Monrovia Police Department Employment Application

Monrovia Police Department

Monrovia, IN 46151

Phone: 317-996-6117

Fax: 317-996-6113

First Name

Middle Name

Last Name

Date

Street Address

Apartment/Unit #

City

State

ZIP

Phone

Email Address

Date Available

Date of Birth

Social Security No.

Position Applied For

Are you a citizen of the United States?YesNo

If no, are you authorized to work in the U.S?YesNo

Have you ever worked for this company?YesNo

If so, when?

Have you ever been charged or convicted of a misdemeanor and/or felony?YesNo

If yes, explain

Have you ever had your name legally changed?YesNo

If yes, please list all names other than listed above:

Have you ever filed a lawsuit against an individual, business or police department?YesNo

If yes, please explain below:

Education

High School

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Did you graduate?YesNo

Degree

College

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Did you graduate?YesNo

Degree

Other

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Did you graduate?YesNo

Degree

You must include copies of all transcripts from schools attended in order to prove status with the institution. These transcripts will become property of the Mooresville Metropolitan Police Department and will not be returned to the applicant at the end of the process.

Upload file

If you did not finish high school, did you receive a GED?YesNo

If you did receive a GED, please list the date and location the test was taken.

Date

References

Please list three professional references.

Full Name

Relationship

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Full Name

Relationship

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Full Name

Relationship

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Previous Employment

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

Company

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Supervisor

Job Title

Starting Salary

USD

Ending Salary

USD

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?YesNo

Military Service

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

Specialized Training For Police Work

Have you had any specialized training pertinent to police work that you have not previously listed?YesNo

If yes, please describe below:

Traffic Offenses

Do you have a valid Indiana driver's license?YesNo

Please list the type of driver's license, license number, expiration date and restrictions below:

Have you had any traffic citations since your 18th birthday?YesNo

If yes, please list the date, agency, charge and disposition of each traffic citation below:

Has your driver's license ever been suspended, revoked or restricted?YesNo

If yes, please explain below:

List all traffic accidents that you have been involved in as a driver since your 18th birthday. (Please list date, agency, location, whether at fault or not and any additional comments)

Please list any other states in which you have held a driver's license, including military licenses.

Monrovia Police Department Application Writing Test

In the space provided or in a separate file please write in your own words the reasons why you wish to become a police officer with our department.

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Monrovia Police Department Application Writing Test

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Monrovia Police Department Information Consent and Release Form

Disclaimer And Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date