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2. 

3. Employment Application

   Carthage Police Department
   310 W 4th Street

   Phone:  417-237-7200

5. Position Applying for*

   1. Police Officer
   2. Communications Officer
   3. Communications Officer (Part-Time)
   4. Animal Control Officer
   5. Auxiliary Officer (Part-Time)
   6. Taxi Driver (Part-Time)
   7. School Crossing Guard (Part-Time)
7. First Name*
8. Middle Name
9. Last Name*
11. Mailing Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
20. Have you ever filed an application with us before?*

    1. Yes
    2. No
21. What Year?
23. Have you ever been employed by us before?*

    1. Yes
    2. No
24. When?
26. Do you have any relatives working for us?*

    1. Yes
    2. No
27. Who?
29. Have you served in the military?

    1. Yes
    2. No
33. Education*

    1. High School Diploma
    2. GED / HSE
35. State
36. Year
38. Year of graduation
39. City
40. State
42. Name of High School
46. Did you attend a college / university?*

    1. Yes
    2. No
48. Most Recent College/University Attended
50. City
51. State
52. Zip Code
54. Did you graduate?

    1. Yes
    2. No
55. Year of graduation
56. Type of Degree
60. Did you attend police or military academy, or a trade / vocational / business school?

    1. Yes
    2. No
62. Name of school / academy
64. City
65. State
66. Zip Code
68. Area of Study
69. Did you graduate?

    1. Yes
    2. No
70. Year of graduation
72. Type of Degree or Certificate
76. Are you POST Certified?

    1. Yes
    2. No
77. What State are you POST Certified?
78. What is your POST Number?
80. Do you currently have a Class E operator's license?

    1. Yes
    2. No
82. Basic Computer Knowledge*

    1. Yes
    2. No
84. Do you speak, read, or write any foreign languages?*

    1. Yes
    2. No
86. What languages?

90. Please enter the details of your last 3 employers.

92. Company / Name
93. Phone
95. Mailing Address
97. City
98. State
99. Zip Code
101. Your Position
103. Duties
105. Employment Dates (started - ended)
107. Reason for Leaving
109. Supervisor Name
111. May we contact the Supervisor?

     1. Yes
     2. No
115. Company / Name
116. Phone
118. Mailing Address
120. City
121. State
122. Zip Code
124. Your Position
126. Duties
128. Employment Dates (started - ended)
130. Reason for Leaving
132. Supervisor Name
134. May we contact the Supervisor?

     1. Yes
     2. No
138. Company / Name
139. Phone
141. Mailing Address
143. City
144. State
145. Zip Code
147. Your Position
149. Duties
151. Employment Dates (started - ended)
153. Reason for Leaving
155. Supervisor Name
157. May we contact the Supervisor?

     1. Yes
     2. No

159. The Carthage Police Department is an Equal Employment Opportunity / Affirmative Action Employer. We consider applicants for all positions without regard to race, color, natural origin, sex, age, handicap, marital status, religion, or any other legally protected status.

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161. 1. Receive an email copy of this form.
162. Email address

     This field is not part of the form submission.

163. Submit

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