Employment Application 2024

Employment Application 2024

For Original Appointment to the Pekin Police Department
Please complete the following application packet. Ensure that the entire application and release forms are signed, dated, and witnessed (where indicated) before submitting. Failure to submit any portion of the required materials included in this application packet will eliminate you from employment consideration.

Completed applications for the position of Original Appointment Police Officer should be submitted via our website: www.pekinpd.com, or dropped off to: City of Pekin, ATTN: Jaimie Buckman, 111 S. Capitol Street, Pekin, IL 61554. Any application questions can be emailed to: jjbuckman@ci.pekin.il.us. Applications will be accepted through, but no later than, 4:00 p.m. Friday, November 1st, 2024. Testing will be held on Saturday, November 9th, 2024.

All applicants must have a High School diploma or GED to be eligible to test.
Applicants must be a citizen of the United States, must be at least age 21 by time of appointment and must be under age 35, unless otherwise exempt by law, by the final eligibility list effective date of November 19th, 2024.

Copies of the following documents are required:
- Birth Certificate
- High School Diploma or GED Certificate
- Current Valid Driver's License
- DD214 (if applicable and for points consideration)
If requested documents are not included with your application packet, we must have them no later than the application acceptance cut-off date of 4:00 p.m. Friday, November 1st, 2024 or you will be eliminated from consideration.
All aspects of testing will be conducted on Saturday, November 9th, 2024. Testing locations are to be announced. Testing will include a written exam and POWER test. Oral interviews will be conducted for those candidates who pass both the written exam and POWER test. Applicants must check in at the test site no later than 7:30 a.m. on November 9th 2024.

Note: Failure to complete any portion of the testing process will eliminate you from further consideration.
Application Date:*

MonthDayYear
Full Name:*

First NameMiddle NameLast Name
Date of Birth:*

MonthDayYear
Date
Social Security Number:*
Present Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address:*
example@example.com
Phone Number*
Please enter a valid phone number.
Work or Alternate Phone:
Please enter a valid phone number.
Are you a United States citizen?*

YesNo
Are you currently a law enforcement officer?*

YesNo
Have you ever been charged and/or convicted of any criminal charge whether felony or misdemeanor:*

YesNo
If yes, give a detailed explanation, including date, place, charge, and final disposition.
How did you learn of this employment opportunity?*

WebsiteNewspaper AdCareer FairFacebookCollege Career CenterOther
EMPLOYMENT HISTORY

Begin with your present or most recent employer and continue in reverse order.

Current/Most Recent Employer:
Current/Most Recent Employer:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Please enter a valid phone number.
Name and Title of Supervisor:*

NameTitle
Date Employed From:*

MonthDayYear
Date Employed To:*

MonthDayYear
Title:*
Salary / Per:*

SalaryPer
Type of Employment:*

Full TimePart TimePermanentTemporary
Responsibilities and Duties:*
Did you supervise others?*

YesNo
If yes, indicate number:

Professional StaffNon-professional Staff
Reason for Leaving?*

Second Most Recent Employer:
Second Most Recent Employer:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:
Please enter a valid phone number.
Name and Title of Supervisor:

NameTitle
Date Employed From:

MonthDayYear
Date Employed To:

MonthDayYear
Title:
Salary / Per:

SalaryPer
Type of Employment:

Full TimePart TimePermanentTemporary
Responsibilities and Duties:
Did you supervise others?

YesNo
If yes, indicate number:

Professional StaffNon-professional Staff
Reason for Leaving:

Third Most Recent Employer:
Third Most Recent Employer:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:
Please enter a valid phone number.
Name and Title of Supervisor:

NameTitle
Date Employed From:

MonthDayYear
Date Employed To:

MonthDayYear
Salary / Per

SalaryPer
Type of Employment:

Full TimePart TimePermanentTemporary
Responsibilities and Duties:
Did you supervise others:

YesNo
If yes, indicate number:

Professional StaffNon-professional Staff
Reason for Leaving:

EDUCATION RECORD
Location where High School Diploma or GED Equivalency was obtained:*
LIST ALL COLLEGES OR UNIVERSITIES ATTENDED:
Institution Name and Location, Degree/Date, Hours Completed, Date Attended, Major
LIST ALL TRADE, BUSINESS, TECHNICAL, OR MILITARY SCHOOLS ATTENDED:
Institution Name and Location, Dates Attended, Courses Completed/Certificates Awarded
List any other relevant certifications or licenses (include date received):

DRIVING RECORD
Driver's License Number:*
Enter full number
License Class:*
Enter class
License Expiration Date:*
Ex: 12/12/2025
PROVIDE DETAILS REGARDING ANY ACCIDENTS, TRAFFIC CONVICTIONS, OR LICENSE FORFEITURES IN THE LAST 3 YEARS:
Incident Details:
Has your driver's license ever been denied, suspended or revoked?*

YesNo
If yes, please explain:

PLEASE READ AND SIGN...
I certify that the information given on this application and on any appended materials is true and complete to the best of my knowledge. I understand that any false or misleading information and/or omissions may result in the rejection of my application or, if employed, in termination of employment.

To determine my qualifications for employment, I authorize the City of Pekin to review my previous employment, driving, and criminal records and/or other background data as it may relate to the position for which I am applying. I hereby authorize all former employers and educational institutions to furnish any and all information they may have and release all parties from liability for any damage that may result from furnishing such information.

In consideration for employment, I agree to conform to the rules and regulations of the City of Pekin. I understand that no one other than the City Manager or Human Resources Director has the authority to enter into any agreement or contract for employment.

I understand that I will be required to undergo a post-offer medical exam that includes a drug screen, and I will be required to undergo a polygraph examination and psychological examination. If I should fail an examination for any reason, my offer of employment may be withdrawn.

I understand that the Physical Agility Test is an integral part of the examination for firefighter or police officers in the city of Pekin, Illinois, and I hearby release, remises and disharges the city of Pekin, a municipal corporation, the Board of Fire and Police Commissioners of the City of Pekin, the testing agency contracted to do the test(s) should it be contracted out, their officers, servants, agents and employees of and from any and all injuries, losses and damages to my person shall have caused, or may at any time arise as the result of certain fire or police examinations conducted by the Board of Fire and Police Commissioners of said Pekin, Illinois. The intention hereof being to completely, absolutely and finally release said City of Pekin, Illinois, the Board of Fire and Police Commissioners, the testing agency contracted to do the test(s) their officers, servants, agents and employees of and from any and all liability arising wholly or partially from the cause aforesaid.

I, the undersigned, understand that all of the tests and the results thereof become the property of the Board of Fire and Police Commissioners of the City of Pekin and are not subject to review.
Signature (Do Not Print):*

Clear
Today's Date:*

MonthDayYear
Witnessed By:*
Full Name
COPIES OF THE FOLLOWING DOCUMENTS SHOLD BE SUBMITTED ALONG WITH YOUR COMPLETED APPLICATION!
- COPY OF DRIVER'S LICENSE
- BIRTH CERTIFICATE
- HIGH SCHOOL DIPLOMA
- DD214 (if applicable and for points consideration)
File Upload:

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Please verify...*

I verify that I have filled out the entire application and signed and dated where indicated before submitting. I understand failure to submit any portion of the required materials included in this application will eliminate me from employment consideration.
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Employment Application 2024

EMPLOYMENT HISTORY