Pre-qualification
I understand that by submitting this form for a potential position with the Cloverdale Police Department, all information provided is subject to verification.
Position you are applying for:
Personal Information
Physical Address
Contact Information
Please review carefully and correct your e-mail address, if needed. Failure to do so may result in a lost opportunity.
BASIC ELIGIBILITY REQUIREMENTS FOR POLICE OFFICERS
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Must be a United States Citizen
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Must be at least 21 years of age on or before the applicant’s start date
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Must meet a minimum vision standard (corrected or uncorrected) of 20/50 acuity in each eye and 20/50 binocular acuity in both eyes
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Must not have a recorded felony conviction
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Must be legally allowed to carry a firearm
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Must have earned a high school diploma or GED
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Must be legally allowed to work in the United States
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Must meet residency requirement, as agreed upon in pre-employment negotiations, if applying for a full/part-time position of employment
Emergency Contact Information
Background Information
Declaration
By placing my name in the box below, I swear or affirm under the penalty of perjury, all information contained in this pre-qualification is true, accurate, and complete to the best of my knowledge. I understand any false information provided may cause me to be removed from further consideration for a position with the Cloverdale Police Department.
Attachment
Please attach a completed resume with the following information:
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Name (last, first, MI)
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Address of current domicile
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Home/Cell Phone
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Email (you wish to receive potential correspondence, if applicable)
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Employment History (Last 4 employers - include job position, responsibilities, job skills, start and end dates, reason for leaving, supervisor’s contact)
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Education (High School and vocational, college (if applicable), and graduation dates)
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Note any formal training or certifications
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Note any special skill sets (e.g., bilingual, computer proficiency, etc.)
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State/Country licensed to drive in (must be current and valid)
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Any additional information relevant to your qualifications as a police officer