC 29151-0430 Sumter County Sheriff s Office Pre-employment

More information

Trumbull County Sheriff s Office. Sheriff Paul S. Monroe. 150 High Street. Warren, OH (330) Application for Employment

Trumbull County Sheriff s Office. Sheriff Paul S. Monroe. 150 High Street. Warren, OH (330) Application for Employment Trumbull County Sheriff s Office Sheriff Paul S. Monroe 150 High Street Warren, OH 44481 (330) 675-2508 Application for Employment The Trumbull County Sheriff s Office is an Equal Opportunity Employer.

More information

MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX Fax:

MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX Fax: MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX 79702 432-688-4100 Fax: 432-688-4952 APPLICATION FOR EMPLOYMENT PRINT NEATLY OR TYPE. Fill

More information

***DO NOT RETURN THIS SHEET WITH APPLICATION***

***DO NOT RETURN THIS SHEET WITH APPLICATION*** ***DO T RETURN THIS SHEET WITH APPLICATION*** City of Mayfield Heights Experienced Police Officer Entrance Exam Package 2017 Page 1 AD as it appears in Plain Dealer on Sunday April 23, 2017 City of Mayfield

More information

VALLEY COUNTY SHERIFF S OFFICE

VALLEY COUNTY SHERIFF S OFFICE VALLEY COUNTY SHERIFF S OFFICE SHERIFF PATTI BOLEN 107 W. SPRING STREET P.O. BOX 1350 CASCADE, ID 83611 208-382-7150 208-382-7170 fax Valley County Sheriff Hiring Standards Valley County strives to hire

More information

CHRISTIAN COUNTY SHERIFF S OFFICE CORRECTIONAL CENTER * CENTER 301 W. FRANKLIN STREET P. O. BOX 678 TAYLORVILLE, IL 62568

CHRISTIAN COUNTY SHERIFF S OFFICE CORRECTIONAL CENTER * CENTER 301 W. FRANKLIN STREET P. O. BOX 678 TAYLORVILLE, IL 62568 CHRISTIAN COUNTY SHERIFF S OFFICE CORRECTIONAL CENTER * 9-1-1 CENTER 301 W. FRANKLIN STREET P. O. BOX 678 TAYLORVILLE, IL 62568 SHERIFF BRUCE KETTELKAMP PHONE (217) 824-4961 CHIEF DEPUTY FAX (217) 824-4963

More information

LOS BANOS POLICE DEPARTMENT VITAL APPLICATION PACKET TH Street Los Banos, CA Telephone (209) Fax (209)

LOS BANOS POLICE DEPARTMENT VITAL APPLICATION PACKET TH Street Los Banos, CA Telephone (209) Fax (209) Thank you for your interest in becoming part of the Los Banos Police Department VITAL Volunteer Program. The VITAL Volunteer Program provides Los Banos residents the opportunity to provide input and have

More information

EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF

EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a

More information

Rockton Fire Protection District. Application for Membership

Rockton Fire Protection District. Application for Membership Rockton Fire Protection District Application for Membership 1 Rockton Fire Protection District Mission Statement The Rockton Fire Protection District is dedicated to protecting the lives and property of

More information

GENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168

GENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168 GENERAL APPLICATION FOR EMPLOYMENT Human Resources City of New Smyrna Beach 210 Sams Avenue New Smyrna Beach, Florida 32168 PLEASE PRINT OR TYPE Date of Application Position(s) Applied For The City of

More information

Plymouth County Sheriff s Department. Application and Personal History Statement. Application. Please Print Clearly

Plymouth County Sheriff s Department. Application and Personal History Statement. Application. Please Print Clearly Plymouth County Sheriff s Department Application and Personal History Statement Position applied for: Salary sought: Personal Application Please Print Clearly Date: Last: First: Middle: List your current

More information

EMPLOYMENT PRE-SCREEN QUESTIONNAIRE

EMPLOYMENT PRE-SCREEN QUESTIONNAIRE POSITION TITLE: APPLICANT NAME: APPLICANT MAILING ADDRESS: CONTACT NUMBER: EMAIL: 1. Have you ever served in the Military? 2. What is your highest level of education? HS Diploma/GED 2 Year degree 4 Year

More information

EMPLOYMENT APPLICATION & INSTRUCTIONS

EMPLOYMENT APPLICATION & INSTRUCTIONS EMPLOYMENT APPLICATION & INSTRUCTIONS An Equal Opportunity Employer Lander County Sheriff s Office P.O. Box 1625, Battle Mountain, NV 89820 (775) 635-1100 ~~ FAX (775) 635-2577 If you believe you require

More information

RANDOLPH COUNTY SHERIFF S OFFICE. Sheriff Eddie L. Fairbanks APPLICANT'S BOOKLET

RANDOLPH COUNTY SHERIFF S OFFICE. Sheriff Eddie L. Fairbanks APPLICANT'S BOOKLET RANDOLPH COUNTY SHERIFF S OFFICE Sheriff Eddie L. Fairbanks APPLICANT'S BOOKLET 1 of 12 NDOLPH COUN RANDOLPH COUNTY SHERIFF'S OFFICE 216 Recreation Camp Road Cuthbert, GA 39840 SHERIFF EDDIE L. FAIRBANKS

More information

(City) (State) (Zip Code) (Evening) Are you legally authorized to work in the United States? Yes. No If yes, who? EMPLOYMENT DESIRED

(City) (State) (Zip Code) (Evening) Are you legally authorized to work in the United States? Yes. No If yes, who? EMPLOYMENT DESIRED The Future is Riding on Ajax: APPLICATION FOR EMPLOYMENT We are an equal opportunity employer and will not unlawfully discriminate against an employee or applicant on the basis of race, sex, color, religion,

More information

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL

GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR CERTIFICATION This application complies with the requirements of O.C.G.A. 35-8-7.1, 35-8- 8, and 35-8-10. Failure to complete all portions

More information

Yamhill County Sheriff s Office

Yamhill County Sheriff s Office Excellence In Service Yamhill County Sheriff s Office Sheriff Tim Svenson 535 NE 5 th Street, Room 143, McMinnville, Oregon 97128-4595 Business Office: (503) 434-7506 Fax: (503) 472-5330 Jail: (503) 434-7507

More information

MERCER COUNTY SHERIFF S OFFICE CITIZEN S ACADEMY APPLICATION

MERCER COUNTY SHERIFF S OFFICE CITIZEN S ACADEMY APPLICATION MERCER COUNTY SHERIFF S OFFICE CITIZEN S ACADEMY APPLICATION Mercer County Sheriff's Office 4835 State Route 29 Celina, OH 45822 8216 Telephone: 419-586-7724 Fax: 419-586-2234 JEFF GREY SHERIFF JODIE LANGE

More information

Application for Employment. Page 1 07/18

Application for Employment. Page 1 07/18 Application for Employment Page 1 Dear Applicant, Thank you for expressing interest in the Washington State University Cougar Security Program. The following outline should help you understand the program,

More information

Candidates failing to include ALL required documentation will be disqualified.

Candidates failing to include ALL required documentation will be disqualified. To All Police Officer Candidates: Thank you for your interest in employment with the City of South St. Paul! We anticipate hiring two officers immediately with additional opening(s) occurring during the

More information

ALAMEDA COUNTY EMPLOYMENT APPLICATION

ALAMEDA COUNTY EMPLOYMENT APPLICATION ALAMEDA COUNTY EMPLOYMENT APPLICATION An Equal Opportunity/Affirmative Action Employer Human Resource Services Department 1405 Lakeside Drive, Oakland, California 94612-4305 (510) 272-6442 or (510) 272-6443

More information

CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST

CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST Be a U.S. Citizen. To apply you must: Have never been convicted of a felony (unless pardoned) Ability to lawfully possess a firearm Prior to appointment

More information

ALLEGAN COUNTY SHERIFF S OFFICE/JAIL WORK RELEASE PROGRAM

ALLEGAN COUNTY SHERIFF S OFFICE/JAIL WORK RELEASE PROGRAM ALLEGAN COUNTY SHERIFF S OFFICE/JAIL WORK RELEASE PROGRAM All applicants will be required to wear a GPS tether at all times while on work release. These tethers will be monitored daily for violations and

More information

TRAVIS COUNTY EMERGENCY SERVICES DISTRICT #4 FIRE AND EMT ACADEMY CADET CLASS XV APPLICATION

TRAVIS COUNTY EMERGENCY SERVICES DISTRICT #4 FIRE AND EMT ACADEMY CADET CLASS XV APPLICATION TRAVIS COUNTY EMERGENCY SERVICES DISTRICT #4 FIRE AND EMT ACADEMY CADET CLASS XV APPLICATION 11800 North Lamar #4B Austin, Texas 78753 (512) 836-7566 Office Hours 8:00am - 4:00pm READ ALL OF THE MINIMUM

More information

EMPLOYMENT APPLICATION FOR DEPUTY GRANT COUNTY SHERIFF S DEPARTMENT

EMPLOYMENT APPLICATION FOR DEPUTY GRANT COUNTY SHERIFF S DEPARTMENT Job Specific Application Packet DEPUTY Grant County Sheriff s Office EMPLOYMENT APPLICATION FOR DEPUTY GRANT COUNTY SHERIFF S DEPARTMENT Name Date Phone Number E-mail Address READ the following information

More information

GLOUCESTER COUNTY JOB TITLE: DEPUTY SHERIFF (CORRECTIONS) - PQ# 1505 SHERIFF'S DEPARTMENT GENERAL STATEMENT OF JOB

GLOUCESTER COUNTY JOB TITLE: DEPUTY SHERIFF (CORRECTIONS) - PQ# 1505 SHERIFF'S DEPARTMENT GENERAL STATEMENT OF JOB GLOUCESTER COUNTY JOB DESCRIPTION JOB TITLE: DEPUTY SHERIFF (CORRECTIONS) - PQ# 1505 SHERIFF'S DEPARTMENT GENERAL STATEMENT OF JOB Acts as sworn Law Enforcement Officer who has the duty and obligation

More information

POLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998)

POLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998) POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 1/26/1998) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of

More information

Reserve Firefighter Application Packet Level II Post Interview Questionnaire

Reserve Firefighter Application Packet Level II Post Interview Questionnaire AN EQUAL OPPORTUNITY EMPLOYER Reserve Firefighter Application Packet Level II Post Interview Questionnaire Job Requisition #: Date: Please type or print in black ink. Complete all items. Incomplete or

More information

POLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011)

POLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011) POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 12/13/2011) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of

More information

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Application for Employment as a Probationary Police Officer Instructions: Before completing this form, carefully read

More information

SHERIFF A. LANE CRIBB

SHERIFF A. LANE CRIBB SHERIFF A. LANE CRIBB GEORGETOWN COUNTY SHERIFF S OFFICE APPLICANT DISQUALIFIERS You are applying for a position with the Georgetown County Sheriff s Office. It is the Policy of the Sheriff s Office to

More information

Town of Billerica Police Department 6 Good Street Billerica, Ma (978) Fax (978)

Town of Billerica Police Department 6 Good Street Billerica, Ma (978) Fax (978) Town of Billerica Police Department 6 Good Street Billerica, Ma 01821 (978) 671-0900 Fax (978) 663-2392 www.billericapolice.org BILLERICA POLICE DEPARTMENT POLICE CANDIDATE APPLICATION FOR EMPLOYMENT In

More information

YATES COUNTY PERSONNEL DEPARTMENT

YATES COUNTY PERSONNEL DEPARTMENT Yates County is an Equal Opportunity Employer. Yates County does not unlawfully discriminate in employment because of age, race, creed, color, national origin, sex, sexual orientation, disability, marital

More information

APPLICATION FOR VOLUNTEERISM

APPLICATION FOR VOLUNTEERISM APPLICATION FOR VOLUNTEERISM Carolinas HealthCare System Blue Ridge ensures all applicants equal opportunity and consideration for volunteerism and does not discriminate on the basis of age, race, color,

More information