TPSO Job Application Form

TANGIPAHOA PARISH SHERIFF'S OFFICE

APPLICATION FOR EMPLOYMENT
OVERVIEW

Thank you for your interest in applying for employment with the Tangipahoa Parish Sheriff's Office!

This application form is intended for use in evaluating your BASIC qualifications for employment.

Completing this form does not constitute an offer of employment, does not guarantee an offer of employment will be made, nor does it constitute an employment contract.

The Tangipahoa Parish Sheriff's Office is currently accepting applications for FULL TIME positions only. Part-time positions will not be considered.

INSTRUCTIONS

Answer all questions completely and accurately. Any intentional false or misleading statements made on this form, or during any employment interviews and/or testing are grounds for terminating the application process or, if discovered after employment, will result in terminating employment.

All qualified applicants will receive consideration without regard to sex, marital status, race, age, creed, national origin, or the presence of disabilities.

Individuals selected for further processing will be required to provide more detailed, additional background and personal data.

Additional testing of job-related skills, physical and psychological fitness for duty may be required.

Testing for the presence of drugs/alcohol in your body will be required prior to and during employment.

DOCUMENTS NEEDED BEFORE APPLYING

Applicants should be prepared to upload scans or pictures of the following documents before beginning the application:
- P.O.S.T. Certificate (if applicable)
- Military discharge papers (if applicable)
- Resume
- Specialized Training Certificates
- Current Driver's License
- High School Diploma or GED
Full Name*

First NameMiddle InitialLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Email Address*
Are you 18 years or older?
Have you ever worked under or attended school under a different name?
What name?
Do you have any relatives employed by Tangipahoa Parish Sheriff's Office?
List name(s) of any relatives employed by the Tangipahoa Parish Sheriff's Office required
*If an employment offer is made, you must provide proof of United States citizenship or eligibility to work in the United States.

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
Position Desired & Qualifications
Position Desired*

PatrolCorrections (Jail)Communications (Dispatch)Criminal RecordsAccounting / FinanceCivil Process ServerReserve Deputy
Are you P.O.S.T. Certified? *
P.O.S.T. certification level(s) completed?
Which state did you receive P.O.S.T. Certification?
Please upload a copy of your P.O.S.T. certificate (if applicable).

Upload P.O.S.T. Certificate

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Salary expected
Position Desired (old)
Can you work rotating shifts?*
What is your anticipated start date?

MonthDayYear
Have you previously applied for employment, or worked, with this agency?
If you have previously applied for employment with us, what position did you apply for, and when?

Education

	Name and Location of School	Course of Study	Did you Graduate?	Degree or Diploma
High School
College
Technical School
Other

Please list any other special training or skills (languages, machine operations, etc.) you have completed:

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
Military Experience
Are you an Armed Forces Veteran?
What branch of the military?
Type of Discharge?
Please upload copies of your discharge papers.

Upload Discharge Papers

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Have you ever been convicted of a felony (Civilian or Military)?
Charge
Date
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Explain

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
Work History

Please list your work history for the past 10 years, and list all of your law enforcement experience.
Have you ever been dismissed, or asked to resign from employment?
Explain:
Are you currently employed?
Company Name
Company Address
Company Phone
Duties
Hire Date (Mo/Yr)
Salary
Supervisor Name
Supervisor Phone Number
Reason For Wanting To Leave Current Employer
Add Additional Employment
Company Name
Hire Date (Mo/Yr)
Duties
Salary
Company Address
Company Phone
Supervisor Name
Supervisor Phone Number
Reason For Wanting To Leave Current Employer
Add Additional Employment
Company Name
Hire Date (Mo/Yr)
Duties
Salary
Company Phone
Company Address
Supervisor Name
Supervisor Phone Number
Reason For Wanting To Leave Current Employer

References - Give below: Names of persons not related to you, whom you've known at least one year.

	Name	Phone	Occupation	Years Acquainted
Person 1
Person 2
Person 3

I authorize the references listed above to give you any and all information concerning my previous employment and pertinent information they may have, personal and otherwise, and release all parties from any liability for any damage that may result from furnishing same to you.
Name

First NameLast Name
Date

MonthDayYear
Date
Signature

Clear

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
TANGIPAHOA PARISH SHERIFF'S OFFICE CREDIT AND BACKGROUND INVESTIGATION ACKNOWLEDGEMENT
I understand and acknowledge that in connection with my application for employment, a thorough background investigation will be conducted by the Tangipahoa Parish Sheriff's Office. In connection with this investigation, I understand and consent to the Sheriff's Office obtaining a credit report concerning me. I understand that, consistent with the requirements of the position for which I am applying, as determined by Tangipahoa Parish Sheriff's Office, the investigation into my background may entail inquires involving public and private sources, including a consumer report. I understand that this investigation and these reports may include, but not limited to, information such as my financial history and obligations, my character, education, criminal and civil history, driving history, property ownership, work habits, job performance, and experience, along with reasons for termination of past employment. My neighbors, friends, family, employers, co-workers, teachers, and others may be interviewed. I understand that according to the Fair Credit Reporting Act, if employment is denied because of information obtained by my prospective employer from a consumer reporting agency, I am entitled to know this fact and I will be notified and be given the name of the agency. In consideration of my application for employment, I consent to the above-described investigation.
Signature

Clear
Date

MonthDayYear
Date

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
VOLUNTARY DISCLOSURE OF PERSONAL IDENTIFYING INFORMATION
In the event you are selected for further processing in connection with this employment application, it will be necessary for you to provide personal identifying information and extensive personal history data. The Sheriff's Office does not require you to disclose personal identifying information or personal history data at this time; however, you may voluntarily elect to provide some additional information at this time. This will permit the Tangipahoa Parish Sheriff's Office to expedite its inquiry into criminal and civil records, which can be time-consuming and delay the processing of your application. Disclosure of the below-listed information is not compelled at this time and your application for employment will not be rejected solely for not providing this information at this time.

This information is required by law enforcement and other government entities for positive identification in connection with criminal and civil record checks. These records checks are used for the purpose of determining your eligibility for employment insecurity and safety-sensitive positions with the Tangipahoa Parish Sheriff's Office. This information will be maintained in strict confidence, in a secure manner, and will not be used for any other purpose.
Full Name*

First NameMiddle NameLast NameSuffix
Please list all other names you have used:

First NameMiddle NameLast NameSuffix
Social Security Number*
Date of Birth*

MonthDayYear
Place of Birth*

Race (This data is collected for identification purposes only and is not disclosed or used for any other purpose): *

	Asian	Hispanic	Black	White	Other
RACE

Sex (This data is collected for identification purposes only and is not disclosed or used for any other purpose): *

	Male	Female	Prefer not to say
SEX

Do you have a valid driver's license?*
Driver's License Number
State of Issue
Expiration Date:
Upload any additiponal attachments (resume, specialized trainings, diplomas, etc.)

Upload Files
Optional Cancelof
I acknowledge that I have provided the above personal identifying information on a voluntary basis at this time.
Signature

Clear
Date

MonthDayYear
Date

TANGIPAHOA PARISH SHERIFF'S OFFICE

Gerald D. Sticker, Sheriff
Previous Residence

List City/State where you have resided. List your most current residence first and work backward.
Address

Street Address

Street Address Line 2

CityState

Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Add additional address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Add additional address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From

MonthDayYear
Date
To

MonthDayYear
Date
Should be Empty:

TANGIPAHOA PARISH SHERIFF'S OFFICE

TANGIPAHOA PARISH SHERIFF'S OFFICE

Position Desired & Qualifications

TANGIPAHOA PARISH SHERIFF'S OFFICE

Military Experience

TANGIPAHOA PARISH SHERIFF'S OFFICE

Work History

TANGIPAHOA PARISH SHERIFF'S OFFICE

TANGIPAHOA PARISH SHERIFF'S OFFICE

TANGIPAHOA PARISH SHERIFF'S OFFICE

Previous Residence