Patrol Officer Application

Application No

Date Received

Time Received

Application Name

First Last

Social Security Number

Home Phone No

Cell Phone No

CIVIL SERVICE COMMISSION

Checklist of Minimum Requirements for Police Officer Position

Checklist

Citizen of U.S.A, (Copy of Birth Certificate)

Age 21 or Older.

High School Diploma or GED. (Copy Provided)

Current, Valid Driver’s License (Copy Provided)

Proof of Successful Completion of Act 120 Training and MPOETC Testing. (Copies Provided)

Two (2) Years of Military Service with Honorable Discharge (If Claiming Veteran's Preference, Copy ig DD214 Form)

Application Signed, Notarized and Completed Truthfully.

Provided Current Address and Phone Numbers on Application.

Signature

Date

General Instructions:

This application consists of several sections: 1) Questionnaire; 2) Notification of Procedure Release; 3) Verification of Statements; 4) Waiver & Background release; and 5) Essential Job Functions for a Police Officer. Every one of these sections must be completed in order for the Borough of Oakmont to accept the application as complete. Print (do not type) an answer to every question. If a particular question does not apply to you, so state with “N/A”. If space available is insufficient, use additional paper and mark your information with the number of the item you are answering. DO NOT mis-state or omit material fact since the statements made herein are subject to verification to determine your qualifications for employment.

Last Name

First Name

Middle

Alias(es), Nickname(s), Maiden Name, or Name Change

Address

Street Address City State / Province / Region ZIP / Postal Code

Date of Birth

Native United States Citizen?

Yes

No

If "No," List Naturalization Number/Date/Place:

Notification of Procedure Release

In the processing procedure required for applicants, it may become necessary to contact the applicant in the event he/she is being given further consideration for the position of police officer with the Borough of Oakmont. If conventional methods fail in attempting to contact the applicant, a Certified, Registered Letter will be sent to the applicant address listed on the application. Should the Registered Letter be returned indicating that it was unclaimed or undeliverable, the applicant will be eliminated from further processing and consideration. It is the applicant’s responsibility to notify the Borough of Oakmont, in writing, of any address change. By affixing your signature to this form, the applicant acknowledges that he/she read and understood the contents of this procedure.

Signature of Applicant

Print Name

Date

Verification of Statements

I , verify that the statements made in the foregoing Patrol Officer Application for the Borough of Oakmont, Allegheny County, Pennsylvania are true and correct to the best of knowledge, information and belief. I understand that any false statements made herein are subject to the penalties of 18 PA. C. S. §4904, relating to unsworn falsification to authorities, and subject to the penalties set forth in the Borough of Oakmont Civil Service Rules and Regulations relating to false statements. (Article III, Section 3.1)

Signature of Applicant

Print Name

Date

Waiver and Release for Background Investigation

I, , hereby give the Borough of Oakmont the right to make a thorough investigation into my background, previous employment, education, credit status, and references in order to ascertain my suitability for service as a Borough of Oakmont police officer. I release from all liability and claims any and all persons, companies and corporations (public and private) supplying any information whatsoever to representatives of the Borough of Oakmont. This includes and is not limited to parties with whom I have entered into a written or oral agreement which contains a confidentiality clause. I release, indemnify and hold harmless the Borough of Oakmont, its officials, officers and employees from and against any and all liability which might result from conducting such an investigation.

Signature of Applicant

Print Name

Date

Notary Public

1. Running for several hundred yards.

2. Climbing over obstacles

3. Crawling

4. Pushing motor vehicles

5. Pulling or carrying accident, fire or crime victims

6. Using physical force to apprehend and subdue arrestees

7. Withstanding prolonged exposure, as long as eight (8) hours, to extreme weather conditions

8. Withstanding prolonged periods of standing and sitting

9. Withstanding frequent exposure to stress-producing situations such as encountering persons injured or killed by accidents, crimes, or suicide

10. Dealing with domestic disputes

11. Dealing with verbal and physical abuse of the officer, including taunts, insults, and threats to the officer, family members, or fellow police officers

12. Professionally and effectively communicate with citizens (including jeveniles), Borough personnel, and other law enforcement personnel and first responders

13. Operating a motor vehicle for long periods of time

14. Using a firearm effectively

15. Filling out written reports in a clear and concise manner

16. Rendering assistance with river rescue to potential drowning victim(s) through the use of swimming/basic water safety techniques

17. Maintain and display a thorough knowledge and application of enforcement of criminal statues, the Motor Vehicle Code, and Borough Ordinances, including revisions and relevant court decisions affecting same, as well as Department orders, policies, and procedures.

18. Maintain alertness using all of the sense, including sight, hearing, and smell to uphold the functions and goals of the Department

19. Must have the ability to solve practical problems, often under stress and/or within a limited time frame

20. Must have the ability to engage in physically and mentally demanding work under unusual or potentially hazardous conditions.

21. Maintains ACT 120 Certification

22. Must have the ability to withstand prolonged exposure to extreme weather conditions

23. Render assistance to river rescue to those in distress through the use of swimming and basic water safety techniques.

24. Maintain ability to withstand prolonged periods of standing, sitting, including sitting in a police vehicle.