THOMAS J. DART SHERIFF OF COOK COUNTY
|
|
- Roderick Boone
- 5 years ago
- Views:
Transcription
1 THOMAS J. DART SHERIFF OF COOK COUNTY MEMORANDUM TO: FROM: SUBJECT: All Sheriffs Department Personnel Sheriff Thomas J. Dart Cook County Sheriffs Annual Physical Fitness Test 2013 DATE: 11 OCT 13 Please be advised the schedule for the Cook County Sheriff's Annual Physical Fitness Testing for all department personnel is as follows: Date: Time: Location: Sunday, 08 DEC hrs. or hrs. Moraine Valley Community College 9000 West College Parkway Palos Hills, Illinois Building A, Room I 04 The Cook County Sheriffs Annual Physical Fitness Test is a voluntary program. It is the participant's responsibilityto check with their physician or Health Care Provider for verification that he/she is physically capable of participating in this test prior to registration. Please be advised that any injuries incurred during or as a result of the voluntary performance of any required exercises will not be considered as an injury on dutv. Each participant who successfullycompletesthe Cook County Sheriffs Annual Physical Fitness Test will be awarded eight (8) compensatory hours. Retests will not be allowed to any member that fails any portion of the test. Any department member interested in participating in this test will be required to fax the Sign up Sheet to the Cook County Sheriff's Training Institute at (708) Times will be scheduled on first come basis. Final schedule will be posted on the website. Enclosed please find a sign up sheet, a Cook County Sheriff's Fitness Release ofliabilities Form and the Cook County Sheriff's Office Power Test Standards for those who wish to sign up for registration. Original forms must be brought on the testing date. Participants are required to bring two (2) forms of identification, a valid Driver's License or State I.D. and a Cook County Sheriff's I.D. Participants are also required to wear w<jkout clothing (sweat pants, sweat shirt and gym shoes). If you have any questions, please contact the Cook County Sheriff's Training Institute at (708) 9' PLEASE READ AT THREE CONSECUTIVE ROLL CALLS AND POST IN YOUR FACILITY.
2 COOK COUNTY SHERIFF'S TRAINING INSTITUTE FOR LAW ENFORCEMENT EDUCATION & TRAINING SHERIFF'S FITNESS AWARD P.O.W.E.R. TEST DECEMBER 8, 2013 Last Name Age D.O.B. First Name Male/Female Star Number JDE Number Department Division/Facility Weight (Calculated bv Academy Starn I.D. Card V erification --::---::-::-:=c-=--=::---::: Illinois P.O.W.E.R. Test Standards Test Men Women Age Group Sit and Reach Minute Sit-Up Max Bench Press % 98% 87% 79% 70% 58% 52% 49% 43% 1.5 Mile Run 13:46 14:31 15:24 16:21 16:21 16:52 17:53 18:44 Required Performed Pass/Fail Sit and Reach p F 1-Minute Sit-Up p F Bench Press p F 1.5 Mile Run D F This applicant understands that all scores are final and a retest will rot be allowed. Applicant's Signature I CertifY that no Political Reasons or Factors were considered in any decision I made or action I took related to this Emp~nt Action. Further, I do not know if, or have any reason to believe that anyone else considered or took action based on Political Reasons or Factors with respedthis Employment Action. Testing Instructor's Signature Star# Supervisor's Signature Star#
3 IN THE EVENT OF AN EMERGENCY, PLEASE CONTACT: NAME: RELATIONSHIP: ADDRESS: TELEPHONE: (DAY) (EVENING) I HAVE REVIEWED THE TEST REQUIREMENTS IN THE PHYSICAL ABILITY PACKET AND I UNDERSTAND THAT THE TEST REQUIRES A DEGREE OF PHYSICAL EXERTION, STRENGTH AND ABILITY. I AM PHYSICALLY ABLE TO PARTICIPATE IN THE PHYSICAL ABILITY TEST. I AGREE TO ASSUME ALL RISKS AND TO HOLD THE COOK COUNTY SHERIFF'S MERIT BOARD, THE COOK COUNTY SHERIFF'S PERSONNEL DEPARTMENT, MORAINE VALLEY COMMUNITY COLLEGE, THE COOK COUNTY SHERIFF'S TRAINING INSTITUTE AND ANY OF ITS EMPLOYEES AND AGENTS FREE FROM LIABILITY FOR ANY LOSS OR INJURY WHICH MAY RESULT FROM TAKING THIS PHYSICAL ABILITY TEST. PRJNTNAME SIGNATURE DATE TillS SECTION TO BE COMPLETED BY FAILED APPLICANTS ONLY: I CONCUR WITH THE F AlLURE REASON(S) INDICATED BY THE TESTING PERSONNEL. Applicant's Signature Date 2
4 COOK COUNTY SHERIFF'S INSTITUTEFoR LAW ENFORCEMENT EDUCATION & TRAINING THOMAS J. DART, SHERIFF SCOTT KURTOVICH, EXECUTIVE DIRECTOR SHERIFF'S POLICE ACADEMY TRAINING INSTITUTE DEPARTMENT OF CORRECTIONS ACADEMY COURT SERVICES ACADEMY Cook County Sheriff's Fitness Award Release of All Liabilities I (print name) the undersigned, recognizing that the Cook County Sheriffs Fitness Award Power Test is a voluntary activity, therefore my signature upon this document completely, absolutely and finally releases the County of Cook, Illinois, the Sheriff of Cook County, Moraine Valley Community College, the officers, agents, and employees thereof from any and all claims, demands and liabilities to me, my family or heirs as the direct or indirect result of any and all injuries, death losses and/or damage to my person or property that may arise as the result of the Cook County Sheriffs Fitness Award Power Test. I hereby affirm and declare that I have read all of the foregoing terms, conditions, and declarations and I fully understand and agree with them. In addition, I have reviewed the requirements of the Cook County Sheriffs Fitness Award Power Test and have discussed my physical ability to perform this test with my physician. After reading this release of all liabilities and reviewing the requirements with your physician, sign and date the form. Name: (Print)-----' Signature: '---- Date: MVCC, 9000 W. COLLEGE PKWY., BUILDING Al40, PALOS HILLS, IL TELEPHONE: (708) FAX: (708)
5 THOMAS J. DART SHERIFF OF COOK COUNTY 2013 ANNUAL PHYSICAL FITNESS AWARD TEST SIGN-UP SHEET NAME (Last, First) Star DEPARTMENT DIVISION/UNIT/ DATE OF JOE # {CS, DOC, CCSPD, DISTRICT BIRTH etc.) PHONE NO brs hrs... *ALL INFORMATION MUST BE COMPLETE BEFORE SENDING FORM TO THE SHERIFF'S TRAINING INSTITUTE*
SENIORITY PLUS BID TRANSFER ANNOUNCEMENT COOK COUNTY SHERIFF S OFFICE DEPARTMENT OF COMMUNITY CORRECTIONS ELECTRONIC MONITORING UNIT (DCC )
SENIORITY PLUS BID TRANSFER ANNOUNCEMENT COOK COUNTY SHERIFF S OFFICE DEPARTMENT OF COMMUNITY CORRECTIONS ELECTRONIC MONITORING UNIT (DCC-2017-008) Electronic Monitoring Investigator (CS2) Summary The
More informationCOUNTY OF SACRAMENTO Probation Department 3201 FLORIN-PERKINS ROAD, SACRAMENTO, CALIFORNIA TELEPHONE (916) FAX (916)
RULES AND REGULATIONS The Ride-Along Program offers members of the public the opportunity to interact with officers from our Department. The program seeks to increase public awareness regarding the functions
More informationBEN CLARK TRAINING CENTER RIVERSIDE COUNTY SHERIFF S DEPARTMENT DAVIS AVENUE SUITE A, RIVERSIDE, CA
COURSE TITLE: CITIZENS ACADEMY OVERVIEW: Attendees will learn the daily operations of the Sheriff s Department, along with policies and procedures within law enforcement. Various topics will include the
More informationCORRECTIONAL EXAM FEMALE AND MALE VERMILION COUNTY SHERIFF DEPARTMENT
CORRECTIONAL EXAM VERMILION COUNTY MERIT COMMISSION FOR LAW ENFORCEMENT DANVILLE, IL 61832 VERMILION COUNTY COURTHOUSE ANNEX 6 NORTH VERMILION STREET (217) 554-6087 CORRECTIONAL EXAM FEMALE AND MALE VERMILION
More informationApplication Process. Payment Options: a) Pay in Full: $200 registration fee due with Police Academy application. Balance $4,000 due by orientation.
Application Process Application Part I 1) Complete Application Part I (below) at any time for the upcoming academies and return it with a $200 non-refundable registration fee. The registration fee will
More information2018 Recruit Class. Denville Junior Police Academy
2018 Recruit Class Denville Junior Police Academy Monday, July 16 th through Frida, July 20 th Morris Knolls High School 50 Knoll Drive, Rockaway, NJ 8:00 a.m. to 4:00 p.m. Fee: $50.00 (to be collected
More informationSpringfield Police Department CITIZEN RIDE-ALONG PROGRAM
Springfield Police Department CITIZEN RIDE-ALONG PROGRAM Ever been curious what it s like to be a police officer? Here s your chance! The Springfield Police Department s ride-along program gives eligible
More informationSENIORITY PLUS BID TRANSFER ANNOUNCEMENT COOK COUNTY SHERIFF'S OFFICE ELECTRONIC MONITORING UNIT (CCDOC )
SENIORITY PLUS BID TRANSFER ANNOUNCEMENT COOK COUNTY SHERIFF'S OFFICE ELECTRONIC MONITORING UNIT (CCDOC-2013-010) Electronic Monitoring Unit Investigator Summary The Cook County Sheriffs Electronic Monitoring
More informationThe University of Akron
The University of Akron Police Academy Appli cation as an Open Enrollment Student PLEASE TYPE OR PRINT CLEARLY Application Information LastName First Name MI Home Address Ci ty State Zip ATTACH A RECENT
More informationAlbuquerque 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 informationNorthside Baptist Church FAMILY LIFE CENTER POLICIES & PROCEDURES
PARTICIPATION Northside Baptist Church FAMILY LIFE CENTER POLICIES & PROCEDURES The FLC is available to all church members during the posted hours of operation. Continued use depends upon the individual
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 informationRancho Cielo Culinary Academy ELIGIBILITY CHECKLIST
ELIGIBILITY CHECKLIST NAME: HOME PHONE: SS#: CELL PHONE: AGE: DOB: HOME ADDRESS: Step 1 Please complete the following forms included in this packet. 1. Complete the John Muir Charter School Enrollment
More informationBasic Nurse Assistant Training Program. Dual Enrollment Moraine Valley Community College
Basic Nurse Assistant Training Program Dual Enrollment Moraine Valley Community College Agenda Introductions Course Description Course Requirements Costs The Role of a CNA Dual Enrollment Next Steps Questions
More informationCriminal 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 informationCOUNTY OF YOLO OFFICE OF THE DISTRICT ATTORNEY JEFF W. REISIG, DISTRICT ATTORNEY CITIZENS ACADEMY APPLICATION PROCESS
COUNTY OF YOLO OFFICE OF THE DISTRICT ATTORNEY JEFF W. REISIG, DISTRICT ATTORNEY CITIZENS ACADEMY APPLICATION PROCESS Please complete and return the following forms. You may fill the forms out online,
More informationThe Park Hills - Leadington Chamber of Commerce is excited to announce a new event coming to the Parkland on September 9, 2017, called "Battle of the
The Park Hills - Leadington Chamber of Commerce is excited to announce a new event coming to the Parkland on September 9, 2017, called "Battle of the Badges". The event will be held at the brand new Sgt.
More informationCNA CERTIFICATE PROGRAM APPLICATION PACKET
CNA CERTIFICATE PROGRAM APPLICATION PACKET Application Instructions Thank you for your interest in the Certified Nursing Assistant Certificate Program at the College of Continuing and Professional Education
More informationDeKalb County Sheriff's Office CIVIL PROCESS COMMUNICATION CENTER CORRECTIONS/JAIL
ADMINISTRATION OFFICE 815-895-7260 DeKalb County Sheriff's Office CIVIL PROCESS 815-895-7259 COMMUNICATION CENTER 815-895-2155 CORRECTIONS/JAIL 815-895-4177 FAX 815-895-7235 - SHERIFF FAX 815-895-7275
More informationGeorgetown Police Department 2018 Junior Police Academy Application
Georgetown Police Department Application Application Deadline: Friday, April 27, 2018 by 5:00pm. There are 25 slots available for each camp, so don t delay in turning in your application. Applications
More informationSIDNEY VOLUNTEER FIRE DEPARTMENT
SIDNEY VOLUNTEER FIRE DEPARTMENT APPLICATION FOR MEMBERSHIP P.O. BOX 79 Sidney, NE 69162 Dear Applicant, Thank you for your interest in joining the Sidney Volunteer Fire Department. This Application is
More informationBASIC REQUIREMENTS LAW ENFORCEMENT EXPLORER PROGRAM. Minimum 2.0 academic grade point average prior to and maintained after appointment.
BASIC REQUIREMENTS LAW ENFORCEMENT EXPLORER PROGRAM AGE: EDUCATION: PHYSICAL FITNESS: UNITED STATES CITIZENSHIP: Explorer / Cadet - Minimum Age 14 (Completed 8 th grade), or 15 years of age and not yet
More informationTo begin the application process, please complete the enclosed application and bring it with you to one of our weekly meetings.
Dear Explorer Applicant, We are pleased that you have shown interest in the Miramar Police Department Explorer Program. The Explorer program is the best program that young men and women can become involved
More informationBasic Rope Rescue Registration Packet
Basic Rope Rescue Registration Packet CHECK OFF LIST Name: Department: Phone # (Day) (Night): These items must be completed and returned with your application. Incomplete applications will not be processed.
More information2017 Recruit Class. Vernon Junior Police Academy
2017 Recruit Class Vernon Junior Police Academy Monday, August 14 th through Friday, August 18 th Location: Vernon Police Athletic League (PAL) 25 Church Street, Vernon NJ Academy Times: 8:00am-12:00pm
More informationCourt Referral Program YDAD REGISTRATION
Court Referral Program YDAD REGISTRATION Case Number# : Name: (First) (Middle Name) (Last Name) Address: City: State: Zip: Home Phone: ( ) Cell: ( ) Work Phone: ( ) Fax #: ( ) Email Address: @. Social
More informationJunior Baseball Spring 2017 Ages 8 & 9
ACTIVITY NUMBER: 10402 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@greenwichct.org Junior Baseball Spring
More informationReturn Completed Application To: ARISE & Ski, 635 James Street, Syracuse, NY 13203
ARISE & Ski Volunteer Application We consider applicants for all positions without regard to race, religion, creed, gender, age, disability, marital or veteran status, sexual orientation or any other legally
More informationThe Alaska Youth Academy Application
The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 30 th, 2016 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth
More informationCitizens Academy Curriculum
About the Citizens Academy... Citizens Academy Curriculum Classes subject to change. The Citizens Academy is a fifteen (15) week program designed to give participants an inside look at local law enforcement.
More informationThe undersigned hereby makes application for a license as indicated below:
BUSINESS LICENSE APPLICATION (Staff Use) Application received by: Date Received: Permit # : BL- Applicant Instructions/Guidelines: 1. Application: The following information (which includes the A. Business
More informationI meet the following Minimum Requirements:
Applicant Information I meet the following Minimum Requirements: (Initials) High School Diploma or GED; Never been convicted of or placed on community supervision for a Class A misdemeanor or felony; Never
More informationYOUTH POLICE ACADEMY Class II
CITY OF BURLINGTON POLICE DEPARTMENT YOUTH POLICE ACADEMY Class II The City of Burlington Police Department is conducting its Second Youth Police Academy. This program is geared towards teenage students
More information2017 Summer Baseball 6 s & 7 s (co-ed), 8 s & 9 s (co-ed), s (boys)
Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649; Email: Recreation@greenwichct.org ACTIVITY NUMBER: 10403 2017 Summer Baseball
More information2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION
2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION Law Enforcement agencies from across Marshall County will sponsor and provide a Law Enforcement Youth Camp for students this year on the dates
More informationGROUP VOLUNTEER APPLICATION
Contact Information: Please print clearly GROUP VOLUNTEER APPLICATION Organization Name: Primary Contact Name: Address: Phone: Email: Availability (Check and circle all that apply): Monday Tuesday Wednesday
More informationSOUTH KINGSTOWN POLICE DEPARTMENT
SOUTH KINGSTOWN POLICE DEPARTMENT Police Officer Recruitment Information Booklet Recruitment Period November 9 th, 2017 January 5 th, 2018 Joseph P. Geaber, Jr. Chief of Police The South Kingstown Police
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 informationSHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS
SHAWNEE COUNTY SHERIFF S OFFICE WORKING TOGETHER FOR OUR KIDS JUNE 4 th - 8 th JUNE 11 th - 15 th JUNE 18 th 22 nd Seaman High School Shawnee Heights High School Washburn Rural High School 8:00am-12:00pm
More informationEast Baton Rouge Parish Junior Deputy
East Baton Rouge Parish Junior Deputy 2018 Application Packet Sheriff Sid J. Gautreaux, III Captain Randy M. Aguillard Program Director raguillard@ebrso.org Junior Deputy Membership Rules All members of
More informationCHRISTIAN 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 informationSouthern Ohio Police Training Institute Ohio University Chillicothe
Southern Ohio Police Training Institute Ohio University Chillicothe Candidate Information Packet Now Enrolling for 2018 SOPTI Academy If interested in enrolling in the 2018 SOPTI Academy Class, please
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 informationSANTA ROSA POLICE DEPARTMENT APPLICATION FOR "RIDE-ALONG" PROGRAM
Date of application: SANTA ROSA POLICE DEPARTMENT APPLICATION FOR "RIDE-ALONG" PROGRAM Ride-Along Observers must be 16 years of age or older AND must reside within the jurisdictional limits of the City
More informationCity of Fort Worth, Texas Community Emergency Response Team (CERT) Standard Operating Procedures
City of Fort Worth, Texas Community Emergency Response Team (CERT) Program Contact: Officer Phil Woodward CERT Coordinator, Fort Worth Police Department 505 W Felix St, Fort Worth, TX 76115 Office 817-392-4115,
More informationClayton County Sheriff s Office Internship / Volunteer Program S.O.I.P. Sheriff s Office Internship Program
Clayton County Sheriff s Office Internship / Volunteer Program S.O.I.P. Sheriff s Office Internship Program 1 Clayton County Sheriff s Office Internship Program PACKAGE TABLE OF CONTENTS Topic Page(s):
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 informationClaremont Police Department. Explorer Post #411. Application
Claremont Police Department Explorer Post #411 Application 570 W. Bonita Ave. Claremont, CA 91711 (909) 399-5411 Dear Applicant, Thank you for your interest in the Claremont Police Explorer program. Please
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 informationRequirements for Membership & Application
Clackamas County Sheriff s Office Cadet Program Requirements for Membership & Application Application turned in on: Date: Time: Received by: DATE, TIME AND SIGNATURE OF PERSON RECEIVING THIS APPLICATION
More informationCARSON CITY VOLUNTEER/INTERN APPLICATION. Volunteer/Intern Name: City, State, Zip: Day Phone: Night Phone: Cell Phone:
CARSON CITY VOLUNTEER/INTERN APPLICATION Date: Volunteer/Intern Name: Home Address: City, State, Zip: Day Phone: Night Phone: Cell Phone: E-mail: Occupation: Business Name: Phone: Are you under the age
More informationDOUGLAS COUNTY SHERIFF
KEVIN W. MORRIS SHERIFF STEVE GROSECLOSE CHIEF CRIMINAL DEPUTY KELLY A. SOLTWISCH CHIEF CIVIL DEPUTY DOUGLAS COUNTY SH ERIF F'S OFFICE DOUGLAS COUNTY SHERIFF Main Offices / Administration 110 2 nd Street
More information2016 Multi-Jurisdictional Law Enforcement Explorer Academy
2016 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application
More informationMarch 3, Dear Team Captain,
March 3, 2008 Dear Team Captain, Welcome to the 17 th annual 24 Hour Relay Challenge scheduled for Memorial Day weekend, May 24-25, 2008, on Holt Field at San Luis Obispo High School. This packet is intended
More informationThe Alaska Youth Academy Application
The Alaska Youth Academy Application Email to katina.charles@tananachiefs.org by June 26 th, 2015 Personal Information Please write in or circle your answer. Name: (First) (Middle) (Last ) Date of Birth
More informationPENSACOLA STATE COLLEGE HUMAN RESOURCES OFFICE VOLUNTEER PACKET
HUMAN RESOURCES OFFICE VOLUNTEER PACKET Volunteer Name Student ID Number Department Department Supervisor Note: Only completed packets for volunteers should be sent to Human Resources. Revised 10/20/2015
More informationMEDICAL ASSISTING CERTIFICATE PROGRAM APPLICATION PACKET
MEDICAL ASSISTING CERTIFICATE PROGRAM APPLICATION PACKET Application Instructions Thank you for your interest in the Medical Assisting Certificate Program at the College of Continuing and Professional
More informationBlount County Sheriff s Office
Application Dear Basic Police Recruit School Applicant: Blount County Sheriff s Office will be conducting a Basic Law Enforcement Training Academy beginning AUGUST 20, 2018 and ending NOVEMBER 9, 2018
More informationVOLUNTEER APPLICATION
VOLUNTEER APPLICATION Name: Age: Date of Birth: Social Security : Address: City: State: Zip Phone: Work: Cell: Email Address: How can we reach you? Home phone Cell phone Text Email Work phone Employer/School:
More informationKennedy King College-Minority Science and Engineering Improvement Program 2013
Dear Student & Parent/Guardian: This is the Application Packet for the Minority Science and Engineering Improvement Program at Kennedy King College. All documents within this packet must be completed and
More informationSeventeenth POST Basic Academy
ANNOUNCES THE Seventeenth POST Basic Academy May 26, 2017 until August 24, 2017 7:00 AM 5:00 PM Monday Thursday The Bossier Parish Sheriff s Training Academy (formerly North Louisiana Criminal Justice
More informationCity of Hudson Department of Fire 520 Warren Street Hudson, New York 12534
City of Hudson Department of Fire 520 Warren Street Hudson, New York 12534 Standard Operating Procedure Membership Application Process Revised January 15, 2014 The intent of this procedure is to insure
More informationU.S. Army Aeromedical Research Laboratory Gains in the Education of Mathematics and Science Program PARTICIPANT APPLICATION
To be considered for acceptance into the 2013 GEMS program, submit the following: 1. The Participant Application 2. The Participant Essay 3. The Participant Release Form 4. Participant Safety Information
More informationThe Ohio Youth-Led Prevention Network. SFY 2018 Request for Proposals
The Ohio Youth-Led Prevention Network SFY 208 Request for Proposals Advancing the Engagement of Young People: Adult Training Academy and Technical Assistance Funding Opportunity The Ohio Youth-Led Prevention
More informationInformation about the VPD Cadet Program
Information about the VPD Cadet Program The VPD Cadet Program provides students in Grades 10-12 attending school within Vancouver a unique opportunity to participate in applied educational workshops, physical
More informationCITIZENS OBSERVING PATROL Truro Police Ride-A-Long Program
Truro Police Department CITIZENS OBSERVING PATROL Truro Police Ride-A-Long Program Policy Number: Effective Date: November 1, 2001 REFERENCE: Accreditation Standards: Mass. Gen. Law Other: CORI Check Acknowledgement,
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 informationSpringfield Police Department
PLEASE NOTE: Applications will be accepted beginning May 15, 2018, and the deadline for applications will be June 20, 2018. Press Release Chief of Police John P. Cook has announced the dates for the 2018
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 information2018 Summer Camp Registration
2018 Summer Camp Registration Registration is a 3-Step Process. Complete all of the steps listed below to secure your registration and rate. Incomplete forms and a delay in submitting the required documents
More informationVOLUNTEER 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 informationPeoria PlayHouse Children s Museum Volunteer Application
Peoria PlayHouse Children s Museum Volunteer Application Thank you for your interest in volunteering at the PlayHouse Children s Museum! Volunteers play a vital role in the success of our museum and we
More informationManufacturer Job Creation and Investment Program
CITY OF CRYSTAL LAKE Manufacturer Job Creation and Investment Program GRANT APPLICATION FORM ADMINISTERED BY: CITY OF CRYSTAL LAKE PLANNING & ECONOMIC DEVELOPMENT 100 W. WOODSTOCK STREET CRYSTAL LAKE,
More informationMerritt College Campus Drive Oakland, CA (510)
1 Merritt College 12500 Campus Drive Oakland, CA 94619 (510) 434-3967 Facilities Rental Overview: Internal Reservations For Merritt Student Clubs, Programs, Departments Only PROCESS OVERVIEW Please read
More informationRockton 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 informationCity of Newport News Fire Department
City of Newport News Fire Department Citizen Fire Academy Application Complete and Return to: Newport News Fire Department 3303 Jefferson Avenue Newport News, VA 23607 (757) 975-5030 fdcfa@nnva.gov Application
More informationBonnie Butler-Sibbald. Dear Volunteer Applicant:
VOLUNTEER SERVICES Telephone (818) 409-7781 Facsimile Dear Volunteer Applicant: Thank you for your interest in the volunteer opportunities at Glendale Memorial Hospital and Health Center (GMHHC). Please
More informationMANAGER S BACKGROUND INVESTIGATION PACKET
CITY OF LAKEWOOD MANAGER S BACKGROUND INVESTIGATION PACKET Lakewood Civic Center The Lakewood Municipal code requires that, as a part of the amusement arcade license application, each individual who is
More informationEmployment 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 informationPlease complete this application by pen (print) or typewriter in its entirety. PERSONAL INFORMATION. First MI Last. Street City State Zip
Qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, covered veteran's status, marital status, or the presence of a non-job-related
More informationInstructions Please Follow Carefully! Affidavit & Release Form and Certification of Identification Form
Instructions Please Follow Carefully! Affidavit & Release Form and Certification of Identification Form 1. Affidavit and Release Complete this form by securely attaching a current, front-view 2 x 2 passport-type
More informationTHIRD PARTY RIDE-A-LONG PROGRAM
General Conduct The conduct of a rider will reflect upon the individual, the responding agency, other cooperating agencies and the program in which the rider is associated with. Each rider is required
More informationApplication 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 informationVILLAGE OF SOUTH ELGIN APPLICATION FOR LIQUOR LICENSE FOR INDIVIDUALS AND NON-INCORPORATED ENTITIES
VILLAGE OF SOUTH ELGIN APPLICATION FOR LIQUOR LICENSE FOR INDIVIDUALS AND NON-INCORPORATED ENTITIES To: Local Liquor Commissioner, Village of South Elgin Pursuant to the provisions of Title XI, Chapter
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 informationCity: County: State: ZIP: Freshman Sophomore Junior Senior Master s Level Technical School Student
College Scholarship Application 2018-2019 ILLINOIS SHERIFFS ASSOCIATION Deadline: March 15, 2018 Please mail applications to the Sheriff s office in the county where you reside- a directory can be found
More informationApplication for In-State Tuition Based Upon Military Service Exceptions
Application for In-State Tuition Based Upon Military Service Exceptions Admissions Office Taggart Student Center, Room 102 0160 Old Main Hill Logan, UT 84322-0160 Phone: 435.797.1079 Fax: 435.797.3708
More informationTHE AMERICAN LEGION LAW ENFORCEMENT CAREER ACADEMY
APPLICATION CHECKLIST To be completed by the Applicant and Parents (MUST BE ATTACHED TO APPLICATION) June 3rd to June10 th of 2017 (St. Joseph s Youth Camp-Mormon Lake) CHECK DATE COMPLETED All areas of
More informationSAINT JOHN S NEXT TOP MODEL
SAINT JOHN S NEXT TOP MODEL Participant Application PLEASE READ THE RULES & REGULATIONS BEFORE COMPLETING THIS APPLICATION Registration Deadline: Wednesday, March 8 th 2017 Please return forms to: Acadia
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 informationAugsburg University, Minneapolis
Augsburg University, Minneapolis Who? NLC 9th grade confirmands and friends! What? Urban Plunge! Urban Plunge is an awesome overnight Augsburg student-led, faith-based experience for Middle and High School
More informationDivision of State Fire Marshal Rhode Island Fire Academy 4 Green Lane, Exeter, RI Tel: (401) Certification Examination Application
Division of State Fire Marshal Rhode Island Fire Academy 4 Green Lane, Exeter, RI 02822 Tel: (401) 294-5417 Certification Examination Application PERSONAL INFORMATION Name: Address: City: Telephone: E-mail
More informationYamhill 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 informationApplicant must have taken the ACT/SAT Test at least once and submit their scores.
HENDERSON STATE UNIVERSITY SUMMER INSTITUTE STUDENT INFORMATION SHEET Sunday, July 8-Thursday, July 12, 2018 Application deadline for ALL applications is Friday, June 4, 2018 ELIGIBILITY CRITERIA Applicant
More information2017 Fall Field Hockey Co-ed, Grades 1-8
ACTIVITY NUMBER: 30601 Department of Parks & Recreation Recreation Division 101 Field Point Road - Greenwich, CT 06836-2540 Phone: (203) 618-7649; Email: Recreation@greenwichct.org 2017 Fall Field Hockey
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 informationPolk County Sheriff s Office
Polk County Sheriff s Office Explorer Post 900 Application Grady Judd, Sheriff Polk County Sheriff s Office 1891 Jim Keene Blvd Winter Haven, FL 33880 (863) 298-6200 www.polksheriff.org Pride In Service
More informationRotary Youth Volunteer Application - (YE - Rotarian Volunteers)
Rotary District Youth Exchange Program Districts 7120, 7150, 7170, 7210 Student Protection Program Rotarian Volunteer Application/Background Check (Rev 7/10) Rotary International has directed that all
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 informationFaith Formation sessions begin the week of September 18 th, 2017
SAINT MAXIMILIAN KOLBE CATHOLIC CHURCH FAITH FORMATION REGISTRATION FORM Faith Formation sessions begin the week of September 18 th, 2017 To register in St. Maximilian Kolbe Faith Formation program the
More information