RECRUITMENT JOB APPLICATION PACKAGE

RECRUITMENT JOB APPLICATION PACKAGE

Stages of processing for Police Officer Applicants 1. Civil Service Test. 100 Questions multiple choice. 2. Agility Test. Check web site www.bpdrecruit.com or call the recruitment Unit (410-396-2340) for dates. 3. The Preliminary Interview. Interview, collection of documents, and fill out a preliminary questionnaire. 4. Applicant Investigation supervisor review for approval or disapproval for continuation to background. 5. Back ground investigation. A back ground investigation will be conducted. 6. Post back ground investigation. Applicants who successfully pass their initial screening and formal background investigation will receive a conditional offer of employment. After receiving a conditional offer of employment, applicants will be required to pass a medical, polygraph, and psychological evaluation.

CHECKLIST OF DOCUMENTS Fill out the attached package of forms and bring them with you when required for continued processing. Ensure you legibly print or type ALL information requested. Additionally, it will be necessary for you to provide the original copies of the below listed documents at that time, as well as one photocopy in color of each. All copied documents should be on their own sheet of 8½ x 11 paper. Failure to adhere to this request will delay your processing. 1. Birth Certificate. 2. High School Diploma (or letter on school letter head verifying graduation) or GED certificate with scores. (meeting Maryland Standards). 3. Official High School Transcripts showing date of graduation. HIGH SCHOOL TRANSCRIPTS MUST COME TO US AS SEALED BY THE ISSUING SCHOOL. 4. Any College Diplomas with official transcripts. (IF GRADUATED) 5. Selective Service Registration Form (SSS Form 3A or Copy from Website). www.sss.gov 6. Form DD214 (Member 4) for those having served in the U.S. Armed Forces. 7. Any court issued paperwork. Marriage certificate(s), Divorce(s), legal separations, name change, adoptions, bankruptcy, order(s) of satisfaction of judgment(s) or child support. 8. Valid Motor Vehicle Operator s License. 9. Current certified copy of Driving Record (Within 30 Days of application being collected). 10. Naturalization Papers in cases of Naturalized Citizens. 11. Social Security Card. 12. One full Credit Report (Not a summary or score - Within 30 Days of application being collected). (www.annualcreditreport.com) IF YOU HAVE ANY QUESTIONS PERTAINING TO THE ABOVE, CONTACT THE RECRUITMENT UNIT AT 410-396-2340. THE MAILING ADDRESS TO THE RECRUITMENT UNIT IS: Baltimore Police Department Personnel/Recruitment Section 242 W. 29 th Street Baltimore, Maryland 21211-2908

NOTICE TO ALL APPLICANTS Willful FALSE or MISLEADING answers to questions shall be grounds for REJECTION. ALL background checks include contact with the FBI, other State, City and County Police Departments, Motor Vehicle Administration, schools, hospitals, physicians, former employers, neighborhoods, etc. INSTRUCTIONS FOR FILLING OUT THIS PACKET OF FORMS Please fill out all of the forms in this packet. Some are in duplicate. If there are any questions about this packet, before you fill out the form please contact the Recruitment Office at 410-396-2340 or recruit@bpdrecruit.com. A minimum of five personal references are required (NON-FAMILY MEMBERS). Enclosed you will find a form with a list which applies to you when you report to Recruitment for processing. In addition, applicants must include their personal reference s e-mail address (if available) to assist with processing. IMPORTANT Male applicants born after January 1, 1960, must furnish proof of their registration with the SELECTIVE SERVICE SYSTEM (SSS form 3A). If you do not have this document, you may call the Selective Services System National Headquarters at 708-688-6888 to inquire as to the procedure for obtaining a new copy of this document, or write to: Selective Services System P.O. Box 4638 North Suburban, IL 60198 Include your name, social security number, date of birth, and address at time of registration. Internet users may go to www.sss.gov for more information.

Personnel Section Application for Employment Form 403/79 APPLICATION FOR EMPLOYMENT INSTRUCTIONS: TYPE OR PRINT IN BLACK INK. SIGN IN INK. EACH REQUEST FOR APPOINTMENT REQUIRES A SEPARATE APPLICATION. Before completing this application, read the position announcement to be sure you have the minimum qualifications needed for this position. Then complete the application fully. Read and sign affirmation. OMISSIONS MAY RESULT IN REJECTION OF APPLICATION APPLICATION FOR APPOINTMENT TO THE POSITION OF. 1. Name in full: Last First Middle Phone number (including area code): What other names have you been known by? Female applicants must furnish maiden name: 2. Address:_ Street City State Zip Code How long have you lived in Baltimore City? How long have you lived in Maryland? 3. Date of Birth: Present age: 4. Are you a citizen of the United States?_ 5. Proof of Citizenship attached No Yes _ (IE: Copy of Birth Certificate) 6. Do you possess a valid Operator s License? No Yes 7. Education: High School College Name & Address of School Years Attended From To State Number Course Diploma or Degree Business School

8. Social Security Number: 9. United States Military Service: No Yes Branch of Service: Date of Entry: Month/Day/Year Date of Discharge: Month/Day/Year 10. Have you ever previously applied for any position in the Baltimore Police Department or any other Law Enforcement Agency or Correctional Institution? No Yes W hat Agency? What Position? W hen? 11. List all convictions (include traffic arrests): 12. Have you ever been a defendant in any court action? No Yes Describe 13. Are you now or have you ever been a member of any organization, corporation, company, partnership, association, trust, foundation, fund, club, society, committee, political party, or any group of persons, whether or not incorporated, which engages in or advocates, abets, advises or teaches, or follows a purpose which is to engage in or advocate, abet, assist in the overthrow, destruction or alteration of the Constitutional form of government of the United States or of the State of Maryland, or of any political subdivision of either of them, by revolution, force, violence or other unlawful means? No Yes Describe 14. I hereby affirm that there are no intentional misrepresentations or falsifications in the foregoing statements and answers to questions. I am aware that should investigation disclose any such misrepresentations or falsifications, my application shall be rejected or, if already employed, my employment may be terminated. Applicant s Signature Date THIS SECTION CONTINUED ON ATTACHED PAGES Yes No

Personnel Section Employment Reference Form PE/124 EMPLOYMENT REFERENCE STARTING W ITH THE DATE YOU LEFT HIGH SCHOOL, ACCURATELY ACCOUNT FOR ALL PERIODS OF EMPLOYMENT AND UNEMPLOYMENT IN DATE ORDER, INCLUDING YOUR PRESENT EMPLOYER. INCLUDE ALL SEASONAL, TEMPORARY, OR PART-TIME JOBS YOU HAVE HELD WHILE FURLOUGHED OR LAID-OFF FROM YOU PERMANENT JOB. PLEASE PRINT OUT AS MANY SHEETS AS NEEDED IF YOU HAVE HAD MORE THAN 7 JOBS. ANSWER ALL QUESTIONS. 1 PLEASE PRINT OR TYPE Have you ever applied for or collected unemployment compensation? Yes No Have you ever filed for bankruptcy? Yes No Social Security Number: _ SIGNATURE: DATE: CONTINUED ON NEXT PAGE PAGE OF

2 _ 3 _ SIGNATURE: DATE: CONTINUED ON NEXT PAGE PAGE _ OF

4 _ 5 _ SIGNATURE: DATE: CONTINUED ON NEXT PAGE PAGE _ OF

6 _ 7 _ SIGNATURE: DATE: THIS SECTION CONTINUED ON ATTACHED PAGES Yes No PAGE _ OF

Personnel Section Address History Form List below your: ADDRESS HISTORY FORM Full name. Present address and how long there. Previous addresses and how long there. List in chronological order the full addresses of every residence since leaving elementary School (6 th grade). This includes all physical addresses while in the military or college (on or off campus). Every address MUST include: Apartment number/ floor (when applicable), city, state and zip code. FULL NAME: First Middle Maiden (if any) Last List in chronological order each place you have resided in since leaving elementary school. From To CURRENT ADDRESS month/year month/year PRESENT PREVIOUS ADDRESSES From To month/year month/year THIS SECTION CONTINUED ON ATTACHED PAGES Yes No

Personnel Section Personal References Form PERSONAL REFERENCES List below the names, addresses and telephone numbers of five personal references (other than relatives). If any of your references are members of the Baltimore Police Department, please indicate their district or assignment. NAME Address: ADDRESS & E-Mail (Include City, State and Zip Code) TELEPHONE # (Include Area Code) E-Mail: Address: E-Mail: Address: E-Mail: Address: E-Mail: Address: E-Mail: Signature Date

Personnel Section Debt Listing NAME OF COMPANY AND ADDRESS ITEMIZED LIST OF DEBTS AMOUNT OWED MONTHLY PAYMENT IN ARREARS NATURE OF DEBT EXAMPLE Maryland Savings & Loan $12,569 $289 $0 New Car Loan TOTAL DEBT Do you have any liens, judgments or attachments? Yes No Favor of Amount Date I certify the above is true and correct, to the best of my knowledge and belief, and know that if the information is found to be incorrect, after investigation, it will be ground for dismissal. Signature THIS SECTION CONTINUED ON ATTACHED PAGES Yes No Date