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Police Department Employment Application

  1. The information provided in this application will be used to determine your suitability to continue in the hiring process with the City of Brookville. Please submit one application per position to the address indicated on the job posting or examination announcement. This application will be considered only if it is submitted in response to a current job opening. If you wish to be considered for future job openings with the City of Brookville, you must fill out another job application in response to that specific job opening. Copies are acceptable. Applications lacking sufficient information will not be processed. Please be sure to complete the entire application and ensure your application is received by the closing date. Also note that, once submitted, this completed form will be subject to all applicable public records laws. If you are selected to continue in the hiring process, you will be required to complete additional forms and provide additional information, in addition to updating any information provided in this application.

  2. Are you legally eligible to work in the US?

  3. Will you be 21 years of age or older on or prior to appointment?

  4. It is required that you complete all sections of your employment history below, beginning with the most recent employment and working back. If you need additional space to provide complete information, attach a letter-sized sheet (8-½” X 11”) to this application, which should include in the caption the position you are applying for and your name.

  5. May We Contact this Employer?

  6. May We Contact this Employer?

  7. May We Contact this Employer?

  8. May We Contact this Employer?

  9. Did you Graduate?

  10. Check Year Completed

  11. Obtained GED?

  12. Check Year Completed

  13. Did You Graduate?

  14. Check Year Completed

  15. Did You Graduate?

  16. Check Year Completed

  17. Did You Graduate?

  18. General

  19. Commercial Driver's License

  20. CDL A

  21. CDL B

  22. CDL C (Passenter-Bus)

  23. Police Related

  24. Fire Related

  25. Certifications and/or licenses that you currently hold that you feel are relevant to the position for which you are applying, such as Electrical, HVAC, Plumbing, First Aid, FEMA-NIMS, etc.

  26. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  27. Leave This Blank:

  28. This field is not part of the form submission.