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Step One

Application for Employment
This application is a very important part of the examination process. All requested information must be furnished. Please be aware that the information you provide will be used in the job screening process. Therefore, it is important that you be as specific as possible in your description of past and present experiences, training, and education. Answer all questions fully and accurately. Any additionally information you may want to provide can be filled in this application as a cover sheet or brought in to the Oliver Springs Police Department. All job applications are a matter of public record.
Position Desired
Date of Application
Date of Application
Have you ever been employed by this city?
1. Yes
2. No
First Name
Last Name
Address1
Address2
City
State
Zip
Phone Number:
Alt. Phone Number:
Email Address:
Social Security Number:
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Chronologically, list all places of residence since your 10th birthday or last 15 years, which ever is least. Begin with your present address and proceed backward.
Street Number
Street Name
Street Type
Apt #
City
State
Zip
Previous Address From:
Month/Year
Previous Address Till:
Month/Year
Street Number
Street Name
Street Type
Apt #
City
State
Zip
Previous Address From:
Month/Year
Previous Address Till:
Month/Year
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Street Number
Street Name
Street Type
Apt #
City
State
Zip
Previous Address From:
Month/Year
Previous Address Till:
Month/Year
Street Number
Street Name
Street Type
Apt #
City
State
Zip
Employment History
List all present and past employment information beginning with the most recent position and ending with your first. Take time to fill in the blocks carefully. A "no" on contacting your previous employer will not affect your consideration for employment.
Previous Employer:
Name of Employer and Contact Information: Address and/or Phone Number
Title of Position
Supervisor:
Name
From:
Month/Year
Until:
Month/Year or Current
Reason for Leaving:
May we contact this employer?
1. Yes
2. No
Ending/Current Salary:
Hourly or Annually
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Previous Employer:
Name of Employer and Contact Information: Address and/or Phone Number
Title of Position
Supervisor:
Name
From:
Month/Year
Until:
Month/Year or Current
Reason for Leaving:
May we contact this employer?
1. Yes
2. No
Ending/Current Salary:
Hourly or Annually
Previous Employer:
Name of Employer and Contact Information: Address and/or Phone Number
Title of Position
Supervisor:
Name
From:
Month/Year
Until:
Month/Year or Current
Reason for Leaving:
May we contact this employer?
1. Yes
2. No
Ending/Current Salary:
Hourly or Annually
Continue |Go Back

Previous Employer:
Name of Employer and Contact Information: Address and/or Phone Number
Title of Position
Supervisor:
Name
From:
Month/Year
Until:
Month/Year or Current
Reason for Leaving:
May we contact this employer?
1. Yes
2. No
Ending/Current Salary:
Hourly or Annually
Previous Employer:
Name of Employer and Contact Information: Address and/or Phone Number
Title of Position
Supervisor:
Name
From:
Month/Year
Until:
Month/Year or Current
Reason for Leaving:
May we contact this employer?
1. Yes
2. No
Ending/Current Salary:
Hourly or Annually
Continue |Go Back

High School Attended:
Name/ Address/ Dates
Are you a Tennessee POST Certified Officer?
1. Yes
2. No
Are you Tennessee NCIC Certified?
1. Yes
2. No
Are You Tennessee Basic Query Certified?
1. Yes
2. No
POST/NCIC Certification Numbers:
Please list any training you have received with certificate of completion:
Please include dates completed Month/Year
College/Universities/Trade or Business Schools/ Law Enforcement Schools Attended:
Please Include Dates and Degree Awarded in What Area of Study
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Other Training Received:
Special Qualifications and Skills:
Emergency Contact
Please include Phone Number, Address, and Relationship:
References:
Please list at least three people, other than relatives or former employers, who have knowledge of you character and/or abilities. Include Address and Phone Number.
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Please take this space to tell us about yourself and how you would be a great choice to be employed by the Oliver Springs Police Department:
Type Below:
Attach Resume/Degree/Certification
Upload
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand that falsified information or significant omissions may disqualify me and my application from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorized persons, schools, my current employer (if checked yes) and organizations named in this application (and accompanying resume, if any) to provide any information orally and/or in writing that may be requested to arrive at an employment decision and waive any rights, privacy, and/or confidentiality I may have in this information.
Electronic Signature Affidavit
1. Agree
1. Disagree
Electronic Signature
By placing your full name in the box is submitting your electronic signature.

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