• Application for Employment

  • Personal Information

  •  - -
  •  - -

  • Military Service Record

  • Education Information

  •  

  • Employment History

    List your four (4) previous employers, including any military service. Begin with your current or most recent employer.

  • Employer:
    Address:              
    Telephone:      
    Supervisors Name & Title:    
    Title:   
    Duties:    
    From:   Pick a Date   To   Pick a Date   
             
    Reason for leaving:   

  • Employer:
    Address:              
    Telephone:      
    Supervisors Name & Title:    
    Title:   
    Duties:    
    From:   Pick a Date   To   Pick a Date   
             
    Reason for leaving:   

  • Employer:
    Address:              
    Telephone:      
    Supervisors Name & Title:    
    Title:   
    Duties:    
    From:   Pick a Date   To   Pick a Date   
             
    Reason for leaving:   

  • Employer:
    Address:              
    Telephone:      
    Supervisors Name & Title:    
    Title:   
    Duties:    
    From:   Pick a Date   To   Pick a Date   
             
    Reason for leaving:   

  • References

    Please list a minimum of three (3) adults not related to you and not current employers, who you have known for at least three (3) years. All persons to who you refer will be asked to appraise your character, ability, experience, personality and qualities.

  • Name:   *   *   
    Address:*      *   *   *   
    Home Phone: *
    Cell Phone:          
    Occupation:   *   
    Years Known: *         
    Relationship:   *   

  • Name:   *   *   
    Address:*      *   *   *   
    Home Phone: *
    Cell Phone:          
    Occupation:   *   
    Years Known: *         
    Relationship:   *   

  • Name:   *   *   
    Address:*      *   *   *   
    Home Phone: *
    Cell Phone:          
    Occupation:   *   
    Years Known: *         
    Relationship:   *   

  • Name:         
    Address:               
    Home Phone:
    Cell Phone:          
    Occupation:      
    Years Known:          
    Relationship:      

  • Name:         
    Address:               
    Home Phone:
    Cell Phone:          
    Occupation:      
    Years Known:          
    Relationship:      

  • Name:         
    Address:               
    Home Phone:
    Cell Phone:          
    Occupation:      
    Years Known:          
    Relationship:      

  • Applicant's Statement

  • I hereby certify that there are no willful misrepresentation, or falsifications on this questionnaire or supporting documents and that all of my answers are true and correct to the best of my knowledge and belief.

    It is understood and agreed upon that any misrepresentation or omission by me on this application will be sufficient cause for cancellation of this application and/or separation from this employer's service if I have been employed.

    I give the employer the right to investigate all contacts listed and others to secure information about me and to use the information in the decision making process regarding my request for employment. I further release from liability the employer and its representatives for seeking such information and all other persons or corporations for furnishing such information.

    I understand that neither this document, nor any offer of employment from the employer constitute an employment contract unless a specific document to that effects is executed by the employer and employee in writing.

    By entering my name and date below I verify my acknowledgement of, and agreement to, the above statements.

  • Clear
  •  - -

  • It is the express policy of the City of Belvidere to consider all applicants for employment without regard to race, color, religion, gender, age, physical disability, political affiliation or national origin (except where a bona fide occupational qualification exists). 

  • Preference Points

  • 5 points

    • Persons who have successfully obtained an associate's degree in the field of law enforcement, criminal justice.

     

    • Bachelor's degree from an accredited college or university

     

    • Persons who were engaged in the active military or naval service of the United States for a period of at least one year and who were honorably discharged therefrom, or who are now or may hereafter by on inactive or reserve duty in such military or naval service

     

    2 points

    • Persons who have participated in that municipality's police explorer or cadet program may be preferred

     

    The preference points awarded under section 65 ILCS 5/10-2.1-8 shall not be cumulative.

    Refer to 65 ILCS 5/10-2.1-8 for limitations and eligibility

  • If yes, submit the required documentation to BPDApps@BelviderePoliceIL.gov within 10 days of application submission or such preference points claim shall be deemed waived. 

     

    Required Documents if applicable

    • High School Diploma (mandatory)
    • Driver's License (mandatory)
    • Birth Certificate(mandatory)
    • Release of Records and Information (mandatory)
    • College Diploma (for preference points)
    • DD214 (for preference points)
    • Illinois Basic Law Enforcement Certification (if applicable for either application)
    • Work Documents (if applicable)
    • Belvidere/ Boone Explorer Post Documentation (for preference points)

     

  • Should be Empty: