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

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1 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 and a U.S. citizen; possess a high school diploma or equivalent, possess a valid Tennessee Drivers License, cannot have a felony conviction or a conviction involving gambling, sale of alcohol or driving while intoxicated. Special Requirements: Successful completion of background investigation, driving history and drug screen. Additional requirements: Testing information, hiring process information and salary are included in the application packet. NO PHONE CALLS PLEASE. Application packets may be obtained M-F, 8:00 a.m. to 4:30 p.m. at the: Pigeon Forge Police Department 3225 Rena Street Pigeon Forge, TN Applicants outside of Sevier County, TN may request a packet be mailed by submitting name and mailing address via to :pd@cityofpigeonforge.com Completed Application and all other required documents must be returned to: Applications must be postmarked by June 3, 2015 Or City of Pigeon Forge Human Resource Department P. O. Box 1350 Pigeon Forge, TN The City of Pigeon Forge is an EOE, complies w/ada and Title Vi. Applicant will be subject to Drug Test in accordance with City Policy.

2 CITY OF PIGEON FORGE POLICE DEPARTMENT EMPLOYMENT APPLICATION PACKET COMMUNICATION OFFICER Applications must be postmarked by Wednesday, June 3, 2015 Mail to: City of Pigeon Forge Human Resource Department P. O. Box 1350 Pigeon Forge, TN ALL APPLICATIONS MUST BE MAILED TO THE HUMAN RESOURCE DEPARTMENT APPLICATIONS CANNOT BE HAND DELIVERED

3 BEFORE COMPLETING THIS APPLICATION TAKE TIME TO READ ALL THE INFORMATION PROVIDED CITY OF PIGEON FORGE POLICE DEPARTMENT COMMUNICATION OFFICER Position: The Pigeon Forge Police Department is accepting applications for Communication Officer Requirements: Must be at least 18 years of age; Must be a citizen of the United States; Must possess a High School Diploma or equivalent; Must possess or be able to obtain a valid Tennessee Driver s License; Must not have been convicted of or pleaded guilty to or entered a plea of nolo contendere to any felony charge or any federal or state laws or city ordinances relating to force, violence, theft, dishonesty, gambling, liquor, controlled substances or controlled substance analogues, sale of alcohol, or driving while intoxicated; Not have been released or discharged under other than an honorable or medical discharge from any of the armed forces of the United States; Pass a physical examination by a licensed physician; Pass an extensive background investigation and drug screen; Must meet State law requirements concerning mental health; Must completely fill out an application for employment; Special Requirements: Successful completion of background investigation, driving history and drug screen. Starting Salary: $32, (in effect July 1, 2014 but subject to change) Testing and Employment Process: Completed and returned applications will be screened and scored by the City of Pigeon Forge Human Resource Administrator. The Human Resource Administrator will notify all eligible applicants of the test date and time. Notification will be made either by , phone call or written letter. Upon being advised of the test date you will need to confirm that you will or will not be able to participate. If you are not able to participate then your application for employment will not be considered at this time. If the applicant/application does not meet the requirements set forth then the applicant will not be qualified to proceed further and will be notified by the City of Pigeon Forge Human Resource Administrator. Notification will be made by written letter. Written Test: The National Dispatcher Selection Test assesses candidate s skill level in five important areas: Reading Comprehension, Listening, Problem Solving, Prioritizing and Multi-Tasking.

4 City of Pigeon Forge Human Resource Department Applicant Filing Checklist Application Must Be As Follows: 1. Application must be completed entirely, leaving no blanks and or no unanswered questions. 2. If, a question on the application does not apply to you, (the applicant) please mark it as N/A, meaning Non- Applicable. 3. Applications that are left with unanswered questions or with any blanks will not be accepted or approved for scoring purposes. 4. Copies of all requested and required documents must be included with the application. Failure to provide required documents will result in the application not being accepted and approved for scoring purposes. The only exception to this rule would be: If the applicant does not have a copy of his/her DD-214/DD-215 (Military Discharge), or copies of his/her enlisted or officer efficiency reports, or other military related reports. The applicant would have to enclose a letter of explanation, or have complete the attached Standard Form 180 indicating the records have been requested by the applicant. Applicant is responsible for mailing the request (attach copy of request as proof). Thank you, Human Resource Administrator Applicant to check each item: (x) o o o o o o Application completed in full (no resumes), signed, dated and notarized. Copy of High school diploma or GED Copy of Birth certificate Copy of Social Security card Copy of Valid driver s license Copy of DD-214/DD-215 Military Discharge (if applicable) I hereby certify that all of the above listed DOCUMENTS are being submitted as specified. Applicant Signature Date

5 Pigeon Forge Police Department P. O. Box Rena Street Pigeon Forge, TN Application For Employment Communication Officer This document is a public record and open to inspection by any citizen of the State of Tennessee Pursuant to TCA The City of Pigeon Forge is an Equal Opportunity Employer and complies with ADA and Title VI. Applicant will be subject to Drug Test in accordance with City Policy. This application is a very important part of the selection process. No action will be taken until all requested information has been furnished. Please be aware that the information you provide will be used in the job screening process. Therefore, it is important that you be as specific as possible in your description of past and present experiences, training and education. Type or Print (in your own handwriting) in black ink. Answer all questions fully and accurately. If additional space is needed, please use a blank sheet and attach it to the application form. If an item does not apply to you, or if there is no information to be given, please write in the letters N.A. for not applicable. Incomplete applications or applications containing any information other than what is requested will be automatically disqualified from consideration. Please NO RESUMES!! Date Name Last First Middle Residential Address Number Street Apt. # City State Zip Code Mailing Address _ Number Street Apt. # City State Zip Code Telephone (Area Code/Home) (Area Code/Cellular/Other) Address Do Not Write Below This Line For PFPD use only o Application Incomplete Test Date Comments: o Past Deadline Written Test Score o Unqualified Physical Fitness Score o Failed Written/Physical Test

6 Name: Social Security#: Are you at least 18 years old? Have you ever applied with our department before? If so, when? IT IS NOT MANDATORY THAT THE ITEMS IN THIS BLOCK BE COMPLETED Date of Birth: Age: Sex: Race: Height: Weight: Hair Color: Eye Color: Marital Status: Place of Birth (City/State): Are you a U.S. Citizen: Spouse s Name: Number of Children: Spouse s Employer: Own Home or Rent: What foreign languages do you speak fluently? Did you graduate from high school? If NO did you pass a GED? Date of graduation: GED Score: Name and address of high school from which you graduated or location you passed GED Do you currently have a valid Driver s License? If yes, driver s license number: State: Type: Expiration: Has your license ever been revoked, suspended or cancelled? If yes, explain: List below all current and/or previous traffic offenses and location of occurrence, including issuing agency and state. Use additional page if necessary: List below any at fault traffic accidents you have had. Use additional page if necessary:

7 In answering the following questions, fully disclose all information including all matters occurring while a juvenile and matters which have been expunged. Failure to fully disclose this information shall result in your disqualification as an applicant for employment. If the space provided to respond is insufficient, please attach an additional page in order to complete your responses. Have you ever been detained, held, arrested, indicted or summoned into court as a defendant in a criminal proceeding (regardless of the disposition of the matter) or convicted, fined, imprisoned, or placed on probation in any civil or military court, or have you ever been ordered to deposit bail or collateral for the violation of any law, police regulation, or ordinance? Yes No If yes, please explain fully in the spaces below (include an attachment if necessary). Your explanation must include dates, locations, charges, and dispositions of all matters. 1. Felony or Misdemeanor? 2. Felony or Misdemeanor? 3. Felony or Misdemeanor?

8 Have you ever used, or currently using, any illegal drugs (including steroids)? Have you ever been, or currently being treated for substance/alcohol abuse? Have you ever served in the Armed Forces? Branch Discharge type Rank Serial No Dates of service From: To: Were you ever tried, punished, reprimanded, or reduced in rank for any infractions of military rules and regulations? If yes, give details: Have you ever been discharged or asked to resign from employment? If yes, explain: Have you ever filed a disability claim, including workman s compensation? If yes, explain: Have you ever filed a claim for disability with Veteran s Affairs? If yes, explain: Have you ever had an injury from which you still suffer? If yes, explain: Are you presently under a doctor s care? If yes, explain: In the spaces provided below, discuss your reasons for seeking the position for which you are applying:

9 EMPLOYMENT HISTORY List below your work history beginning with your present or most recent employer and work backwards. Account for periods of unemployment over 90 days. The complete mailing address (house number, street name, city, state and zip code) is required. Name and address of CURRENT or most recent employer From To Title/Position Your Duties Phone Number: Supervisor Starting Salary Ending Reason for Leaving May we contact this employer? Yes No ************************************************************************************** Name and address of employer From To Title/Position Your Duties Phone Number Supervisor Starting Salary Ending Reason for Leaving *************************************************************************************** Name and address of employer From To Phone Number Supervisor Title/Position Your Duties _ Starting Salary Ending Reason for Leaving

10 Name and address of employer From To Title/Position Your Duties Phone Number Supervisor Starting Salary Ending Reason for Leaving ************************************************************************************** Name and address of employer From To Title/Position Your Duties Phone Number Supervisor Starting Salary Ending Reason for Leaving *************************************************************************************** Name and address of employer From To Phone Number Supervisor Title/Position Your Duties _ Starting Salary Ending Reason for Leaving

11 REFERENCES List below four (4) references. The complete mailing address(house number,street name,city,state,zip code and phone number with area code is REQUIRED. Do not list relatives or elected officials of the City of Pigeon Forge. Do not list employers or supervisors you have listed in your employment history. A total of four (4) references is mandatory. 1. Name Phone Number(s): Address City/State Zip Code 2. Name Phone Number(s): Address City/State Zip Code 3. Name Phone Number(s): Address City/State Zip Code 4. Name Phone Number(s): Address City/State Zip Code Please Provide Two (2) Emergency Contacts Emergency Contact 1 Name: Address: City/State: Emergency Contact 2 Name: Address: City/State: Zip: Phone: Zip: Phone: Relationship: Relationship:

12 EMPLOYMENT APPLICATIONS ARE SUBJECT TO THE REVIEW AND APPROVAL OF THE CITY MANAGER. THE CITY MANAGER MAY DISQUALIFY AN APPLICATION FOR ANY REASON DEEMED APPROPRIATE. EMPLOYMENT APPLICATION, PAST CRIMINAL HISTORY AND EMPLOYMENT INVESTIGATION MUST BE SATISFACTORY TO THE DEPARTMENT DIRECTOR AND CITY MANAGER BEFORE FINAL OFFER OF EMPLOYMENT IS MADE. APPLICANT STATEMENT I. I hereby affirm that the information I have provided in this application is true and complete to the best of my knowledge. I understand that any falsified, misrepresented, incomplete or omitted information may disqualify me from consideration for employment or result in my dismissal from employment. II. I understand that nothing contained in this employment application or in granting an interview, is intended to create an express or implied employment between the Pigeon Forge Police Department and myself. No promises regarding employment or duration of employment have been made to me. III. I understand that any offer of employment will be conditional on successful completion of a number of requirements, including a health assessment, verification of credentials and experience, and similar screening required for the position. I understand that drug and/or alcohol tests are required for appointment to this position. The results of the above screening or assessments will be released to the Pigeon Forge Police Department and may be a factor in determining my suitability for the position for which I have applied. IV. I understand that in Compliance with Tennessee Law, all applications are subject to Public Disclosure. I have read and understand the above. Applicant Signature: (Must be signed before a Notary Public) Date: State of County of Personally appeared before me,,with whom I am personally acquainted, or who produced proper identification, and who acknowledges that he/she executed the within instrument for the purposes therein contained. Witness my hand this day of, Notary Public My commission expires:

13 AUTHORIZATION FOR THE RELEASE OF INFORMATION I,, DO HEREBY AUTHORIZE a review of and full disclosure of all records, or any part thereof, concerning myself, to and by a duly authorized agent of the CITY OF PIGEON FORGE POLICE DEPARTMENT, whether said records are of a public, private, and/or confidential nature. THE INTENT OF THIS AUTHORIZATION IS TO GIVE MY CONSENT for full and complete disclosure of records including, but not limited to, those held by educational institutions, financial institutions, credit institutions or credit agencies, including records of deposits, withdrawals, and balances of checking and savings accounts and loans, and also the records of commercial retail agencies (including credit reports and/or credit ratings); medical and/or psychiatric treatment and/or consultations, including records held by hospital(s), clinics, private practitioners, and the United States Veteran s Administration; records held by public utility companies; employment and pre-employment records, including the results of background investigation reports and polygraph examination results, efficiency ratings and/or performance evaluations, records of complaints and/or grievances filed by or against me, and salary records; real and personal property records, and other financial statements and records, wherever filed; records of complaint, arrest, trial and/or convictions(s) for alleged or actual violations of law, including criminal and/or traffic offense records, and records of civil nature made by and/or against me, whether representing me or another person in any case in which I presently am involved or have had an interest. I REITERATE AND EMPHASIZE THAT THE INTENT OF THIS AUTHORIZATION is to provide full and free access to the background and history of my personal life, for the specific purpose of pursuing a background investigation, which may provide pertinent data for the CITY OF PIGEON FORGE POLICE DEPARTMENT to consider in determining my suitability for employment by said Department. IT IS MY SPECIFIC INTENT TO PROVIDE ACCESS TO PERSONAL INFORMATION, however personal, private, or confidential it may appear to be, and the sources(s) of information specifically identified herein. I UNDERSTAND THAT ANY INFORMATION OBTAINED during the course of the background investigation which is developed directly or indirectly, in whole or in part, upon this AUTHORIZATION FOR THE RELEASE OF INFORMATION, will be considered in determining my suitability for employment with the CITY OF PIGEON FORGE POLICE DEPARTMENT. I FURTHER UNDERSTAND that in the event my employment application is disapproved, not considered, or otherwise does not result in my appointment to the CITY OF PIGEON FORGE POLICE DEPARTMENT, the sources(s) of confidential information CANNOT AND WILL NOT BE RELEASED AND/OR REVEALED TO ME. ADDITIONALLY, I AGREE TO INDEMNIFY AND HOLD HARMLESS the person(s) to whom this AUTHORIZATION FOR THE RELEASE OF INFORMATION is presented and his/her agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorney s fees, arising out of, or by reasons (s) for complying with the request for information that this AUTHORIZATION provides. LASTLY, IT IS FURTHER UNDERSTOOD BY ME THAT A PHOTOCOPY, including a facsimile (or FAX) copy of the actual original of this AUTHORIZATION FOR THE RELEASE OF INFORMATION will be valid as an original hereof, even though the said photocopy or facsimile does not contain an original writing of my signature. Signature of Applicant Date (Must be signed before a Notary Public) State of County of NOTARY ACKNOWLEDGEMENT Personally appeared before me,, with whom I am personally acquainted, or who produced proper identification, and who acknowledges that he/she executed the within instrument for the purposes therein contained. Witness my hand this day of, Notary Signature: My Commission Expires: