City of Ellsworth, Maine Employment Application

Welcome

What type of type of position are you applying for?

Police Department

Dispatch

Other Position

POLICE DEPARTMENT APPLICATION

The Ellsworth Police Department is a proactive, professional department dedicated to the Core Values of Integrity, Professionalism and Community Service. We pride ourselves on providing high quality community focused police services. Duties for this position include the enforcement of applicable state and local laws, criminal investigation, proactive crime prevention, patrol of the city streets and traffic control. All candidates must have a high school diploma or equivalent with preference given to candidates who are graduates of the Maine Criminal Justice Academy and who possess law enforcement experience. The City of Ellsworth offers a competitive salary and an exceptional benefit package. The salary is dependent on training and/or experience.

To ensure that the Ellsworth Police Department attracts the best qualified people and trains those selected to the highest degree possible, the following policies are followed.

It is essential that individuals applying for employment be afforded the rights guaranteed by the United States Constitution. The City of Ellsworth is an equal opportunity employer. All persons applying for employment as a police officer or dispatcher shall meet the following requirements:

Shall be a U.S Citizen.
Shall possess a high school diploma or equivalency certificate.
Shall be at least 21 years of age.
Shall possess a valid driver's license and shall not have an extensive accident history or an extensive history of traffic violations.
Shall be required to fill out, take and successfully pass to the satisfaction of the Ellsworth Police Department, any or all of the following: application, background information form, physical agility test at the Maine Criminal Justice Academy minimum standard, written exam, oral board questioning, background check, medical physical, polygraph test, psychological test and chief's interview. A copy of the fitness standards is included with the application.
Shall be in excellent physical condition as determined by a physical examination completed at the Police Department expense. The applicant must not be suffering from any pre-existing disability, illness or injury, which, in the opinion of the examining physician, would prevent the applicant from performing the duties of a police officer.

All applicants desiring employment with the Department:

Shall make written application on the form provided by the City of Ellsworth; a copy of the ALERT test results must be included with the application for police officer employment;
Shall submit copies of diplomas, certificates and training that relate to the qualifications for the position.
Shall submit a signed Conditions of Consideration for Employment form.
Shall meet the mandatory physical fitness standards for full time officers.

DISPATCHER APPLICATION

To insure that the Ellsworth Police Department attracts the best qualified people and trains those selected to the highest degree possible, the following policies are effective:

EMPLOYMENT

The City of Ellsworth shall not discriminate in employment opportunities or practices against any individual with regard to race, color, ancestry, national origin, religion, political affiliation, sex, marital status, sexual orientation, physical or mental disability unless based upon a bonafide occupational qualification. All persons applying for employment as a dispatcher shall meet the following minimum requirements:

Shall be a U.S. Citizen,
Shall possess a high school diploma or equivalent,
Shall be at least 20 years of age,
Shall not be suffering from any pre-existing disability, illness or injury which, in the opinion of a physician would prevent the applicant from performing the duties of a dispatcher,
Shall be of unimpeachable character; he/she shall not have been convicted of any felony or any crime involving moral turpitude, or be a habitual traffic violator.

APPLICANT PROCEDURE

All persons desiring employment with the Department shall:

Make written application on forms provided by the City,
Successfully pass an oral examination.
Successfully pass any written examinations or job related test required for the position.
Successfully pass a thorough background investigation.
Successfully pass a polygraph examination, if required,
Undergo a complete physical examination by the Police Department physician when required,
Submit copies of diplomas, certificates or training that relates to the qualifications for the position,
Fully complete a personal inquiry waiver as furnished by the City.

A copy of a job description for the position has been included in the application packet.

Applicants who are hired shall be placed on probation for six (6) months. Any person may be released from employment during the probation period without cause.

Applicant Information

Job Title you are Seeking(Required)

Name(Required)

First Last

Address(Required)

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

Phone(Required)

Email(Required)

Employment Eligibility

Do you have the legal right to work in the United States?(Required)

Yes

No

All applicants who are offered employment must provide documentation to establish their identity, employment eligibility for authorization to work in the U.S.

Date of Birth

If less than 18 years old.

Do you have a drivers license?(Required)

Yes

No

Drivers License Number

Drivers License State

Drivers License Class

Drivers License Expiration Date

Have you ever been employed by or done any volunteer work for the City of Ellsworth?(Required)

Yes

No

Detail previous City of Ellsworth employment or volunteer work performed.

Do you have any relatives employed with the City of Ellsworth?(Required)

Yes

No

List any relative employed with the City of Ellsworth.

Relative Name

Relation

City Department Currently Employed

Please list other names you have went by in the past.

Skills

Summarize relevant skills and experience that exemplify your qualifications for the above position.

List computer software with which you are familiar.

List languages, other than English, that you speak fluently, read and/or write.

List tools and/or equipment you can operate.

List and Summarize Volunteer Services work you have done.

Volunteer Service

Date(s) Performed

List and Summarize Leadership Roles you have experienced.

Current or Most Recent Employer

Current or Most Recent Employer Name

Current or Most Recent Employer Address

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

Current or Most Recent Employer Phone

Your Title

Employment Start Date

Employment End Date

Supervisor Name

First Last

Supervisor Title

Hours Per Week

List Work Performed

Reason for Leaving

Second Most Recent Employer

Were you employed before your current or most recent employer?(Required)

Yes

No

Second Most Recent Employer Name

Second Most Recent Employer Address

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

Second Most Recent Employer Phone

Your Title

Employment Start Date

Employment End Date

Supervisor Name

First Last

Supervisor Title

Hours Per Week

List Work Performed

Reason for Leaving

Third Most Recent Employer

Were you employed before your second most recent employer?(Required)

Yes

No

Third Most Recent Employer Name

Third Most Recent Employer Address

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

Third Most Recent Employer Phone

Your Title

Employment Start Date

Employment End Date

Supervisor Name

First Last

Supervisor Title

Hours Per Week

List Work Performed

Reason for Leaving

Ellsworth Police Department Conditions of Consideration for Employment

All information contained on the application is subject to verification. The Ellsworth Police Department will conduct background checks including, but not limited to, work references, driving records, criminal background records and education attainment.

I understand an employment offer is also contingent upon successful review of work references, and satisfactory result of a background check. Certain positions are also conditioned on the successful completion of agility tests or skill evaluation and other appropriate investigations.

I also understand that specific positions at the Ellsworth Police Department may require me to provide evidence of an acceptable driving record.

I further understand that certain positions with the Department may require the applicant to be eligible for bonding. In such instances, eligibility for bonding will be a consideration in determining an applicant’s fitness for such positions.

If employed, I agree to provide proof of identity, relevant licensure or credentials, and authorization for employment in the United States.

If employed, I agree to abide by all municipal policies, regulations ordinances and established work safety practices.

When advised, reasonable accommodations will be made in order for an “Otherwise qualified applicant” with a disability to participate in any phase of the application/recruitment process. (Americans with Disabilities Act of 1991)

I certify that all the information provided herein is true and complete to the best of my knowledge. I agree and understand that omissions, misstatements, and falsifications will cause forfeiture on my part of all eligibility to any employment with the Ellsworth Police Department and may be cause for rejection of this application, removal of my name from eligibility lists, or discharge from municipal service.

In addition, I give the Ellsworth Police Department the right to investigate and verify any information obtained through the application process. Permission is granted and I release from any and all liability any employer, agency or individual assisting the Ellsworth Police Department in providing relevant job related information that will assist in this process.

It is my understanding that this application along with any resume and letters/notes of reference, other than those letters and notes of reference I expressly submit in confidence, become a public document should I be hired by the Ellsworth Police Department. As a result, I understand that the Ellsworth Police Department cannot guarantee me its confidentiality.

Name

First Last

Signature

I have read and understand the above "Conditions of Consideration for Employment".

Date Signed

Background Check Authorization

I have made application for employment with the City of Ellsworth, Maine and understand that in order to assess my qualifications a full background investigation is necessary. Certain positions may also be conditioned on the successful completion of agility tests, skill evaluations, additional investigations and/or the ability to be bonded. I therefore authorize the City of Ellsworth to conduct an investigation which may include but not be limited to:

• Verification of information provided by me to the City during the application process.
• Contacting employers (past/present), clients, business associates, professional organizations, or other institutions, regarding work performance and character.
• Verification of licensure and/or educational attainment.
• Criminal background check.
• Credit check.
• Driver’s license check.

Other Background Check

I certify that all the information and materials I have provided to the City of Ellsworth as part of the employment process are accurate and truthful. I realize that providing the City with false information or intentionally withholding relevant information regarding my application may be grounds for rejection or dismissal. If employed, I agree to provide proof of identity, relevant licensure or credentials, and authorization for employment in the United States. Upon employment, I agree to abide by all municipal policies, regulations, ordinances and established work safety practices.

I hereby agree to hold harmless and to release the City of Ellsworth, including its officers and employees or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization to conduct a thorough background investigation.

Name

First Last

Current Address

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

Previous Addresses or Cities lived in within past 10 years

Position Applied For

Social Security Number

Date of Birth

Drivers License Number

Signature

By signing, I authorize the above employment background check.

Date Signed

Finalize, Attach and Submit

Applicant Comments

Enter any additional comments you would like to add with your application.

Do you have a cover letter, resume, certification or certificate you would like to attach?(Required)

Yes

No

Adding these type of attachments now help us speed up the hiring process.

Upload Attachments

Drop files here or

Accepted file types: pdf, doc, docx, tif, jpg, png, Max. file size: 10 MB, Max. files: 3.

Upload applicable cover letters, resumes or supporting documents.

Where did you hear about this Employment Opportunity?

Word of Mouth, Google Search, a Facebook Page/Ad, Job Listing Website (please specify), Newspaper, etc.... This helps us know where to list future employment opportunities.

Signature

Application Signature

Date

Welcome

Applicant Information

Employment Eligibility

Education

Skills

Current or Most Recent Employer

Second Most Recent Employer

Third Most Recent Employer

Ellsworth Police Department Conditions of Consideration for Employment

Background Check Authorization

Finalize, Attach and Submit

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