Employment Application

Step 1 of 7

General Information

Are you applying for:(Required)

Are you a lateral transfer or a new applicant?(Required)

To be considered a lateral transfer, you must have been working as a police officer for the last 2.5 years.

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

If different than residential address above

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cell Phone(Required)

Work Phone

Email(Required)

Fax

How did you hear about us?(Required)

Career Fair

Word of mouth

Social media

Google search

TheBlueline.com

Indeed

Other

F.O.I.D (Firearms owner ID) Card Number (IL Residents Only)

Current Experience

Current Law Enforcement Experience

Current Correctional Officer Experience

Current Agency:(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Employment Dates From:(Required)

To:(Required)

Rank(Required)

Hours worked per week:(Required)

Current Assignment:(Required)

Previous assignments and dates of service:

Assignment

Start Date

End Date

Promotions received and dates attained:

Promotion

Date

Awards/Commendations

Disciplinary Action or suspensions

Reason for seeking transfer:(Required)

Education, Training, Certificates, & Licenses

High School Name and Location(Required)

Graduated?(Required)

Yes

College Name and Location

Graduated?

Yes

Degree Received:

University Name and Location

Graduated?

Yes

Degree Received:

Graduate or Professional School Name and Location

Graduated?

Yes

Degree Received:

List any foreign languages you can speak, read and/or write

Language

Speak, read or write?

Proficiency: Fluent, good or fair?

Professional References

List four persons who are not related to you who have knowledge of your business or professional qualifications for the position. Do not repeat names of supervisors listed under employment history.

Reference 1

Name(Required)

First Last

Occupation(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Years known:(Required)

Reference 2

Name(Required)

First Last

Occupation(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Years known:(Required)

Reference 3

Name(Required)

First Last

Occupation(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Years known:(Required)

Reference 4

Name(Required)

First Last

Occupation(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Years known:(Required)

General Information

Sorry, we are not accepting new hires for Patrol at this time.

Applicant Background

Current Experience

Education, Training, Certificates, & Licenses

Professional References

Military Service

Applicant Training

Employment Experience

Signature and Release