Clone of TPSO Job Application Form

TANGIPAHOA PARISH SHERIFF'S OFFICE

APPLICATION FOR EMPLOYMENT
APPLICATION INSTRUCTIONS

Thank you for your interest in applying for employment with the Tangipahoa Parish Sheriff's Office!

This application form is intended to evaluate your BASIC qualifications for employment.

Completing this form does not constitute an offer of employment, does not guarantee an offer of employment will be made, nor does it constitute an employment contract.

The Tangipahoa Parish Sheriff's Office is currently accepting applications for FULL-TIME positions only. Part-time positions will not be considered.

INSTRUCTIONS

Answer all questions completely and accurately. Any intentional false or misleading statements made on this form or during any employment interviews and/or testing are grounds for terminating the application process or, if discovered after employment, will result in terminating employment.

All qualified applicants will receive consideration without regard to sex, marital status, race, age, creed, national origin, or the presence of disabilities.

Individuals selected for further processing will be required to provide more detailed, additional background and personal data.

Additional testing of job-related skills and physical and psychological fitness for duty may be required.

Testing for the presence of drugs/alcohol in your body will be required prior to and during employment.

DISQUALIFIERS

Please note, certain factors such as felony convictions or dishonesty in the application process may disqualify candidates from consideration.

Applicants for employment of the Sheriff's Office in any job classification shall be required to meet the following standards:
- Shall not have used, tried, tasted, experimented with, or possessed any illegal controlled substance within the twelve (12) months prior to application
- Shall not have used, tried, tasted, experimented with, or possessed any illegal controlled substance classified as a Schedule I substance (except cannabis) or Schedule II substance as enumerated in LA Revised Statutes Title 40 within the sixty (60) months prior to application.
- Shall not have sold or delivered any illegal controlled substance at any time.
- Shall not have had a felony conviction in the past five (5) years for which one could have received a sentence of greater than ten (10) years in prison.
- Shall have no pending misdemeanor charges for criminal offenses.
- Shall have no hit and run convictions.
- Shall have no convictions of battery on police officer.
- Shall have not more than one (1) accident per each three (3) years of driving experience for positions that will regularly drive a department vehicle.
- Shall have no military discharge for less than honorable reasons.
- Shall have no false statements/omission of material fact.
- Shall have no unexplained gaps in employment history.
- Shall have no unstable employment history.
- Any employee who resigned, in lieu of termination, for criminal and/or policy violations shall not be eligible for reappointment.
Applicants for employment of the Sheriff's Office in job classifications of deputy sheriff, corrections deputy or any other classification that requires operation of an agency motor vehicle to regularly and routinely perform the essential functions of the position shall be required to meet the following standards for appointment to the job classification:
- Possess a current valid Louisiana driver's license.
- Not more than one (1) accident per each three (3) years of driving experience for positions that will regularly drive a department vehicle.
- Not have been convicted or pled to LA R.S. 14:98 - Operating a vehicle while intoxicated, during the sixty (60) months prior to date of application, nor more than one time total.
- Not have been convicted or pled to LA R.S. 14:108.1 - Flight from an officer; aggravated flight from an officer, during the sixty (60) months prior to date of application, nor more than one time total.
- Not have been convicted of any criminal traffic offenses as defined by LA R.S. 14:96 through 14:100, during the sixty (60) months prior to date of application, nor more than one time total.

Personal Information

In the event you are selected for further processing in connection with this employment application, it will be necessary for you to provide personal identifying information and extensive personal history data.
Full Name

First NameMiddle InitialLast Name
Birthday

MonthDayYear
Date
Race
Sex
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Format: (000) 000-0000.
Email Address
Have you ever worked under or attended school under a different name?
What name?
Have you ever been arrested?
Have you ever been convicted of a crime?
Are you currently employed?
Have you ever been subject to disciplinary action, including written reprimand, suspension, demotion, or termination by any employer
If yes, please explain:
Other than your current employer, have you held any previous jobs, internships, or volunteer positions?
If yes, please explain:
Are you a legal citizen of the United States?
Are you legally authorized to work in the United States?
Explain

Position Desired & Qualifications

The positions listed below are the only positions currently being recruited.
Position Desired
Do you have prior experience in the position for which you are applying?
Can you work rotating shifts? (Days, nights, alternating weekends, etc.)
Are you P.O.S.T. Certified?
P.O.S.T. certification level(s) completed?
Have you previously applied for employment, or worked, with this agency?
If you have previously applied for employment with us, what position did you apply for, and when?
If offered a position, when would you be able to start working?

MonthDayYear

Minimum Qualifications / Education / Military
Are you 18 years of age at the time of this application?
Do you possess a high school diploma or a GED?
Do you possess a college degree?
If yes, what is your highest degree earned?
Do you possess a valid driver's license?
Have you ever been enlisted or served in the Armed Forces of the United States?
Branch of Service

Preliminary Disqualification Screening

Each question must be answered for the application to be reviewed.
Have you used an illegal controlled substance within the last 12 months?
Have you used a Schedule I (except cannabis) or Schedule II controlled substance within the last 60 months?
Have you ever sold or distributed an illegal controlled substance?
Do you currently have any pending criminal charges?
Have you been convicted of a felony within the last five years?
Have you ever completed a diversion program to avoid conviction?
Have you ever been sentenced to felony or misdemeanor probation?
Have you ever been discharged from military service under less than honorable conditions?
Have you ever resigned from a job to avoid termination?
Have you ever been terminated from employment?
Have you ever intentionally falsified information during an employment process?
Do you possess a valid driver's license?
Have you been convicted of DWI within the last 60 months?
Have you ever been convicted more than once of DWI?
Have you been convicted of Flight From an Officer within the last 60 months?
Have you been convicted of any criminal traffic offense within the last 60 months?
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation may result in disqualification from employment consideration or termination if employed.
Today's Date

MonthDayYear
Date

Authorization for Criminal History Check
I understand that employment with the Tangipahoa Parish Sheriff's Office requires the evaluation of my criminal history and suitability for employment. I authorize the Tangipahoa Parish Sheriff's Office to conduct criminal history record checks through local, state, and federal databases, as permitted by law, for employment-related purposes.
Signature
Date

MonthDayYear
Date

Authorization for Release of Information
I understand and acknowledge that in connection with my application for employment, a thorough background investigation will be conducted by the Tangipahoa Parish Sheriff's Office.

Authorization
In connection with this investigation,I hereby authorize the Tangipahoa Parish Sheriff's Office (TPSO), its employees, agents, representatives, and any authorized third-party contractor acting on its behalf, to conduct a comprehensive background investigation for employment purposes.

I understand that this investigation may include verification and review of information relating to my employment history, education, military service, criminal history, driving record, financial responsibility, professional licenses, character, reputation, personal references, and any other information relevant to determining my qualifications and suitability for employment.

I authorize any individual, employer, educational institution, governmental agency, law enforcement agency, licensing authority, military organization, financial institution, credit reporting agency, healthcare provider as permitted by law, or other organization having knowledge of my background to release such information to TPSO upon request.

Authorization to Obtain Records
I specifically authorize TPSO to obtain and review records including, but not limited to:
- Employment records and personnel files;
- Attendance records;
- Performance evaluations;
- Disciplinary records;
- Separation records;
- Educational records and transcripts;
- Military records, including discharge documentation;
- Criminal history records as authorized by law;
- Motor vehicle and driving records;
- Court records;
- Professional certification and licensing records;
- Credit history reports, where permitted by law and relevant to the position sought;
- Any other records deemed relevant to evaluating my suitability for employment.
I understand that any information obtained by a personal history background investigation, which is developed directly or indirectly, in whole or in part upon this release authorization, will be considered in determining my suitability for empoyment by the Tangipahoa Parish Sheriff's Office.

I understand that all materials pertaining to this background investigation become property of the Tangipahoa Parish Sheriff's Office and will not be returned to me.

I understand that in the event the investigating agency finds conduct that is illegal or unbecoming of a police officer and I am currently serving in the capacity of a police officer in a jurisdiction, the Tangipahoa Parish Sheriff's Office has my permission to disclose the inforation to any current employer.

I further understand that in the event my application is disqualified, the confidential information or source(s) of information will not be revealed to me.

Release of Liability
I hereby release and hold harmless the Tangipahoa Parish Sheriff's Office, Tangipahoa Parish Sheriff, its employees, agents, representatives, and all persons, organizations, agencies, and institutions providing information pursuant to this authorization from any and all liability, claims, damages, or causes of action arising from the lawful collection, release, disclosure, or use of information obtained during the background investigation process.

This release shall not apply to any person or entity that knowingly provides false information or acts with malicious intent.

Continuing Authorization
I understand that this authorization shall remain valid throughout the hiring process and, if employed, may be used for any lawful employment-related investigation, administrative inquiry, security review, or internal investigation as permitted by agency policy and applicable law.
I certify that I have carefully read and understand this authorization. I acknowledge that my failure to provide truthful information, or my refusal to authorize the release of relevant information, may result in disqualification from further consideration or termination of employment if discovered after hire. I understand that a photocopy, scanned copy, electronic copy, or facsimile of this authorization shall be considered as valid as the original.
Today's Date

MonthDayYear
Date
Should be Empty:

TANGIPAHOA PARISH SHERIFF'S OFFICE

Personal Information

Position Desired & Qualifications

Minimum Qualifications / Education / Military

Preliminary Disqualification Screening

Authorization for Criminal History Check

Authorization for Release of Information