• Application

    Please fill out each question fully and to the best of your abilities.
    • Step 1 - Personal Information 
    • Today's Date
       - -
      2 digit month, 2 digit day, 4 digit year
    •  -
    • My present address is the same as my permanent address.*
    • Step 2 - Specific Questions 
    • Have you ever worked for Jefferson Enforcement before?*
    • Have you ever been convicted of a crime?*
    • If convicted, what was the classification
    • Date you can start*
       - -
    • Applying for*
    • Have you ever been hospitalized for psychiatric treatment or for dug and alcohol abuse treatment within the past 3 years?*
    • Are you applying for a armed position?*
    • If armed, can you provide your own firearm with a level 2 or above side holster? (No Hi-Points permitted)
    • If armed, do you hold a 40-hour armed security certification or a basic peace officer/POPS certification?
    • If armed, do you currently hold a KY CCDW license? (Indiana residents not required)
    • Can you work night shifts?*
    • Can you work swing shifts?*
    • Can you handle awkward situations professionally?*
    • Are you under the influence of any type of illegal drugs?*
    • Have you ever used any illegal drugs in the past 5 years?*
    • Do you need any physical accommodations to perform the work you applied for?*
    • Step 3 - Employment/Military/Law Enforcement History 

    • Please state your previous employers from most recent to least recent.

    • Employed From*
       - -

    • -

    • Employed To*
       - -
    • Do you have more work experience?*
    • Employed From*
       - -

    • -

    • Employed To*
       - -
    • Do you have more work experience?*
    • Employed From*
       - -

    • -

    • Employed To*
       - -
    • Have you ever been terminated from any employer?*

    • Military and Law Enforcement History Below

    • Have you ever served in the U.S. military?*
    • Can you provide your DD214 if ever served?
    • Are you commissioned as a Kentucky Peace Officer?*
    • Are you, or within the past three years have you been, an Law Enforcement Officer with a Local or State Government or with the U.S. Military?*
    • Step 4 - Educational History 
    • Enter your education history below*
      Rows
    • Step 5 - References 

    • Please give the names of 1-3 people (other than family) whom you have known for at least 1 year.

    • First Reference

    •  -

    • Second Reference

    •  -

    • Third Reference

    •  -
    • Final Step - Submit Application 
    • Application Completed*
       - - :

    • I HAVE COMPLETED THIS APPLICATION TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I HAVE BEEN UNTRUTHFUL ON ANY OF THESE QUESTIONS IT WILL MAKE ME INELGIBLE FOR CONSIDERATION. I GIVE JEFFERSON ENFORCEMENT SECURITY OR ANY AGENT OF THEIR CHOOSING PERMISSION TO CONDUCT AND COMPLETE A CRIMINAL AND REFERENCE BACK GROUND CHECK ON ME BEFORE BEING CONSIDERED. I WILL NOT HOLD JEFFERSON ENFORCEMENT SECURITY OR ANYONE AFFILIATED WITH THE COMPANY FOR PERFORMING A REFERENCE AND CRIMINAL BACKGROUND CHECK ON MYSELF.

      I HEREBY SWEAR OR AFFIRM THAT ALL THE INFORMATION IN THIS APPLICATION THAT I HAVE COMPLETED IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

    • Should be Empty: