Criminal Justice Selection Center
|
|
- Susanna Joseph
- 6 years ago
- Views:
Transcription
1 Criminal Justice Selection Center Thank you for your interest in the Florida Department of Law Enforcement (FDLE) Equivalency of Training Evaluation process for Out of State and Federal Officers. A person who was certified as a law enforcement or corrections officer in another state, federal agency or military and desires to become Florida certified may opt to (1) take the full basic recruit training program, or (2) undergo an evaluation to request an exemption from the FDLE Criminal Justice Standards and Training Commission (CJSTC) for comparable courses completed in another state's Basic Training Program. To qualify, you must have served one year as a full-time sworn officer with arrest powers in the last 8 years. Qualifying employment cannot include time spent in an academy, even if you were receiving pay while attending. There cannot be more than an 8-year gap from the end of your most recent qualifying employment to the submission of your complete EOT Application. How to Apply: Step 1. APPLICATION, BACKGROUND INVESTIGATION WAIVER, AND EMPLOYMENT VERIFICATION Complete and have the application and the FDLE CJSCT Form 58 Authority for Release of Information (Background Investigation Waiver) notarized. We need this form to verify your training and employment. You must submit a letter from your commanding officer or human resources department on official agency/department letterhead, stating your full, legal name, sworn position title, social security number, and dates of your employment. The person who signs the letter must give his/her title, rank, and daytime phone number. This person must be authorized to provide verifications for training or employment. Step 2. TRAINING CURRICULUM Please provide a description of all courses including a course syllabus, from your police academy basic recruit curriculum, an official transcript fully noting courses and credit hours, and certificates of completion, which must include all the ones listed below. Military Officers must send the Official DD214 and VMET or AARTS. Law Enforcement Comparable Training Corrections Comparable Training Legal Legal Communications Communications Human Issues Officer Safety Patrol Facility and Equipment Criminal Investigations Intake and Release Traffic Stops Supervising in a Correctional Facility Traffic Crash Investigations Supervising Special Populations Vehicle Operations Responding to Incidents and Emergencies First Aid or Equivalent First Aid or Equivalent Firearms Firearms Defensive Tactics Defensive Tactics Also send us documentation of any specialized criminal justice training you have received and transcripts of any college credits relating to criminal justice that you may have earned. Note: In Service or Career Development Courses may be substituted for comparable training not obtained in your basic recruit training. Criminal Justice Emergency Medical Services 3737 N.E. 39 th Avenue Gainesville, FL Office Fax
2 Step 3. FEE (NON-REFUNDABLE) $200 Out of State & Federal Applicants Military Police $50.00 Enclose with your application a money order only, made out to Santa Fe College. Please write your name and social security number clearly on the money order and send to: SFC Criminal Justice Selection Center 3737 N.E. 39th Avenue Gainesville, Florida Please note: Allow 6 to 8 weeks for the evaluation step. All information provided by applicants is subject to verification by investigators. If, after reviewing all of the enclosed material, you need any additional information or assistance, please do not hesitate to write or call us. WHAT COMES NEXT If an exemption is granted, an applicant must still demonstrate proficiency in high liability skills and pass the State of Florida Certification Examination (SOCE) for Law Enforcement or Correctional Officers. The high liability skills are firearms, defensive tactics, first responder and driving. You must complete each portion before progressing to the next. (We also offer the EOT Proficiency Class, check Academy News on our webpage for scheduled dates. ) After your evaluation is completed, we will send you the approved CJSTC-76. You will then have one year from the date you receive that form to demonstrate your proficiency in the high liability subjects required for your discipline (law enforcement or corrections) and pass the State Officer Certification Examination (SOCE). Your Form 76 will not be activated until you sign and return the verification of delivery form attached to your letter. We highly recommend that you also consider taking an examination preparation or review course in conjunction with proficiency demonstration, particularly if you are an out of state or federal applicant. NOTICE As you are interested in seeking certification, we assume that you also intend to seek employment. Please be aware that the State of Florida has additional requirements you must meet to be employed as an officer: Be at least 19 years of age. Be a citizen of the United States. Be a high school graduate or its equivalent. Not have been convicted of any felony, or of a misdemeanor involving fraud, perjury or domestic violence. Any person who, after July 1, 1981, pleads guilty or nolo contendere to or is found guilty of a felony, or of a misdemeanor involving perjury or a false statement, shall not be eligible for employment or appointment as an officer, notwithstanding suspension of sentence or withholding of adjudication. Never have received a dishonorable discharge from any of the Armed Forces of the United States. Have been fingerprinted by the employing agency. Have passed a physical examination by a licensed physician. Have good moral character. Successfully complete a background investigation. Complete basic recruit training (or Equivalency of Training). Pass the Florida State Officer Certification Examination (SOCE). Comply with continuing training or education requirements. In addition to the above, many agencies have specific standards related to driving history, prior drug use, your conduct while an officer, etc. All of these areas will be covered by a thorough background investigation that is NOT a part of this EOT Evaluation. If you have any questions about such standards or your ability to meet them, please contact the agency(s) where you intend to seek employment.
3 Equivalency of Training (EOT) Application Please read the accompanying two pages of instructions before you complete this application. You must also attach FDLE Form CJSTC 58 Authority For Release of Information (A) Personal information of the person who is applying: Name: (Full-Last) (Full-First) (Full-Middle) Social Security Number: - - Date of Birth: Race: Gender: Mailing address: City: State: Zip: Phone: ( ) - FAX: ( ) - address: (B) Please check one. I am seeking Equivalency of Training status as a: (C) Law Enforcement Officer Corrections Officer My qualifying full time employment as a law enforcement or corrections officer was with the following agency: 1) Full Agency Name: Mailing Address: Website / Zip: I was employed from to as MM/DD/YYYY MM/DD/YYYY (Position Title) If a second employer must be used to establish a cumulative one-year of full-time employment within an eighteen-month period, please complete the following: 2) Full Agency Name: Mailing Address: Website / Zip: I was employed from to as MM/DD/YYYY MM/DD/YYYY (Position Title)
4 (D) Basic Training. I obtained my qualifying training in the subjects required for a law enforcement or corrections officer at the following institution(s): 1) Full Name of the Institution: Mailing Address: Zip: Class Number (if applicable) Website / Course Title: Dates Attended: to (E) (F) MM/DD/YYYY MM/DD/YYYY 2) Full Name of the Institution: Mailing Address: Zip: Class Number (if applicable) Website / Course Title: Dates Attended: to MM/DD/YYYY MM/DD/YYYY Have you ever applied for Equivalency of Training anywhere else in Florida? No YES If YES, name the agency to which you applied: Applicant s Signature and Acknowledgments I, the undersigned, hereby swear or affirm the following: (1) All the information I have provided in this application is true and correct. (2) I am claiming eligibility for the Equivalency of Training path to certification as a law enforcement or corrections officer in Florida because I meet all the basic training and full-time employment requirements. (3) I understand that an investigator will verify the information in this application and any omission or falsification of a material fact will result in rejection of this application, and may prevent my future certification or employment as a law enforcement or corrections officer in Florida. (4) I understand that there are other legal requirements in Florida Statutes, and the rules established by the Florida Criminal Justice Standards and Training Commission (CJSTC), related to proficiency demonstration, examination, citizenship, high school education, criminal history, character of military discharge, and moral character, etc. which must be established in a full background investigation by a hiring agency prior to my certification or employment as a law enforcement or corrections officer in Florida. Signature of Applicant AFFIDAVIT State of County of Before me personally appeared who says that he/she executed the above instrument of his/her own free will and accord, with full knowledge of the purpose therefore. Sworn to and subscribed before me this day of, 20. Personally known -or- Produced the following identification:. My Commissions expires on, 20. Seal Signature
5
Criminal Justice Institute 4200 Congress Avenue, MS-36 Lake Worth, FL office
Exemption from Training (EFT) Evaluation Instructions and Application for Out-of-State or Federal Certified Law Enforcement or Correction Officers Law Enforcement or correctional officers from another
More informationCITY OF COCONUT CREEK JOB DESCRIPTION
JOB TITLE: DEPARTMENT: FLSA STATUS: School Resource Officer Police Non-Exempt GENERAL PURPOSE: Performs a wide variety of police and law enforcement activities specifically related to the school environment
More informationEMPLOYMENT 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 informationEmployee Registration Information
Employee Registration Information The licensee (employer) must submit the application on behalf of every employee hired to work as a private detective or armed security guard, even if the employee has
More informationApplication Instructions for: Police Officer
Application Instructions for: Police Officer Mailing Instructions: Employee Resources Personnel and Development Bureau Tallahassee Police Department 234 East Seventh Avenue Tallahassee, FL 32303 (850)
More informationUPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSSO)
UPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSSO) FOR OFFICE USE ONLY EFFECTIVE 12-2016 EXPIRES PROCESSED BY NOTICE: Information
More informationFlorida Department of Corrections CORRECTIONAL PROBATION OFFICER SUPPLEMENTAL APPLICATION
Florida Department of Corrections CORRECTIONAL PROBATION OFFICER SUPPLEMENTAL APPLICATION Applicant's Name: Social Security #: Date of Birth: / / Race/Ethnicity: Gender: Female Male Your legal name, social
More informationCertified Police Officer
CITY OF AVENTURA invites applications for the position of: Certified Police Officer OPENING DATE: 12/07/15 CLOSING DATE: Continuous DESCRIPTION: SALARY: $55,956.51 - $85,566.81 Annually Performs police
More informationCOMMISSIONED SECURITY OFFICER APPLICATION
COMMISSIONED SECURITY OFFICER APPLICATION FOR OFFICE USE ONLY EFFECTIVE 12-2016 EXPIRES PROCESSED BY NOTICE: Information contained on this application is considered a public record and may be released
More informationINDIAN RIVER STATE COLLEGE
INDIAN RIVER STATE COLLEGE Criminal Justice Institute Region XI Selection Center Policy and Procedure Manual Evan Berry Assistant Dean of Public Service Education Lee Spector, Ed.D. Director, Criminal
More informationGEORGIA 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 informationBasic Law Enforcement Phase One Application Packet
NORTHEAST FLORIDA CRIMINAL JUSTICE CENTER Basic Law Enforcement Phase One Application Packet Rick Lewis Director of Law Enforcement Training Building trust through service Revised 09/19/17 Academy Admission
More informationProposed Rules. of the. Tennessee Peace Officer Standards and Training Commission
Proposed Rules of the Tennessee Peace Officer Standards and Training Commission Presented herein are proposed rules and amendments of the Tennessee Peace Officer Standards and Training Commission submitted
More informationUPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSS0)
UPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSS0) FOR OFFICE USE ONLY EFFECTIVE 8-2015 EXPIRES PROCESSED BY NOTICE: Information
More informationDEPUTY SHERIFF JOB EXPECTATIONS
TAYLOR COUNTY SHERIFF S OFFICE WAYNE PADGETT 108 NORTH JEFFERSON STREET, SUITE 103 PERRY, FL 32347 850-584-4225 DEPUTY SHERIFF JOB EXPECTATIONS This page serves to provide applicants a clear understanding
More informationEMPLOYMENT 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 informationAPPLICATION CHECKLIST IMPORTANT
State of Florida Department of Business and Professional Regulation Division of Professions: Talent Agencies Application for Change of Owner or Operator Form # DBPR TA-2 APPLICATION CHECKLIST IMPORTANT
More informationPublic Safety Telecommunicator Class REGISTRATION FORM
Plea s e Visit U s On The W eb To Print Co u po n s Th at S a ve Yo u E ven More Money$ On Th e B est Ho m e I mp ro v ement Ser vices Atl anta! SOUTHEASTERN NEW MEXICO LAW ENFORCEMENT ACADEMY #1 Thunderbird
More informationHillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax:
Application For Reserve Responder Full Name: Last First M.I. Date Submitted: Street Address Apartment/Unit # City State ZIP Code Email Name As It Appears On Driver s License: Driver s License #: State
More informationGEORGIA 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 informationEMPLOYMENT 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 informationCITY 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 informationU. S. ARMY QUALIFIED LAW ENFORCEMENT OFFICERS SAFETY ACT APPLICATION PART 1 LAW ENFORCEMENT OFFICERS SAFETY ACT APPLICATION NOTICE
PART 1 LAW ENFORCEMENT OFFICERS SAFETY ACT APPLICATION NOTICE In order for Defense Consulting Services (DCS) to process your application, the following Personally Identifiable Information (PII) and Sensitive
More informationSTATE CERTIFICATION APPLICATION
GEORGIA FIREFIGHTER STANDARDS AND TRAINING COUNCIL STATE CERTIFICATION APPLICATION Candidate Name GFSTC ID# TO BE MAINTAINED LOCALLY BY FIRE DEPARTMENT/AGENCY AND AVAILABLE FORE REVIEW BY GFSTC STAFF O.C.G.A.
More informationDEFENSE CONSULTING SERVICES, LLC DCS Operations Center IH 10 W San Antonio TX 78249
PART 1 Law Enforcement Officers Safety Act Application Notice In order for Defense Consulting Services (DCS) to process your application the following Personally Identifiable Information (PII) and Sensitive
More informationYOU MUST FULLY COMPLETE THE APPLICATION AND SUBMIT ALL REQUIRED CERTIFICATIONS STATED IN THE APPLICATION PROCESS.
FORT MYERS BEACH FIRE DEPARTMENT APPLICATION FOR EMPLOYMENT SUBMIT FORM (PLEASE PRINT CLEARLY) DATE: 20 YOU MUST FULLY COMPLETE THE APPLICATION AND SUBMIT ALL REQUIRED CERTIFICATIONS STATED IN THE APPLICATION
More informationVOLUNTEER FIREFIGHTER APPLICATION
GEORGIA FIREFIGHTER STANDARDS AND TRAINING COUNCIL VOLUNTEER FIREFIGHTER APPLICATION Candidate Name GFSTC ID# TO BE MAINTAINED LOCALLY BY FIRE DEPARTMENT/AGENCY AND AVAILABLE FORE REVIEW BY GFSTC STAFF
More informationRESERVE DEPUTY SHERIFF APPLICATION WHAT IS A RESERVE DEPUTY SHERIFF?
RESERVE DEPUTY SHERIFF APPLICATION Qualifications to Join the Oklahoma County Reserve Deputy Program include: Be a U.S. Citizen; Be at least 21 years of age at the time of appointment; Be a high school
More informationMissouri Sheriffs Association Training Academy APPLICATION
Location of Training Missouri Sheriffs Association Training Academy APPLICATION [ Please print all requested information legibly in black ink ] Date Social Security Number Age Date of Birth A. NAME Last
More informationMelbourne 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 informationMAINE STATE BOARD OF NURSING
MAINE STATE BOARD OF NURSING 158 STATE HOUSE STATION 161 CAPITOL STREET AUGUSTA, MAINE 04333-0158 (207) 287-1138 APPLICATION FOR LICENSE AS A REGISTERED PROFESSIONAL NURSE BY ENDORSEMENT DO NOT WRITE IN
More information***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 informationSTATE OF KANSAS OFFICE OF THE ATTORNEY GENERAL Through the KANSAS BUREAU OF INVESTIGATION INSTRUCTIONS
Please read and be familiar with: STATE OF KANSAS OFFICE OF THE ATTORNEY GENERAL Through the KANSAS BUREAU OF INVESTIGATION INSTRUCTIONS Application for Certification as Firearm Trainer Criminal use of
More informationNORTH CAROLINA MARRIAGE AND FAMILY THERAPY LICENSURE BOARD
NORTH CAROLINA MARRIAGE AND FAMILY THERAPY LICENSURE BOARD Mailing Address: Post Office Box 5549, Cary, NC 27512 Phone: (919) 469-8081 Fax: (919) 336-5156 Email: ncmftlb@nc.rr.com Web: www.nclmft.org APPLICATION
More informationUSE THIS APPLICATION FOR: BASIC LAW ENFORCEMENT TRAINING BASIC CORRECTIONAL OFFICER TRAINING
USE THIS APPLICATION FOR: BASIC LAW ENFORCEMENT TRAINING BASIC CORRECTIONAL OFFICER TRAINING Florida Gateway College pledges nondiscrimination, equal access, equal education opportunity and equal employment
More informationREVISED 05/12 STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA
Email st-socialwork@pa.gov STATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL COUNSELORS P.O. BOX 2649 HARRISBURG, PA 17105-2649 APPLICATION FOR A LICENSE BY EXAMINATION TO
More informationDiocese of St. Augustine
Diocese of St. Augustine Office of Catholic Education 11625 Old St. Augustine Road Jacksonville, FL 32258 (Tel) 904-262-0668 (Fax) 904-596-1042 Email, fax, or mail application to the school APPLICATION
More informationUSE THIS APPLICATION FOR: BASIC LAW ENFORCEMENT TRAINING BASIC CORRECTIONAL OFFICER TRAINING
USE THIS APPLICATION FOR: BASIC LAW ENFORCEMENT TRAINING BASIC CORRECTIONAL OFFICER TRAINING Florida Gateway College pledges nondiscrimination, equal access, equal education opportunity and equal employment
More informationApplication Correctional Officer Candidate
Application Correctional Officer Candidate Gulf Coast State College Criminal Justice Training Academy North Bay Campus 700 Hwy 2300 Southport, Florida 32409 850-747-3233 REQUIREMENTS FOR CORRECTIONAL OFFICER
More informationApplication for Temporary Authorization Original OR Renewal (Instructional)
FORM 38 (Revised 1/02) PART I - Received by County PART II - PERSONAL STATEMENT OF APPLICANT PLEASE TYPE OR PRINT IN INK. Application for Original OR Renewal (Instructional) WV DEPARTMENT OF EDUCATION
More informationAPPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing.
1 of 11 State of Florida Department of Business and Professional Regulation Building Code Administrators and Inspectors Board Application for Authorization to Take the Principles and Practice Examination
More informationVERMILLION 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 informationThis is a Legal Document. By completing and signing, this you certify under
APPLICATION FOR WYOMING NURSING ASSISTANT CERTIFICATION BY ENDORSEMENT, DEEMING, or RECERTIFICATION All certificates expire December 31 of every EVEN year This is a Legal Document. By completing and signing,
More informationMISSISSIPPI DEPARTMENT OF PUBLIC SAFETY SECURITY GUARD PERMIT APPLICATION
MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY SECURITY GUARD PERMIT APPLICATION SECURITY GUARD GUN PERMIT INSTRUCTIONS FIRST TIME AND RENEWAL 1. Complete the First time/renewal application for a Security Guard
More informationTown 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 informationMERCER 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 informationSHERIFF LARRY CAMPBELL LEON COUNTY SHERIFF S OFFICE P.O. BOX 727 TALLAHASSEE, FL
SHERIFF LARRY CAMPBELL LEON COUNTY SHERIFF S OFFICE P.O. BOX 727 TALLAHASSEE, FL 32302-0727 Human Resources: (850) 922-3507 Fax Line: (850) 922-5636 Date Received: DEPUTY SHERIFF APPLICATION AND JOB EXPECTATIONS
More informationWHITMAN 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 informationAPPLICATION FOR RECIPROCAL LICENSE NURSING HOME ADMINISTRATOR
APPLICATION FOR RECIPROCAL LICENSE NURSING HOME ADMINISTRATOR WEST VIRGINIA NURSING HOME ADMINISTRATORS LICENSING BOARD P. O. BOX 522 WINFIELD, WV 25213 Physical Address: 13049 Winfield Rd. Winfield, WV
More informationOFFICE OF MEMBERSHIP COMMITTEE
Dear Prospective Member, Thank you for your interest in becoming a member of the Mohegan Volunteer Fire Association (MVFA). Few jobs offer you the opportunity to save a life, but as a volunteer firefighter
More informationGLYNN 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 informationAPPLICATION NORTH RIDGEVILLE CIVIL SERVICE EXAMINATION (FIREFIGHTER)
FOR ADMINISTRATIVE USE ONLY Money Order: Written: Date and Time Received Received: EXTRA CREDIT: Agility: Military DD214 Total Score: Valid College Transcript Extra Credit: Valid & Current FFII/EMT Cert.
More informationEmployee Statement and Security Guard Application FEE $36
FOR OFFICE USE ONLY CASH#: UID: PREV. UID: CLASS: CODE: New York State Department of State Division of Licensing Services P.O. Box 22052 Albany, NY 12201-2052 Customer Service: (518) 474-7569 www.dos.ny.gov
More informationURBANDALE POLICE DEPARTMENT APPLICATION FOR INTERNSHIP
The Urbandale Police Department is committed to developing partnerships not only within the community of Urbandale, but also those surrounding the City. The Internship Program, which is a joint effort
More informationTRAVIS 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 informationFIREARMS TRAINING COURSE REQUIREMENTS TO OBTAIN A FIREARMS QUALIFICATION CARD
FIREARMS TRAINING COURSE REQUIREMENTS TO OBTAIN A FIREARMS QUALIFICATION CARD The California Private Security Industry is governed by laws enacted by the California Legislature and contained in the California
More informationAPPLICATION 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 informationReserve 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 informationINSTRUCTIONS FOR REINSTATEMENT, REACTIVATION AND RESUMPTION OF PRACTICE APPLICATION OF A NEW JERSEY LICENSE
Division of Consum er Affairs State Board of Professional Engineers and Land Surveyors rd 124 Halsey Street, 3 Floor, Newark, NJ 07102 www.njconsumeraffairs.gov (973) 504-6460 INSTRUCTIONS FOR REINSTATEMENT,
More informationCarlisle 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 informationAPPLICATION FOR ADMINISTRATOR-IN-TRAINING NURSING HOME ADMINISTRATOR. (Please type or print; Answer all questions in full)
APPLICATION FOR ADMINISTRATOR-IN-TRAINING NURSING HOME ADMINISTRATOR (Please type or print; Answer all questions in full) West Virginia Nursing Home Administrators Licensing Board P. O. Box 522 Winfield,
More informationQuakertown Fire Company, Pittstown, NJ. Franklin Township Fire District No. 1 of Hunterdon County
Quakertown Fire Company, Pittstown, NJ Application for Active Membership Franklin Township Fire District No. 1 of Hunterdon County Release and Consent Form authorizing the Franklin Township Fire District
More informationMAINE STATE BOARD OF NURSING
MAINE STATE BOARD OF NURSING 158 STATE HOUSE STATION 161 CAPITOL STREET AUGUSTA, MAINE 04333-0158 (207) 287-1138 APPLICATION FOR LICENSE AS A CERTIFIED REGISTERED NURSE ANESTHETIST Application Received
More informationDeputy Sheriff Trainee (Sponsorship)
Deputy Sheriff Trainee (Sponsorship) Position Sought: Applicant Name: Last First Middle Applicant Address: House Number Street Name City State Zip Code Applicant Phone Number: ( ) Applicant Email Address:
More informationPOLICY 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 informationSPEECH-LANGUAGE PATHOLOGY ASSISTANT (SLPA) REQUIREMENTS AND INSTRUCTIONS
South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Examiners in Speech-Language Pathology and Audiology 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC
More informationPolicy S-2 FLORIDA STATE UNIVERSITY COLLEGE OF NURSING Page 1 of 2 TITLE: CRIMINAL BACKGROUND CHECK
Policy S-2 FLORIDA STATE UNIVERSITY COLLEGE OF NURSING Page 1 of 2 TITLE: POLICY: CRIMINAL BACKGROUND CHECK The College of Nursing requires all students to have a Criminal Background Check on file at the
More informationPLYMOUTH 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 informationPERSONNEL SERVICES Form 4120 APPLICATION FOR A CERTIFICATED POSITION
PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff APPLICATION FOR A CERTIFICATED POSITION The School District considers applicants for all positions without regard to
More informationJefferson 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 informationAMHERST 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 informationCertified 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 informationSouthwest Florida Public Service Academy 4312 E. Michigan Ave. Ft. Myers FL Tel: (239) Fax: (239)
Southwest Florida Public Service Academy 4312 E. Michigan Ave. Ft. Myers FL 33905 Tel: (239) 334-3897 Fax: (239) 334-8794 Todd Everly, Director Robert Martin III, Corrections Coordinator Jack Thomson,
More informationEMPLOYMENT 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 informationYATES 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 informationMAINE STATE BOARD OF NURSING
MAINE STATE BOARD OF NURSING 158 STATE HOUSE STATION 161 CAPITOL STREET AUGUSTA, MAINE 04333-0158 (207) 287-1138 APPLICATION FOR LICENSE AS A CERTIFIED NURSE-MIDWIFE Application Received Fee: CC Cash Check
More informationSECTION A PERSONAL INFORMATION
Emergency Medical Services Provider Certification Application (Please print legibly) SECTION A PERSONAL INFORMATION Last Name First Name Middle Initial Suffix (Jr, Sr, II, III) Mailing Address City State
More informationThis is a Legal Document. By completing and signing this, you certify under
APPLICATION FOR WYOMING REGISTERED NURSE LICENSURE with ADVANCE PRACTICE RECOGNITION (APRN) *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this,
More information***DO NOT RETURN THIS SHEET WITH APPLICATION*** Mayfield Heights Civil Service Commission Firefighter/Paramedic Exam Application Page 1
***DO T RETURN THIS SHEET WITH APPLICATION*** Mayfield Heights Civil Service Commission Firefighter/Paramedic Exam Application Page 1 AD as it appears in Sunday, April 3, 2017 Plain Dealer. Ad is also
More informationPOLICY 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 informationPennsylvania Certification by Endorsement
Pennsylvania Certification by Endorsement Thank you for your interest in obtaining Pennsylvania EMS Certification by Endorsement. This is the process whereby a person certified by another state other than
More informationWashington 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 informationWASHINGTON STATE CONTINUING EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS
WASHINGTON STATE CONTINUING EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS School Nurse, School Occupational Therapist, School Physical Therapist, School Social Worker, School Speech Language Pathologist
More informationPLEASE 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 informationRANDOLPH 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 informationMatlacha/Pine Island Fire Control District 5700 Pine Island Road Bokeelia, FL APPLICATION FOR EMPLOYMENT
Position(s) Applied For Matlacha/Pine Island Fire Control District 5700 Pine Island Road Bokeelia, FL 33922 APPLICATION FOR EMPLOYMENT Date of Application PERSONAL INFORMATION Last Name First Name Middle
More informationA $ application fee in the form of a money order made payable to LSBN must accompany this form.
OFFICE USE ONLY: APPROVED BY (initial) DATE PERMIT ISSUED RN LICENSE NUMBER DATE RN LICENSE ISSUED ATTACH 2 X 2 PHOTO With tape only - Attach a 2 x 2 inch passport type, fade-proof photo taken in the last
More informationWaccamaw Economic Opportunity Council, Inc Highway 501 East, Suite B, Conway, SC 29526
Waccamaw Economic Opportunity Council, Inc. 1261 Highway 501 East, Suite B, Conway, SC 29526 The Community Action Agency serving Horry, Georgetown and Williamsburg Counties EMPLOYMENT APPLICATION (WE ARE
More informationCITY 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 informationNURSING HOME ADMINISTRATOR REQUIREMENTS AND INSTRUCTIONS
South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone:
More informationWeisenberg Volunteer Fire Department P.O. Box 51 Kutztown, PA 19530
Weisenberg Volunteer Fire Department P.O. Box 51 Kutztown, PA 19530 Welcome potential firefighters! In order to maintain a high quality department, all personnel are reviewed by a membership committee
More informationSARATOGA SPRINGS PUBLIC LIBRARY 49 Henry Street, Saratoga Springs, NY (518) Fax: (518)
SARATOGA SPRINGS PUBLIC LIBRARY 49 Henry Street, Saratoga Springs, NY 12866-3271 (518) 584-7860 Fax: (518) 584-7866 www.sspl.org Thank you for your interest in working at Saratoga Springs Public Library.
More informationFiler 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 informationDanbury Police Department
Danbury Police Department Dependable, Professional, Dedicated Connecticut Certified Police Officer 2018 Application Information, Instructions, and Requirements CITY OF DANBURY DANBURY, CONNECTICUT 06810
More informationAPPLICATION FOR REINSTATEMENT OF AN EDUCATOR S LICENSE (PRINT OR TYPE ALL INFORMATION)
FORM 1R REINSTATEMENT MISSISSIPPI DEPARTMENT OF EDUCATION Office of Educator Licensure P. O. Box 771 Jackson, MS 39205-0771 TELEPHONE (601) 359-3483 OFFICE USE ONLY Application Complete / / APPLICATION
More informationThis is a Legal Document. By completing and signing this you certify under
APPLICATION FOR WYOMING LICENSED PRACTICAL NURSE (LPN) LICENSURE BY ENDORSEMENT *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this you certify
More informationApplication 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 informationIf applying for Testing Accommodations under the Americans with Disabilities Act (ADA):
Florida Certified Nursing Assistant Examination Application *APPCNAFL* Instructions: Please go to www.prometric.com/nurseaide/fl to print the current version of this application and all other forms. DO
More informationLegislative 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 informationEMPLOYMENT 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