ST. LOUIS METROPOLITAN POLICE OFFICER (TRAINEE) APPLICATION

ST. LOUIS METROPOLITAN POLICE OFFICER (TRAINEE) APPLICATION

STEP 1 OF 8
The application must be filled out in its entirety.

WAYS TO FILL OUT THIS FORM:
1. This is a digital application and you may submit the application electronically when you have reached the end.
2. Please complete the application entirely before submission.
3. Any required field that does not apply, please enter N/A. This includes all periods of employment and unemployment, all addresses should include street address, City, State, and Zip Code, and telephone numbers with area codes.
4. WITNESS REQUIRED: Most forms require witness signatures. Your witness must be someone over the age of 18 and CANNOT be a relative. The witness may sign electrically as well.
#BETHECHANGE

CITY APPLICATION

DEPARTMENT OF PERSONNEL
THE CITY OF ST. LOUIS DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, ANCESTRY, RELIGION, AGE, DISABILITY, SEX OR SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, GENETIC INFORMATION, MARITAL STATUS OR RETALIATION.

THE CITY OF SAINT LOUIS IS AN EQUAL OPPORTUNITY EMPLOYER
GENERAL INSTRUCTIONS:
1. Notify the Department of Personnel of any change in your mailing address.
2. Give complete answers to all questions. You must be able to substantiate any statement made on this form

AUTHORIZATION FOR RELEASE: I hereby authorize the City of St. Louis to make such investigations and inquiries as to my character, employment record and conviction record, medical history and/or matters as may be deemed necessary in arriving at an employment decision. I hereby release employers, schools, law enforcement agencies and persons from all liability for any damage whatsoever that may ensue from furnishing the same to the City of St. Louis.

CERTIFICATE OF APPLICANT: (Read carefully before signing.)

I certify that all answers and statements herein contained are true to the best of my knowledge and belief. I understand that any misstatement or omission of material fact will subject me to disqualification or dismissal. I approve the above authorization for release. Before signing please check to insure that all questions have been answered in a thorough manner. Remember, an incomplete application may result in the application being rejected or delayed, which could result in a lost
job opportunity.
Date*

MonthDayYear
Date
Signature*

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APPLICATIONS THAT ARE NOT SIGNED WILL NOT BE ACCEPTED.

NEW! 2021 - 2023 RESIDENCY REQUIREMENT WAIVED

STEP 2 OF 8
Commissioned and civilian employees of the Police Division of the City of St. Louis hired prior to September 1, 2023 shall not be subject to a residency requirement but will be mandated to maintain a primary residence within a one hour response time of their place of work throughout the entirety of their employment as an SLMPD employee.

I hereby acknowledge that upon appointment/reinstatement to the City of St. Louis Police Division, I am required to reside within one hour of the City of St. Louis within one hundred twenty (120) days after my working test period. I am aware that employees who are not within one hour response time at the end of the one hundred twenty (120) day period may be terminated.
Applicant Signature*

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Date*

MonthDayYear
Date
Witness's Signature*

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Date*

MonthDayYear
Date

RECORD RELEASE AUTHORIZATION

STEP 3 OF 8
To Whom It May Concern:

I request and authorize you to furnish to the St. Louis Metropolitan Police Department any and all information and documents, including those of a confidential or privileged nature, in your possession or control concerning me. You are hereby authorized and requested to copy records including but not limited to school transcripts, employment applications, personnel records, employment time records, attendance records, workers’ compensation records, accident reports, information on any law suits filed against me or a previous employer based on my actions, medical records maintained in my personnel file, offce records, notations, internal reprimands or discipline, or financial records.

This information is to be used to assist the St. Louis Police Department in determining my qualifications and fitness for the position of police offcer.

I hereby release you, your agency, or others from any and all liability or damage which may result from furnishing the information requested.
Applicant's Name*

First NameLast Name
Applicant's Social Security Number*
ex. 123-45-6789
Applicant's Date of Birth*

MonthDayYear
mm/ddmyyyy
Applicant's Signature*

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Date*

MonthDayYear
Date
Witness's Signature*

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Date*

MonthDayYear
Date

CONFIDENTIAL RECORDS

STEP 4 OF 8
To Whom It May Concern:

I request and authorize you to furnish to the St. Louis Metropolitan Police Department any and all information and documents, including those of a confidential or privileged nature, in your possession or control concerning me. You are hereby authorized and requested to copy records including but not limited to school transcripts, employment applications, personnel records, employment time records, attendance records, workers’ compensation records, accident reports, information on any law suits filed against me or a previous employer based on my actions, medical records maintained in my personnel file, offce records, notations, internal reprimands or discipline, or financial records.

This information is to be used to assist the St. Louis Police Department in determining my qualifications and fitness for the position of police offcer.

I hereby release you, your agency, or others from any and all liability or damage which may result from furnishing the information requested.
Applicant's Signature*

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Date*

MonthDayYear
Date
Witness's Signature*

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Date*

MonthDayYear
Date

RECRUIT TRAINING AGREEMENT

STEP 5 OF 8
CITY OF ST. LOUIS RECRUIT TRAINING AGREEMENT

ONLY FILL OUT THE FIRST PAGE OF THIS STEP. THE REMAINING INFORMATION AND SIGNATURES WILL BE COMPLETED UPON ACCEPTANCE OF JOB OFFER.
THIS AGREEMENT, made and entered into on the date set forth below (the “Agreement”), is between the City of St. Louis (the “City”), and First Name* Last Name* (the "Trainee"), currently residing at Street Address* Address Line 2* City* State* Zip* hereinafter collectively referred to as the "Parties."
WHEREAS, the City has accepted the Trainee as a Police Officer (Trainee) and intends to employ him/her as a commissioned police officer upon successful completion of the St.Louis Police Academy (the “Academy”); and

WHEREAS, Missouri law requires that the Trainee meet certain minimum training requirements in order to be qualified to perform the duties of a commissioned police officer in the City;

IT IS THEREFORE AGREED THAT:

1. The Trainee acknowledges that the City will pay all costs and expenses related to the Trainee’s attendance at the Academy. The Trainee acknowledges further that he/she will be paid as a Police Officer (Trainee) during the approximately twenty-eight (28) week, training period at the Academy.

2. The cost to the City associated with the Trainee’s attendance at the Academy, including but not limited to the Trainee’s salary and benefits, as well as any applicable fees, tuition, and training materials, shall not exceed $36,983 (the “Tuition”).

3. In exchange for the benefit of receiving training at the Academy at no cost for having all other costs and expenses related to the Trainee’s attendance at the Academy paid for by the City, the Trainee hereby agrees that if he/she resigns or is terminated as an employee of the City at any time within the forty-eight (48) months after the beginning of his/her training at the Academy and should accepts employment within twelve (12) months from the date of such resignation or termination with any other
law enforcement agency, without regard to jurisdiction, then he/she shall reimburse the City as follows:

A. Academy Graduates - an amount equal to the sum of the Tuition divided by forty-eight (48), then multiplied by the number of months less than forty-eight(48) which the Trainee has served the City as a probationary and/or commissioned police officer.

B. Police Offcer (Trainee) - an amount equal to the sum of Tuition divided by twenty-eight (28), then multiplied by the number of weeks of training completed prior to the resignation or termination of the Trainee.

4. The Trainee agrees, consents, and authorizes that any amount to be so reimbursed or any portion of any amount to be so reimbursed may be deducted and retained by the City from any compensation or other monies owed by the City to the Trainee at the time of resignation or termination.

5. In the event that the funds referred to in Paragraph Four (4) above shall be insufcient to fully reimburse the City pursuant to this Agreement, the Trainee agrees that he/she shall be personally responsible for the prompt repayment of all monies owed by him/her to the City pursuant to this Agreement.

6. The Trainee may make monthly installments of no less than an amount equal to one-sixth (1/6) of the total amount owed at the time of resignation or termination. If the Trainee fails to pay all monies owed within six (6) months of resignation or termination, interest shall be charged at a rate of nine percent (9%) compounded monthly on all monies still owing six (6) months after resignation or termination. The City reserves the right to pursue all legal and equitable means at its disposal to collect such balance due. If the Trainee does not make full repayment required under this Agreement within six (6) months of resignation or termination and the City elects to pursue litigation to obtain such repayment, Trainee will be liable to the City for all of the City’s litigation costs and expenses, including attorney’s fees.

7. The Parties agree that if any part of this Agreement is declared illegal, unenforceable, or invalid, such provision shall be fully severable and the remained will continue to be legal, valid, and enforceable.

8. This Agreement shall be governed by and construed in accordance with the laws of the State of Missouri. The City and Trainee agree that any action to interpret or enforce this Agreement or which arises out of this Agreement shall be brought in the 22nd Judicial Circuit Court, City of St. Louis, Missouri.

9. Trainee acknowledges that this Agreement is entered into knowingly and voluntarily and that he/she has had an opportunity to have this document reviewed by counsel rior to its execution.
Please Leave this Section Blank
IN WITNESS WHEROF, this Agreement has been executed this   Day   day, of   Month   , 20   Year

Appointing Authority or Designee      Trainee

STATE OF MISSOURI )
) SS
CITY OF MISSOURI )

On this   Day  , day of   Month   , 20   Year   , before me personally appeared   Applicant Name  , to me know to be the person described herein and who executed the forgoing instrument and acknowledged to me that he/she executed the same as his/her free act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal in the City and State the day and year above written.

Notary Public
Notary Public

COUNTERSIGNED BY:

Coptroller Name      Date
Comptroller

APPROVED AS TO FORM BY:

Type a label      Date
City Counselor

ATTESTED TO BY:

Type a label     Date
Register

PHYSICAL ABILITIES TEST

STEP 6 OF 8
I, {name}, hereby acknowledge that I have been advised that I must be in good physical condition at the time my application for the position of Probationary Police Offcer is submitted. I acknowledge that I have been further advised that, if I am not in good physical condition, I may be at risk of physical injury and/or medical diffculties when participating in the Physical Ability Test and on the job and, therefore, should seek the advice of my physician before proceeding in the examination process.

I understand that, for purposes of my employment application, "good physical condition" means:

1. I have no medical condition or risk factor that would be aggravated by exercise or pose an immediate risk when coupled with exercise, have answered “NO” to all
seven questions on the PAR-Q questionnaire presented on Page 3 and have none of the major signs or symptoms of underlying risk factors identified on Page 4.

(If you answer YES to any of the seven questions on the PAR-Q, or have any of the major signs or symptoms listed, you should postpone physical testing until medical clearance is obtained.)

2. I have been evaluated with respect to any known medical condition or risk factor, have received certification from my physician specifying that participation in a fitness program and the Physical Ability Test poses no significant risk, and have provided notification of my condition/risk factor and physician certification to the SLMPD.

3. I am taking any prescribed medical or health precautions I am required to take to safely participate in the Physical Ability Test.

4. My weight is within an acceptable range for a person of my height and body structure based on the height-weight scales and/or body fat percentage standards adopted by the Board of Police Commissioners and presented in the height-weight/body fat chart.

I further acknowledge that, in addition to the requirement that I be in "good physical condition," I will also be required to successfully complete the Board's Physical Abilities Test whenever required to do so during the period in which my application is being processed. I understand that failure to pass the Physical Ability Test at any time during the processing period may result in disqualification from the employment process, or in my application being placed in an "inactive" status until such time as I meet the Board's
tness requirements.

PHYSICAL ABILITIES TEST

STEP 6 OF 8
HEIGHT AND WEIGHT
The first part of this section identified medical conditions that would pose a risk to candidates while participating in physical activity. In addition to the medical conditions, there are a number of general health factors which can be used to assess your current level of fitness and help determine whether you are ready to participate in the PAT and perform the physical activities required of police officers on the job. One such factor is to review the height and accompanying weight chart presented below. Falling outside of the weight ranges or the body fat percentage, may not prevent you from participating in the PAT but it may be an indicator of potential risks when participating in the fitness program provided in this guide and during the PAT. If you are concerned about your current weight or amount of body fat or exhibit high levels beyond the guidelines suggested, you should seriously consider consulting a physician and or engaging in a weight control program (see next section) prior to initiating a rigorous fitness program and taking the PAT. In addition, if you have numerous warning signs or fall well outside the desired levels, you may need to reconsider whether you are capable of completing a fitness program and the PAT in the near future, and handling the physical demands of serving as a police officer on a daily basis.

BACKGROUND QUESTIONNAIRE

STEP 7 OF 8
POLICE DIVISION

CITY OF ST. LOUIS

POLICE OFFICER POSITION

PERSONAL DATA
Name*

First NameMiddle NameLast Name
List all other names you have, or have used (including maiden name, nicknames, and aliases):*
Race*
Gender*
Age*
Date of Birth*

MonthDayYear
Place of Birth*
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address? *
Years / Months

BACKGROUND QUESTIONNAIRE

Step 7 of 8

With whom do you reside? *

	Name	Relationship	Birthdate	Place of Birth
1.
2.
3.
4.
5.

If you are now, or have ever been married, please furnish the following information concerning each marriage, including information concerning the termination of the marriage (death, annulment, separation, divorce, etc.) Please list current marriage or last marriage first.
Spouse / Ex Spouse

First NameLast Name
Birth Date

MonthDayYear
Date
Social Security #
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Marriage
Place of Marriage
City / County / State
How Terminated*
ex: Death, Divorce, etc
Date Terminated*
If Still Married, enter "Still Married" or if separated, enter "Married but Separated" Otherwise enter the Date the marriage was legally terminated.
Location of Termination*
City / County / State
Are you required to pay child support?*

YesNo
In what city and state are you required to pay child support*
Are you now ar have you ever been delinquent in child support payments? If yes, please explain: *

Were you ever subjected to disciplianry action in connection with any employment ?*

YesNo
If yes, give details of each account*
Military Service
Have you ever served on active duty in the Army, Air Force, Coast Guard, Marine Corps, Navy, R.O.T.C., or any other military organizations?*

YesNo

Are you now or have you ever been a member of any Reserve or National Guard?*

YesNo
Name of Unit*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

BACKGROUND QUESTIONNAIRE

Step 7 of 8 Continued
Were you ever, either as an adult or certified as an adult, arrested,taken into custody, or imprisoned? Have you ever received a summons or citation, excluding traffic? Have you ever been arrested, where the original charge was reduced to a lesser crime? (Exclude all parking and other minor traffic violations) AN ARREST HISTORY/CONVICTION WILL NOT NECESSARILY EXCLUDE YOU FROM THE EXAMINATION PROCESS. EACH APPLICANT'S HISTORY IS REVIEWED ON A CASE BY CASE BASIS.*

YesNo
If yes, give full details of each and every incident: *
If No, enter N/A
Were you ever, as an adult or certified as an adult, convicted of a crime?*

YesNo
What crime(s)? Give Details*
If None, enter N/A

Indicate below all arrests as an adult or certified adult: (If none, enter N/A in the first Box) *

	Date	Charge	Location (City, County, State)	Court Disposition	Police Agency
1.
2.
3.
4.
5.

Have the police ever been called to your residence (your current and all former residences) for any reason?*

YesNo
If yes, explain in full detail: *
If No, enter N/A

BACKGROUND QUESTIONNAIRE

Step 7 of 8 Continued
Were you ever summoned or subpoenaed to court in a civil action proceeding; or were you ever a party (plantiff or defendant) in a civil action, in this state or elsewhere?*

YesNo

If yes, indicate below. If no, enter N/A in the first box.*

	Date	Action/Proceeding	Plantiff/Defendant/Witness	Court Disposition
1.
2.
3.
4.

Action: *
If None, enter N/A
Outcome: *
If None, enter N/A
Details: *
If None, enter N/A

BACKGROUND QUESTIONNAIRE

Step 7 of 8 Continued
REFERENCES

Give three (3) social acquaintances
1. Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known*
Phone Number*
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.
2. Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known*
Phone Number*
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.
3. Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Known*
Phone Number*
Please enter a valid phone number.
Business Phone Number
Please enter a valid phone number.

	License Number	State	Expiration Date
1.

GATHER DOCUMENTS & FORM SUBMISSION

STEP 8 OF 8
In order to be considered for employment, you must provide the following documentation with your application packet:

Copy of ALL of the following:
- Birth certificate
- High School diploma or accredited equivalency certificate
- College diploma, if applicable
- College Unofficial Transcript, if applicable
- Military Discharge (D.D. 214, member 4), if applicable

You may upload aformentined documents below. The following file types are accepted: pdf

PLEASE DO NOT UPLOAD PHOTOS OF DOCUMENTS. ONLY SCANNED FILES ACCEPTED.
File Upload

Cancelof
*Please have your high school or College/University mail an official copy of your transcript to the following address. You must include receipt/proof of request with your application packet.

315 S. Tucker Blvd, St. Louis MO, 63102

Please ensure all documents have been signed, witnessed as appropriate.

Questions about final submission process?
Contact Recruitment@slmpd.org
How did you hear about us?*

Internet SearchDepartment EmployeeSocial MediaSLMPD WebsiteCity WebsiteBukkbiardAcquaintence/FriendOther
If Other Please Specify:
Should be Empty:

	Name and Location	From (Mo/Yr)	To (Mo/Yr)	Total Semester Hours	Major	Degree and Date Received
1.
2.
3.
4.

	Name and Location	From (Mo/Yr)	To (Mo/Yr)	Full Time	Part Time	Subjects and hours completed	Date Graduated
1.
2.
3.
4.

	Branch/Organization	Primary Duty	Rank	Date Entered	Date Discharged	Type of Discharge
1.
2.
3.
4.
5.

ST. LOUIS METROPOLITAN POLICE OFFICER (TRAINEE) APPLICATION

#BETHECHANGE

CITY APPLICATION

CITY APPLICATION

CITY APPLICATION

Educational/Training History

College and University

NEW! 2021 - 2023 RESIDENCY REQUIREMENT WAIVED

RECORD RELEASE AUTHORIZATION

CONFIDENTIAL RECORDS

RECRUIT TRAINING AGREEMENT

Please Leave this Section Blank

PHYSICAL ABILITIES TEST

PHYSICAL ABILITIES TEST

Physical Activity Readiness Questionnaire (PAR-Q)1

PHYSICAL ABILITIES TEST

HEIGHT AND WEIGHT

BACKGROUND QUESTIONNAIRE

BACKGROUND QUESTIONNAIRE

BACKGROUND QUESTIONNAIRE

Employment

Military Service

BACKGROUND QUESTIONNAIRE

BACKGROUND QUESTIONNAIRE

BACKGROUND QUESTIONNAIRE

REFERENCES

BACKGROUND QUESTIONNAIRE

Driving Record

GATHER DOCUMENTS & FORM SUBMISSION

	Subject	Hours
1.
2.
3.
4.

	Name	Position	Job Title	Relationship
1.
2.
3.
4.

	Employer	Address	Date	Reason For Dismissal
1.
2.
3.
4.
5.

	Year	Make	Model	License Plate Number	State
1.
2.
3.
4.
5.