Bokchito Police Department Employment Application

THE TOWN OF BOKCHITO POLICE DEPARTMENT

117 E. MAIN STREET

BOKCHITO, OKLAHOMA 74726

An Equal Opportunity Employer

Date

Full Legal Name

Street Address City State Zip

Social Security Number

Date of Birth

Date

Phone

Email Address

example@example.com

Position Appling For

Age Must be 21 or Older

Are you CLEET certified If yes list CLEET No

Are you legally eligible to work in the United States

Have you ever worked for the Town of Bokchito If yes state when and reason for leaving

Are you related to any Town employee or any member of the Board of Trustees by blood or marriage If yes give name and how related

List the high schools Colleges correspondence business or technical schools attended List name of school city and state type of school dates attended and completion status

Have you ever been expelled or suspended from any school or dropped out because of poor scholastic standing If yes explain

Selective service number

Have you served in any branch of the military If yes Indicate branch current status and discharge type

1 Name and Address of Employer

Name and contact number of supervisor

When employed from

Position held and reason for leaving

2 Name and Address of Employer

Name and contact number of supervisor

When employed from

Position held and reason for leaving

3 Name and Address of Employer

Name and contact number of supervisor

When employed from

Position held and reason for leaving

4 Name and Address of Employer

Name and contact number of supervisor

When employed from

Position held and reason for leaving

Have you ever been fired suspended or asked to resign by an employer If yes explain

Have you ever been arrested, placed in jail, detained, received a conviction, suspended sentence or deferred sentence by any court of law anywhere (If yes, list date, charge, age at time, court of jurisdiction and disposition:

CRIMINAL RECORD

List drivers license number and state

Have you ever had your drivers license suspended cancelled or revoked If yes explain

How many traffic tickets or warnings have you received in the last seven years

List the name address and contact number of four 4 personal references Do not list family members or current and past employers

List any other information that you would like us to know

Signature

Date

THE TOWN OF BOKCHITO, OKLAHOMA POLICE DEPARTMENT

POLICE OFFICER IOB DESCRIPTION

DUTIES AND RESPONSIBILITIES: Under supervision a Police Officer shall execute the lawful orders of his/her superiors to include, but not limited to, the following:

1. Enforce all City Ordinances, State and Federal Laws. 2. Perform patrol and investigative functions in assigned area (s 3. Investigate and make a report of motor vehicle collisions, criminal offenses, and any other call or police matter encountered. 4. Properly prepare arrest cases; obtain, preserve and process evidence for cases; testify in court as a witness when called. 5.Carry out assignments as directed and remain on such assignments until relieved by proper authority. 6. Escort funeral processions, parades, officials, oversized vehicles, etc. as directed. 7. Attend shift meetings, department meetings, training courses, conferences, etc. as directed. 8. Keep his/her supervisor informed concerning matters of significance. 9. Promote good local public relations with other Law Enforcement personnel and agencies, civil groups and the public. 10. Be constantly observant for unsafe conditions on the streets such as obstructions, debris, icy conditions, high water, damage to roads, inadequate or damaged traffic control devices and take appropriate action to correct them. 11. Maintain a professional appearance and adhere to the department's uniform and hygiene standards at all times. 12. Perform any and all other lawful duties and assignments as required.

I have read and I understand the contents of this Police Officer Job Description for the Bokchito Police Department I hereby state that I can carry out the requirements as set forth in this document

Printed Name of Applicant

Signature of Applicant

Date

ADVISEMENT TO CANDIDATE REGARDING FALSE STATEMENTS

The overall purpose of the pre-employment background investigation is to verify that your application and any statements you have made to your prospective employer concerning your qualifications are true. Both State and Federal courts have also held that there is an absolute necessity for public employees to be truthful. You must understand that a lack of truthfulness or deception of any type on your part will automatically and irrevocably result in your application being rejected from

For some people, there may be one or more incidents or occurrences in their background which they regret or over which they may feel some embarrassment. A prospective employer will not make inquiries into areas of a person's background that have no legitimate bearing on their qualifications for the job. You should understand that the mere presence of so-called "negative" information in your background is not automatically disqualifying. For example, an applicant may have engaged in petty thievery as a child, used illegal drugs, been fired from a job, or been convicted of a crime as an adult. While these things in and of themselves may not automatically remove that person from consideration for a job, lying about them will. A pre-employment background investigation is not intended to be an intimidating experience or an unwarranted invasion into your privacy. Your background investigator will contact persons who know you, including present and/or former employers, and will examine official documents and records concerning you to assure that you have been honest in your application and to fulfill the legal mandates imposed by the courts and legislature. The more forthright you have been, the greater the likelihood that your background can be completed in a timely and successful manner.

I understand that any false statement and/or deliberate misrepresentations, whether by omission or commission, will result in my application being automatically and irrevocably rejected for further consideration. I certify that I have read the above statement, understand its contents and have been furnished a copy of it.

Candidate Printed Name

Date

Candidate Signature

ADVISEMENT TO CANDIDATE REGARDING CREDIT INFORMATION FOR EMPLOYMENT PURPOSES

The U.S. Fair Credit Reporting Act (FCRA) [15 U.S. Code 1681, $604(b)] requires that you be notified separately of your rights before any prospective employer may use credit data as part of an employment decision. In some cases, an evaluation of your financial history is mandated by law or by policy of your prospective employer.

You are hereby notified that your prospective employer intends to use credit data as part of its decision-making process for the position for which you have applied. The Credit Reporting Agency (CRA), which will furnish this data, will be TRANSUNION SCREENING SOLUTIONS, INC. located at 6430 S. FIDDLER'S GREEN CIRCLE #500, GREENWOOD VILLAGE, CO 80111. Their telephone number is 1-888-710-0272. You will automatically be furnished a copy of this report, but before any adverse actions are taken as a result of this document, you are advised of the following:

1.Access to your file is limited to persons recognized by the FCRA; 2.Your consent is required for reports that are provided to employers or that contain medical information; 3.You can find out what is in your file, although some information, such as "risk sources" or "credit scores" may be lawfully withheld; 4.You have been informed of the name, address, and telephone number of the CRA which is furnishing this data; 5.You can dispute inaccurate information with the CRA; 6.Inaccurate information must be corrected or deleted; 7.Outdated information may not be reported (seven years for most information, ten years for bankruptcies); 8.You may choose to exclude your name from the CRA list for unsolicited credit and insurance offers; 9.You may seek damages from violators, and;

10. The complete text of this act may be found at www.ftc.gov.

CERTIFICATION: I certify that BOKCHITO POLICE DEPARTMENT has my consent to obtain a copy of my credit report for the limited purpose of my pre-employment background investigation; that I have been informed that I will receive a copy of my credit report and that I have been informed in summary form of my rights under the FCRA.

Candidate Printed Name

Date

Candidate Signature

REFERENCES: