Oak Park PD Application

Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
EMPLOYMENT ELIGIBILITY: To be employed by the Oak Park Police Department, you must meet certain State and Federal employment requirements. Including, but not limited to, US Citizenship or work authorization in this country, positive rehire status, and no felony convictions.
Are you a United States Citizen?*

YesNo
Are you an alien authorized to work in the United States?*

YesNo
Have you worked for Oak Park PD or City of Oak Park in the past?*

YesNo
Did you get dismissed from your position?*

YesNo
If yes, please explain.
Have you been convicted of a felony?*

YesNo
If yes, please explain.
Do you have criminal charges awaiting disposition?*

YesNo
If yes, please explain.
Education
High School Diploma or GED?*

YesNo
Year Obtained*
Postsecondary Education
Postsecondary Education
Postsecondary Education
Georgia Licenses and Certifications
Current Valid Drivers License?*

YesNo
Drivers License Number
Certified Pease Officer?*

YesNo
OKEY Number
Is your certification in good standing?*

YesNo
If no, explain.
Are you currently under P.O.S.T Investigation?*

YesNo
If yes, explain.
Have you had any P.O.S.T investigation?*

YesNo
If yes, explain.
Are you currently under P.O.S.T sanctions?*

YesNo
If yes, explain.
List Peace Officer Certifications:
Employment History
Work References
Personal References

Known at least 1 year
CERTIFICATION: Read carefully before signing and dating. Unsigned applications will not be processed.

I CERTIFY THAT ALL INFORMATION ON THIS APPLICATION IS CORRECT. I AUTHORIZE ANY AGENT OR EMPLOYEE OF THE CITY OF OAK PARK TO VERIFY THIS INFORMATION FOR CONSIDERATION OF EMPLOYMENT. I UNDERSTAND THAT INTENTIONALLY PROVIDING FALSE INFORMATION ON THIS FORM OR ATTACHEMENTS IS A VIOLATION OF STATE LAW UNDER O.C.G.A 16-10-20 (FALSE STATEMENTS AND WRITING, CONCEALMENT OF FACTS, AND FAUDULENT DOCUMENTS IN MATTERS WITHIN JURISDICTION OF STATE OR POLITICAL SUBDIVISIONS)
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ITEMS TO INCLUDE WITH YOUR APPLICATION
Should be Empty:

Personal Information

Education

Georgia Licenses and Certifications

Employment History

Work References

Personal References