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Police Department Employment Application

Notice: All questions must be answered, if applicable. If not, indicate NA (not applicable.) Applications which are incomplete will not be considered.

Application Information
Contact Name
Address
The college credit requirement as written in Wisconsin Administrative Code § LES 2.01 (1 )(e), pertains to law enforcement and tribal law enforcement officers first employed on or after February 1, 1993.
Please Note: A conviction record or a pending criminal charge will not automatically bar you from employment and will only be considered as it relates to the particular job in question.
Education
Post High School Education—Technical School/College/University or Other
Employment History
Begin with current or most recent position and continue with all past employment. Attach additional sheet if necessary.
Employment History
Begin with current or most recent position and continue with all past employment. Attach additional sheet if necessary.
Employment History
Begin with current or most recent position and continue with all past employment. Attach additional sheet if necessary.
Employment History
Begin with current or most recent position and continue with all past employment. Attach additional sheet if necessary.
Please Note: A conviction record or a pending criminal charge will not automatically bar you from employment and will only be considered as it relates to the particular job in question.
Military Service
Military Service
Military Service
Personal References
Personal References
Personal References
Personal References
General Information
COMPLETE IF INSTRUCTED TO DO SO BY EMPLOYING AGENCY. Attach no more than one additional page for each answer.
Applicant Please Read Carefully and Sign Below
Information provided and statements made as part of this application may be grounds for not employing you or for dismissing you after you begin work. All information and statements made are subject to verification. CERTIFICATION ALL INFORMATION PROVIDED AND STATEMENTS MADE BY ME AS PART OF THIS APPLICATION, OR AS PART OF ANY ADDITIONAL INFORMATION PROVIDED IN SUPPORT OF THIS APPLICATION, ARE COMPLETE, CORRECT, AND TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I AM EMPLOYED, FALSE INFORMATION PROVIDED OR FALSE STATEMENTS MADE AS PART OF THIS APPLICATION MAY BE CONSIDERED AS CAUSE FOR DISMISSAL.
Under the provisions of§ 19.36, Wis. Stats., I request that my identity as an applicant for this position not be revealed without my consent or until required under law.