Dakota 911 Public Safety Telecommunicator Employment Application

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Employment Application

Dakota 911 Public Safety Telecommunicator
Dakota 911 is an Equal Opportunity Employer. Employment decisions are made without regard to any status protected by applicable federal, state, or local law. Dakota 911 provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA). Applicants requiring accommodation during the application or interview process should contact Dakota 911 Administration at (651) 322-8660.

Before You Begin

Review the Public Safety Telecommunicator Position Description before completing this application and initial to confirm you understand the expectations of the position you are applying for.
Initials
Full Name

First NameLast Name
Street Address

Street Address Line 2

CityState

Zip Code
City
State
Zip Code
Email Address
Enter a valid email address, such as name@example.com.
Phone Number
Format: (000) 000-0000.
How did you hear about this opportunity?
Wage Expected
Available Start Date

MonthDayYear
Date
Are you at least 18 years old?
Do you have a High School Diploma or GED?
Once employed, can you submit proof of your legal right to work in the United States?
Do you have any relatives working at Dakota 911?
If you answered "yes" to the above question, who is the relative?
Please list all languages, including English if applicable, in which you are able to participate effectively in most conversations on practical, social and professional topics.

EDUCATION
What school did you receive your high school diploma/GED from?
What is the highest level of education you have completed?
Please list all colleges/universities you have attended.

Attach a separate page if needed. Please note "see resume" is not an acceptable response.
College/University

Name

Major/Minor

CityState

Zip Code
College/University

Name

Major/Minor

CityState

Zip Code
College/University

Name

Major/Minor

CityState

Zip Code
Please list all current licenses, registrations and certifications you possess, and any other courses, seminars or trainings that may have provided you with skills related to this position.

EMPLOYMENT EXPERIENCE
Have you ever been involuntarily terminated from a place of employment?
If you answered yes to the above question, please provide the company name, the position held and the reason for the termination.
Please provide a complete employment history for the past ten (10) years, beginning with your current or most recent employer. Include all periods of employment (paid and volunteer), self-employment, military service, and any periods during which you were not employed. For any gaps in employment, please identify the applicable time period and provide a brief explanation (e.g., education, caregiving, travel, job search, military service, or other). You are not required to disclose medical information or other information protected by law. Attach a separate sheet if needed, or to include relevant experience prior to 10 years ago. Please note "see resume" is not an acceptable response.
Current From

MonthDayYear
To

MonthDayYear
Company

Street Address

Street Address Line 2

Name & Position HeldCity, State

Postal / Zip Code
Duties & Reason for Leaving
Prior From

MonthDayYear
To

MonthDayYear
Company

Street Address

Street Address Line 2

Name & Position HeldCity, State

Postal / Zip Code
Duties & Reason for Leaving
Prior From

MonthDayYear
To

MonthDayYear
Company

Street Address

Street Address Line 2

Name & Position HeldCity, State

Postal / Zip Code
Duties & Reason for Leaving
Prior From

MonthDayYear
To

MonthDayYear
Company

Street Address

Street Address Line 2

Name & Position HeldCity, State

Postal / Zip Code
Duties & Reason for Leaving
Prior From

MonthDayYear
To

MonthDayYear
Company

Street Address

Street Address Line 2

Name & Position HeldCity, State

Postal / Zip Code
Duties & Reason for Leaving
Supplemental Employment Information

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MILITARY EXPERIENCE

If you served in the U.S. Armed Forces and wish to apply for Veteran's Preference points, the following information must be completed and supporting documentation submitted with this employment application.
Do you wish to claim Veterans' Preference for this position?
COMPLETE THIS SECTION TO CLAIM VETERANS' PREFERENCE

Applicants claiming Veterans' Preference must submit the required supporting documentation with their application. Claims submitted without the required documentation by the application deadline cannot be considered. Veterans' Preference may be available to eligible veterans, disabled veterans, the surviving spouse of a qualifying veteran, or the spouse of a qualifying disabled veteran, as provided by Minnesota law.

Please upload the applicable supporting documentation, including:
- DD Form 214 (Member Copy 4) or other official documentation verifying qualifying military service; and
- Any additional documentation required to verify eligibility for disabled veteran or spouse preference, if applicable.
For eligiblity requirements and additional information regarding Veterans' Preference, please visit Minnesota Department of Veterans Affairs
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
VETERAN (10 POINTS)

("Member Copy 4" of DD214 or DD215, or other documentation verifying service must be submitted to receive points.)
Are you an honorably discharged veteran?
DISABLED VETERAN (15 POINTS)

("Member Copy 4" of DD214 or other documentation verifying service and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.)
Percent of Disability:
SPOUSE OF DECEASED VETERAN (10 POINTS)

IF VETERAN WAS DISABLED AT TIME OF DEATH, 15 POINTS. ("Member Copy 4" of DD214 or DD215, or other documentation verifying service, photocopy of marriage certificate, spouse's death certificate and proof veteran died on, or as the result of active duty must be submitted to receive points. You are ineligible to receive points if you have remarried or were divorced from the veteran.)
Date of Death

MonthDayYear
Have you remarried?
SPOUSE OF DISABLED VETERAN (15 POINTS)

("Member Copy 4" of DD214 or DD215, or other documentation verifying service, and USDVA letter of disability rating decision of 10% or more must be submitted to receive points.)

How does Veteran's disability prevent performance of a stated job requirement? Due to the veteran's service-connected disability the veteran is unable to qualify for this position because (be specific):
AFFIDAVIT:

I hereby claim Veterans' Preference points for this examination and swear/affirm that the information given is true, complete and correct to the best of my knowledge. I hereby acknowledge that I am responsible to obtain the required Veterans' Preference verification documents and submit them to Dakota 911 within ten (10) days of Dakota 911's acknowledgment of receipt of my application.
Signature
Signature Date

MonthDayYear
Date
Veterans' Preference Points Documentation

Upload one file in PDF, DOC, DOCX, or RTF format.
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AUTHORIZATION

I certify that all information I have provided in this application for employment is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or if employed, will be grounds for dismissal, regardless of length of employment or when the misrepresentation or omission is discovered. I acknowledge that I have received a copy of the job description for the position for which I am applying. I further acknowledge my understanding that employment with Dakota 911 is "at will," and that employment may be terminated by either Dakota 911 or me at any time, with or without notice. With my signature below, I am providing Dakota 911 authorization to verify all information I provided within this application packet, including contacting current or previous employers. However, I understand that if, in the Employment Experience section I have answered "No" to the question, "May we contact your current employer?", contact with my current employer will not be made without my specific authorization. I have read the included Data Practices Advisory, and I further understand that criminal history checks may be conducted and that a conviction of a crime related to this position may result in my being rejected for this job opening. I also understand it is my responsibility to notify Dakota 911 in writing of any changes to information reported in this application for employment.
Signature Date

MonthDayYear
Date
Signature
Cover Letter (Optional)

Upload one cover letter file in PDF, DOC, DOCX, or RTF format.
Cancelof
Resume (Optional)

Upload one resume file in PDF, DOC, DOCX, or RTF format.
Cancelof
Should be Empty:

Employment Application

RELEVANT EXPERIENCE

EDUCATION

Please list all colleges/universities you have attended.

EMPLOYMENT EXPERIENCE

MILITARY EXPERIENCE

EQUAL EMPLOYMENT OPPORTUNITY INFORMATION

Position for which you are applying: Public Safety Telecommunicator

Disability status, defined as:

AUTHORIZATION