Completion of the Police Officer Employment Application is the first step in the employment
process. The information on these forms will be used to judge your qualifications
for the position of police officer. Read all of the questions carefully and answer all questions
completely and honestly.
You must complete this application yourself. Do not leave any blank spaces. If a question does not apply, write “DNA” in the answer space. All information in this application is subject to verification. Any false, misleading, or
incomplete information will result in your application being eliminated from consideration.
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POLICE OFFICER EMPLOYMENT APPLICATION
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1. Specialized Skills and Training
Do you speak another language other than English? ___Yes ___No Fluent? ___Yes ___No
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Personal History
1. Do you know of any reason that you could not pass a background check? ___ Yes ___ No
2. Have you ever been fired or asked to resign from a job? ___ Yes ___ No
3. Have you ever received disciplinary action from an employer? ___ Yes ___ No
4. Have you ever stolen from an employer? ___ Yes ___No
5. Have you ever committed a crime for which you were not arrested? ___ Yes ___No
6. Have you ever assisted someone in committing a crime? ___ Yes ___ No
7. Have you ever falsified a police report? ___ Yes ___ No
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Please Read Carefully Before Signing This Application
I declare that the foregoing statements are true and correct to the best of my knowledge and belief. I realize that falsification of any information on this application is grounds for disqualification. I further understand that any misrepresentation or omission of facts upon this application will be sufficient cause for cancellation and/or
separation from City service if I have been employed.
Applicant Signature:___________________________________ Date: ________________________
The California Highway Patrol tests applicants at least once each year or as needed to fill vacancies.
This is what will happen with your application.
1. Your application is reviewed to ensure you meet the minimum qualifications for a
police officer position and for accuracy, legibility, and completeness.
2. If the application is accepted, you will receive a letter notifying you of acceptance.
Letters are not sent for rejected applications.
3. Your application will be placed on file until a test is scheduled.
4. All applicants on file will be notified by mail of the next test date.
5. Failure to appear on the scheduled test date disqualifies the applicant and their
application will be discarded. You must submit a new application for the next testing period.
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WORK ENVIRONMENT
Above average accessibility of all work sites required for the position.
Extreme exposure to weather and temperature extremes.
Average exposure to chemical and fumes.
Average exposure to heights.
Above average exposure to work safety hazards.
Average amount of overtime/extended work hours required.
Above average exposure to dust.
Above average exposure to loud noises
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COMMUNICATION
Above-average verbal communication.
Above-average written communication.
Above-average non-verbal communication.
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SENSORY ABILITIES
Normal ability to see.
Normal ability to distinguish colors.
Normal ability to hear.
Normal ability to smell.
Normal sense of touch
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_______________________________ ______________________
Applicant Signature Date
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