2. 

3. 
   

   
   

   Overland Police Department Initial Application for Employment

5. Job Description - Police Officer
   Job Description - Police Officer
6. Job Description - Police Clerk
   Job Description - Police Clerk
8. Job Description - Facility Custodian
   Job Description - Facility Custodian
12. First Name
13. Middle Name
14. Last Name
15. Suffix
    -- Select One --Jr.Sr.IIIIIIVV
17. Race
    -- Select One --WhiteBlackAmerican Indian/Alaska NativeAsianPacific Islander
18. Sex
    -- Select One --MaleFemale
19. Date of Birth
    Date of Birth
20. Last 4 of SSN
22. Address, City, State, Zip Code
24. Primary Phone
25. Secondary Phone
26. e-mail
28. Are you a citizen of the United States?

    1. Yes
    2. No
29. Are holder of a valid high school diploma or its equivalent?

    1. Yes
    2. No
30. Have you ever been arrested before?

    1. Yes
    2. No
32. Position you are applying for:
    -- Select One --Police OfficerPolice Cadet (To be sponsored through the Police Academy as an employee of the Overland Police Department)Police ClerkFacility Custodian
36. If applying for the Police Officer position:
    -- Select One --I have graduated from an accredited law enforcement academy.I am currently enrolled in an accredited law enforcement academy.I have not graduated from an accredited law enforcement academy, but I possess a Class A police License in Missouri.I have an out of state police license.I have formal police training but I am unsure if it qualifies for a Class A police license.
38. Are you currently a Police Officer?

    1. Yes
    2. No
39. If "Yes", Where
41. Do you have prior experience as a Police Officer?

    1. Yes
    2. No
42. If "Yes", Where? List all agencies.
44. Remarks by applicant if applicable:

46. Thank you for applying.  A member of our staff will be in contact to speak with you and set up a testing and interview date if so desired.

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

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