Auxiliary Police Application – Euclid Police – 545 E 222nd St

Personal Data

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Driver's License Number

Home Phone

Mobile Phone

Work Phone

Email*

Scars, Marks or Tattoos

Blood Type

Are you a citizen of the United States?

Traffic violations in the last five years

Convictions, other than traffic

Employment

Current Employer Name

Current Employer Address

Street Address Address Line 2 City State ZIP Code

List all employer names and addresses for the past 10 years

Education

High School name and location

High School major studies

College name and location

Degree(s) received

Other schools or training

Additional Information

Foreign Languages (read, write, or speak)

Hobbies or special interests

Field of military service

Years / Months of military service

Red Cross Training (include dates)

Prior Police Training (include dates)

Past / Present memberships in other organizations

References

Character references (other than family)

Additional Information

Have you previously applied for auxiliary police work? If yes, please explain

Who referred you to this organization?

Why do you want to join the Euclid Police Auxiliary?

Do you feel that you can devote significant time to this organization?

When are you available for training?

Use this space to provide additional information, including any resume you may wish to provide.

Applicant's Statement

Please read and agree to the statement below by cheking the box before submitting this application.*

I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that false statements or omissions on this application are grounds for immediate disqualification or dismissal upon discovery thereof. I authorize the references listed to give you any and all information concerning my previous employment and any pertinent information they have, personal or otherwise, and release all parties from liabilities for any damage that may result from furnishing the same to you.

Applicants Please Note

A full background check will be conducted by the Euclid Police Department. A valid State of Ohio driver's license is required.

Today's Date

Comments

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