Police Job Application

To Apply For A Job With The City of Glendale Please Complete The Following Job Application.

Updates

Job Details
Personal Information
Education
High School or GED
College or University
Vocational or Technical School
Special Skills
Law Enforcement Work History
Certification
References
Additional Info
Affidavit, Consent, and Release
Applicant Notice and Disclosure
Application Affirmation Action Information

APPLICATION FOR EMPLOYMENT
POLICE OFFICER CITY OF GLENDALE, COLORADO

Minimum requirements include:

21 years of age at time of appointment
U.S. citizen or proper I-9 documentation
Other essential functions listed in the job description

Examinations may include:

Written exercise
Oral board interview
Background investigation
Polygraph
Psychological examination
Medical exam and substance screening

Job Details

What Job Are You Applying For

Where Did You Hear About This Job?

What Type Of Employment Are You Seeking?

Full-time

Part-time

Temporary

When Could You Start Work?

Personal Information

First Name

Middle Name

Last Name

Phone/Mobile

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are you 21 years of age or older?

Yes

Social Security Number

If hired, can you furnish proof you are eligible to work in the U.S.?

Yes

Have you ever applied here before?

Yes

When did you apply here?

Were you ever employed here?

Yes

When were you employed here?

Do you have any relatives employed by the City of Glendale Police Department?

Yes

What is your relatives name that works here and their relation to you?

Have you ever been convicted of any law violations?

Yes

If convicted please include any plea of “guilty” or “no contest.” Exclude minor traffic violations.

If employed, do you expect to be engaged in any additional business or employment outside of our job?

Yes

What additional business or employment do you expect to be engaged in?

Education

I Attended The Following Schools

High School or GED

College or University

Vocational or Technical

List Name, Address, and Phone Number of High School or GED

High School or GED

High School or GED School Phone

High School or GED Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Number of Years Completed

High School or GED Diploma/ Degree/ Certificate

Yes

Please upload your High School or GED Diploma

Choose File

List Name, Address, and Phone Number of College or University

College or University

College or University Phone

College or University Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Subjects Studied

Number of Years Completed

College or University Diploma/ Degree/ Certificate

Yes

Please upload your College Diploma

Choose File

List Name, Address, and Phone Number of Vocational or Technical School

Vocational or Technical School

Vocational or Technical School Phone

Vocational or Technical School Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Subjects Studied

Number of Years Completed

Vocational or Technical Diploma/ Degree/ Certificate

Yes

Special Skills

What skills or additional training do you have that are related to the job for which you are applying?

List professional, trade, business, or civic activities and offices held.

For Driving Jobs Only

Do you have a valid driver’s license?

Yes

Driver’s License Number

Class of License

State Licensed In

Have you had your driver’s license suspended or revoked in the last three years?

Yes

Please provide details of the suspension or revokation.

Work History

List names of employers in consecutive order, with present or last employer listed first, and law enforcement position held. A detailed accounting of others jobs for all periods of time including any military service and any periods of unemployment will be requested at a later date. List any additional employment on a separate sheet.

Note: A job offer may be contingent upon acceptable references from current and former employers.

Employer Name

Employer Phone

Supervisor(s)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date You Started

Date You Stopped

Pay When You Started

Pay When You Stopped

Your Title

Reason For Leaving

Duties

Employer Name

Employer Phone

Supervisor(s)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date You Started

Date You Stopped

Pay When You Started

Pay When You Stopped

Your Title

Reason For Leaving

Duties

Employer Name

Employer Phone

Supervisor(s)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date You Started

Date You Stopped

Pay When You Started

Pay When You Stopped

Your Title

Reason For Leaving

Duties

Employer Name

Employer Phone

Supervisor(s)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date You Started

Date You Stopped

Pay When You Started

Pay When You Stopped

Your Title

Reason For Leaving

Duties

Certification

Are you currently certified as a police officer?

Yes

Note: You will only be certified, if a copy of your certificate is attached.

If you were not able to submit your Colorado Peace Officer Certification with this application, please submit it upon receipt from the Colorado P.O.S.T.

Please Upload Your P.O.S.T. Certificate

Choose File

What Is Your Certificate Number?

What Year Your Certificate Was Issued

Agency or State of Issuance

Are you currently attending a law enforcement academy?

Yes

Please Upload Your P.O.S.T. Basic Academy Diploma

Choose File

If you have successfully completed a basic training program approved by the Colorado P.O.S.T. board but have not taken the examinations administered by P.O.S.T. board, please note the date when you will take the P.O.S.T. exams:

Date For P.O.S.T. Exam

Which law enforcement training academy did you graduate from?

When did you graduate from law enforcement training academy?

Which academy are you attending?

What is your expected graduation date?

Additional Certifications

Please upload any of the following as it applies to you.

DD-214, if military background
Photocopies of all applicable training certificates
Current CPR/First Aid Card (front & back)

Upload additional certifications (multiple files allowed - up to 5)

Choose File

REFERENCES

Please include 3 references and their contact info.

Reference 1 Name

Reference 1 Phone/Mobile

Reference 1 Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Reference 2 Name

Reference 2 Phone/Mobile

Reference 2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Reference 3 Name

Reference 3 Phone/Mobile

Reference 3 Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

ADDITIONAL INFO

Have you worked under any other names?

Yes

Please upload any legal documents showing a change in name.

Choose File

What Other name(s) have you worked under?

Have you ever been fired from a job or asked to resign?

Yes

Why were you fired or asked to resign?

Affidavit, Consent, and Release

Please Read Each Statement Carefully Before Signing

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.

I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a complete physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I understand that this application, verbal statements by management, or subsequent employment does not create an express or implied contract of employment or guarantee employment for any definite period of time. Only the City Manager, pursuant to City Council authorization, has the authority to enter into an agreement of employment for any specified period, and such agreement must be in writing, signed by the City Manager and the employee. If employed, I understand that I have been hired at the will of the employer, and my employment may be terminated at any time, with or without reason and with or without notice.

I have read, understand, and by my signature consent to these statements.

Please Upload Your Resume

Choose File

Signature

Sign Here

Todays Date

Glendale Police Department Police Officer Applicants

In order to apply for a police officer’s position with the Glendale Police Department, you must:

Be able to work legally in the United States
Have a valid driver’s license
Be currently P.O.S.T. certified or have a conditional letter from P.O.S.T.

AUTOMATIC DISQUALIFIERS

If you answer yes to any of the following questions, you will be automatically disqualified for employment by the Glendale Police Department. Be advised that the hiring process includes an in depth background check and polygraph exam. Any untruthful statements on this form, the application, or background packet are grounds for immediate disqualification in the hiring process. If you have any questions on any of these disqualifying issues, please contact

Lt. Roy Martin (303) 639-4304
Lt. Jamie Dillon (303) 639-4315

Have you been convicted of four or more moving traffic violations in the past three years, or three moving violations in the last year?

Yes

Within the last five years have you been convicted of driving while your driver’s license was suspended, revoke or denied?

Yes

Have you been convicted, pled guilty or no contest to driving under the influence of alcohol, drugs or both, or with ability impaired within the last 10 years?

Yes

Have you ever committed, been convicted, or pled guilty or no contest to a felony?

Yes

Have you ever committed, been convicted, pled guilty or no contest to a sex offense?

Yes

Have you been convicted, pled guilty or no contest to a crime involving domestic violence?

Yes

Have you ever been dishonorably discharged from the United States Armed Forces?

Yes

Have you ever ILLEGALLY sold, produced, cultivated or transported marijuana for sale?

Yes

Have you ever ILLEGALLY used marijuana for any purpose within the last three years?

Yes

Do you now, or have you ever had a medical marijuana card?

Yes

Have you ever ILLEGALLY used marijuana while employed as a peace officer?

Yes

Have you ILLEGALLY used marijuana 20 times or more in your life or 5 times since the age of 21?

Yes

Have you ever ILLEGALLY sold, produced, cultivated or transported for sale any dangerous drugs or narcotics including steroids?

Yes

In the last 10 years have you used a hallucinogen (Methamphetamine, LSD, Acid, Mushrooms, etc.)?

Yes

Have you used any ILLEGAL dangerous drugs narcotics including steroids (other than Marijuana) for any purpose within the past seven years?

Yes

Have you been convicted of any misdemeanor listed on the P.O.S.T. web site that will affect your P.O.S.T. certification?

Yes

Is there anything in your background that you believe may eliminate you from becoming a police officer with the Glendale Police Department?

Yes

Write a narrative below and it will be addressed on an individual basis

Print Your Name

Signature

Sign Here

City Of Glendale

Application Affirmation Action Information

It is the policy of the City of Glendale to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, sex, age, veteran status, or disability. As an affirmative action employer under E.O. 11246, we invite all applicants to identify themselves as indicated below.

Completion of this form is voluntary and in no way affects the decision regarding your application for employment. This form is confidential and will be maintained separately from your application form.

First Name

Middle Name

Last Name

Position Applied For

Racial origin (you may mark one or more of the following):

White – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

American Indian or Alaska Native – A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Black or African American – A person having origins in any of the black racial groups of Africa.

Asian – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native Hawaiian or Other Pacific Islander – A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Ethnicity

Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Sex

Male

Female

Signature

Sign Here

Today's Date

Hiring Event	Retention
TOTAL	$10,000
Upon Hire	$1,500
1^st Year	$3,500
2^nd Year	$1,500
3^rd Year	$1,500
4^th Year	$2,000

Police Job Application

To Apply For A Job With The City of Glendale Please Complete The Following Job Application.

APPLICATION FOR EMPLOYMENTPOLICE OFFICER CITY OF GLENDALE, COLORADO

Minimum requirements include:

Examinations may include:

Job Details

Personal Information

Education

List Name, Address, and Phone Number of High School or GED

List Name, Address, and Phone Number of College or University

List Name, Address, and Phone Number of Vocational or Technical School

Special Skills

For Driving Jobs Only

Work History

Certification

Additional Certifications

REFERENCES

ADDITIONAL INFO

Affidavit, Consent, and Release

Please Read Each Statement Carefully Before Signing

Glendale Police Department Police Officer Applicants

AUTOMATIC DISQUALIFIERS

City Of Glendale

Application Affirmation Action Information

APPLICATION FOR EMPLOYMENT
POLICE OFFICER CITY OF GLENDALE, COLORADO