SECRETARY OF THE BOARD

SECRETARY OF THE BOARD
METROPOLITAN POLICE DEPARTMENT - CITY OF ST. LOUIS
INSTRUCTIONS:
Read every question carefully and answer each question accurately.

If a response does not apply, please enter N/A.
POSITION APPLIED FOR*
TODAY'S DATE*

MonthDayYear
Date
Name*

FIRST NAMEMIDDLE NAMELAST NAME
Address*

Street Address

APT./SUITE

CityState / Province

Postal / Zip Code
MOBILE PHONE*
OTHER PHONE
EMAIL ADDRESS*
example@example.com
ARE YOU LEGALLY ALLOWED TO WORK IN THE UNITED STATES?*
DO YOU POSSESS A VALID DRIVER'S LICENSE?*
DRIVERS LICENSE NUMBER*
STATE OF ISSUE*
EXPIRATION DATE*

MonthDayYear
Date
HAVE YOU EVER BEEN EMPLOYED WITH THE ST. LOUIS METROPOLITAN POLICE DEPARTMENT?*
IF YES, WHEN?

MonthDayYear
Date
WHAT POSITION?
EMPLOYMENT HISTORY
LIST BELOW YOUR COMPLETE WORK HISTORY, BEGINNING WITH YOUR CURRENT OR LAST JOB. PLEASE ACCOUNT FOR ALL TIME, INCLUDING PERIODS OF UNEMPLOYMENT, AND INCLUDE ALL PART-TIME AND VOLUNTEER EMPLOYMENT.
(1) NAME OF LAST/CURRENT EMPLOYER*
FROM: TO:*
MONTH/YEAR
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
EMAIL ADDRESS*
example@example.com
JOB TITLE/POSITION*
SUPERVISOR*
SALARY*
BRIEFLY DESCRIBE JOB DUTIES:*
REASON FOR LEAVING*
MAY WE CONTACT YOUR PRESENT EMPLOYER?*
(2) NAME OF EMPLOYER*
FROM: TO:*
MONTH/YEAR
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
EMAIL ADDRESS*
example@example.com
JOB TITLE/POSITION*
SUPERVISOR*
SALARY*
BRIEFLY DESCRIBE JOB DUTIES:*
REASON FOR LEAVING*
MAY WE CONTACT YOUR PRESENT EMPLOYER?*
(3) NAME OF EMPLOYER*
FROM: TO:*
MONTH/YEAR
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
EMAIL ADDRESS*
example@example.com
JOB TITLE/POSITION*
SUPERVISOR*
SALARY*
BRIEFLY DESCRIBE JOB DUTIES:*
REASON FOR LEAVING*
MAY WE CONTACT YOUR PRESENT EMPLOYER?*
EDUCATION
LIST ALL SCHOOLS AND COLLEGES IN THE ORDER ATTENDED, INCLUDING HIGH SCHOOL,TRADE/PROFESSIONAL SCHOOL.
LIST EACH SCHOOL YOU ATTENDED (SCHOOL, ADDRESS, DIPLOMA OR DEGREE, STUDIES/MAJOR)*
Ex. Harris Stowe State University/ 3026 Laclede Ave./ Bachelors Degree/ Psychology
IF YOU DID NOT GRADUATE FROM HIGH SCHOOL, DO YOU HAVE A CERTIFICATE OF EQUIVALENCY/GED?
PLEASE LIST ANY SPECIALIZED TRAINING, APPRENTICESHIPS, CERTIFICATION, EXTRACURRICULAR ACTIVITIES, HONORS AND AWARDS:
MILITARY SERVICE
HAVE YOU EVER SERVED ON ACTIVE DUTY IN THE UNITED STATES ARMED SERVICES?*
IF YES, PLEASE INDICATE ALL MILITARY SERVICE BELOW (IN THE BELOW FORMAT):
Ex. BRANCH, SERIAL NUMBER, FROM (MON./YR), TO (MON./YR), HIGHEST RANK, PRIMARY DUTY
ARE YOU NOW A MEMBER OF ANY RESERVE OR NATIONAL GUARD?*
APPLICANT'S ACKNOWLEDGMENT
The St. Louis Metropolitan Police Department is an Equal Opportunity Employer. Federal law prohibits discrimination in employment practices. No question on this application is posed for the purpose of limiting or excluding consideration of any applicant for employment because of race, color, religion, age, sex, national origin, disability or sexual orientation.

The applicant understands that neither this document nor any offer of employment from this employer constitutes an employment contract unless a specific document is executed in writing by the employer and employee.

The applicant may be disqualified from further processing by intentionally making a false statement of a material fact, practicing or attempting to practice any deception or fraud in the application.

I certify that answers given in this application are true and complete to the best of my knowledge. I authorize investigation into all statements I have made on this application as may be necessary for reaching an employment decision.
APPLICANTS SIGNATURE*

Clear
DATE*

MonthDayYear
Date
Should be Empty:

SECRETARY OF THE BOARD

INSTRUCTIONS:

EMPLOYMENT HISTORY

EDUCATION

MILITARY SERVICE

APPLICANT'S ACKNOWLEDGMENT