Kewanee Police Department-Lateral Police Officer Application

KEWANEE POLICE DEPARTMENT Lateral Police Officer Application

401 East Third Street Kewanee, Illinois 61443 PHONE(309) 853-1911 EMAIL skijanowski@cityofkewanee.net
Basic Qualifications

*Must be full-time sworn officer for at least two years from a regular police department in any municipal, county, university, or State law enforcement agency provided they are certified by the Illinois Law Enforcement Training Standards Board. * An applicant shall be at least 21-years-old at time of application. * A high school diploma (or its equivalent) is required. * The applicant must be in good standing with the police department where they currently serve. * Must have a valid Illinois driver’s license and a valid State of Illinois FOID card, or the ability to get them if residing in another state. * An applicant must not have any felony convictions nor have been convicted of any serious misdemeanors. * An applicant must agree to comply with all requirements of the position and have the ability to pass all examination and training requirements. * An applicant must reside within (45) miles of the City of Kewanee city limits within one year of hire. * An applicant must also be able to furnish, a copy of any documents requested by the Board of Fire and Police Commissioners, or background investigators. Documents include certified birth certificate, high school diploma, certified copy of college transcript, military records, etc.
Personal Information
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Are you a United States Citizen?
Have you ever been enrolled in an education institution or employed under any other name, such as a prior legal name or maiden name? If yes, please give the name(s) you used.
Prior legal name or maiden name
Job Information
How did you hear about the police officer application for the Kewanee Police Department? (tv, radio, newspaper, friend or relative, college, social media, recruit website)
If you were referred by a Kewanee Police Department employee, please identify. If not, please type none:
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment History

(List most recent employer first)
Employer 1

Name/Address/Phone Number of Employer

Job Title

Start DateEnd Date

Reason for leaving
Employer 2

Name/Address/Phone Number of Employer

Job Title

Start DateEnd Date

Reason for leaving
Employer 3

Name/Address/Phone Number of Employer

Job Title

Start DateEnd Date

Reason for leaving
Military Information
Have you ever served in the United States armed forces? If yes, complete the following:
Military History

Branch of Service

Job Title

Enlistment DateDischarge Date

Type of Discharge
Criminal and Financial Information

(If you answer yes to any of the following five questions, explain in detail in the box provided)
With the exception of actions that have been annulled, expunged, or sealed by a court, have you ever been convicted, found guilty, or pleaded guilty to a crime in criminal, civil, or military court?
Have you ever been fined, placed on probation, or forfeited collateral for breach or violation of any law, ordinance, police, or traffic regulation, including moving and equipment violations?
Do you now have any charges pending against you?
Have you ever declared bankruptcy or are you now in any type of bankruptcy proceedings?
Have you ever had your wages garnished or are there proceedings now underway that may result in your wages being garnished?
Include date, court & location, nature of offense or violation, disposition of case, and Penalty or fines imposed.
Education Information
High School

Name of High School

Address of High School

Start DateGraduation or End Date

List Degree or Diploma if Graduated
College 1

Name of College

Address of College

Start DateGraduation or End Date

List Degree or Diploma if Graduated
College 2

Name of College

Address of College

Start DateGraduation or End Date

List Degree or Diploma if Graduated
College 3

Name of College

Address of College

Start DateGraduation or End Date

List Degree or Diploma if Graduated
Personal References

(List below three personal references that are not former employers or relatives)
Reference 1

Name of Reference

Address of Reference

Phone NumberOccupation
Reference 2

Name of Reference

Address of Reference

Phone NumberOccupation
Reference 3

Name of Reference

Address of Reference

Phone NumberOccupation
UNDERSTANDING AND AUTHORIZATION FOR RELEASE: I understand that this application is not intended to be a contract of employment nor does this application obligate the employer in any way if the employer decides to employ me. No one other than the City Manager, or his authorized agent, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by the City Manager, or his authorized agent. I authorize the City of Kewanee to make such investigations and inquiries as to my character, personal history, financial and credit record, employment record, and conviction record as may be necessary in arriving at an employment decision. I hereby release employers, schools, law enforcement agencies, and persons from all liability for any damages whatsoever that may ensue from furnishing the same to the City of Kewanee.
CERTIFICATE OF APPLICANT: I certify that all answers and statements contained in this application are true to the best of my knowledge and belief. I understand that misstatements or omissions of material fact will subject me to disqualification or dismissal. I approve the above authorization for release.
Should be Empty: