Pre-Interview Questionnaire

The City of Powell Police Department seeks qualified candidates to become Police Officers. If you are interested in joining the team, please complete our questionnaire below. You can learn specifics about our process by visiting our employment page at https://cityofpowell.us/police-agency/employment/

Candidates can earn up to an additional twenty (20) percent credit to the total interview score for military experience, a current Ohio Peace Officer Training Academy (OPOTA) law enforcement certification, and having a degree.  These additional credits can only be earned if candidates have submitted proof of their credit with the questionnaire. Credit can be earned for any of the following:

• A military credit of twenty (20) percent of the applicant’s score, when approved, shall be applied to candidate’s panel interview score in accordance with standards established by the Board of Personnel Review. 
•  A ten (10) percent credit of the applicant’s score, when approved, shall be applied to the candidate’s panel interview score when the applicant has a current Ohio Peace Officer Training Academy law enforcement certification.  
•  An educational credit of ten (10) percent of the applicant’s score, when approved, shall be applied to the candidate’s panel interview score when the applicant has a Bachelor’s Degree from an accredited university in any field of discipline (or an advanced postgraduate degree such as a Master’s, PhD or Juris Doctor).  
• An educational credit of five (5) percent of the applicant’s score, when approved, shall be applied to the candidate’s panel interview score when the applicant has an Associate Degree from an accredited university in any field of discipline. 

Please note that an applicant is only eligible to receive an educational credit for one (1) eligible degree and in no way can the educational credit be combined from more than one (1) degree. 

Applicants will be asked at to complete a voluntary “Equal Employment Opportunity Information” (EEO) form at the end of this pre-interview questionnaire. This form will be used for governmental reporting purposes only and refusal to complete the EEO form will not subject the candidate to any adverse treatment. Only the City’s Human Resources Department will have access to information in this form.    

 The Personal Record information provided with this questionnaire will be used to conduct a preliminary record check that includes a Comprehensive Criminal History (CCH) and a driving record check.  This is done to determine if any disqualifiers exist that would render a particular candidate ineligible to continue further in the selection process.  A list of employment disqualifiers is attached.

 If you have further questions, contact the Human Resources Department at 614-885-5380 x 1050 or jnahvi@cityofpowell.us

 

*Applicants can bring a copy of their documentation to the panel interview if selected.

By signing, you understand that pending review of your preliminary record check and driving record, you may be disqualified form further participation in the recruitment process.

I consent to your release of any and all public and private information that you may have concerning me, my work record, my background and reputation, my military service records, educational records, my financial status, my criminal history record, including any arrest records, any information contained in investigatory files, efficiency ratings, complaints or grievances filed by or against me, the records recollections of attorneys at law, or other counsel, whether representing me or another person in any case, either criminal or civil, in which I presently have, or have had an interest.

I hereby release you, your organization, and all others from liability or damages that may result from furnishing the information requested,including any liability or damage pursuant to any state of federal laws. I hereby release you as the custodian of such records of the Powell Police Department organization, including its officers' employees, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family, or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. direct you to release such information upon request of the duly accredited representative of the Powell Police Department regardless of any agreement I may have made with you previously to the contrary. The law enforcement organization requesting the information pursuant to this release will discontinue processing my application if you refuse to disclose the information requested. For and in consideration of the Powell Police Department's acceptance and processing of my application for employment, Iagree to hold the Powell Police Department, its agents and employees harmless from any and all claims and liability associated with my application for employment or in any way connected with the decision whether or not to employ me with the Powell Police Department. I understand that should information of a serious criminal nature surface as a result of this investigation, such information may be turned over to the proper authorities.

I understand my rights under Title 5, United States Code, Section 552A, the Privacy Act of 1974, with regard to access and to disclosure of records, and I waive those rights with the understanding that information furnished will be used by the Powell Police Department in conjunction with employment procedures.

A photocopy or fax copy of this release form will be valid as an original thereof, even though the said photograph or fax copy does not contain an original writing of my signature. This waiver is valid for a period of one year from the date of my signature. Should there be any questions as to the validity of this release, you may contact me at the address listed on this form.

I agree to indemnify and hold harmless the person to whom this request is presented and his agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorney fees, arising out of or by reason of complying with this request. Please sign and date.

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources department. Please return completed forms as part of the employment application packet.

If you choose not to self-identify your race/ethnicity at this time, the federal government requires City of Powell to determine this information by visual survey and/or other available information.

Refusal to complete this form will not subject you to any adverse treatment. This form will be used for governmental reporting purposes only. If we have not received your completed form, the City of Powell will interpret that to mean you have declined self-identification and will be required to obtain the necessary information from visual identification and/ or other available information.