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You will be required to answer these questions as part of the application process.
Do you have a High School diploma or equivalent? (This is required)
What is your highest level of education?
None of the above (A High School diploma is required)
Less than 60 hours of college credit
Which best describes your degree or coursework?
How many years of experience do you have in public contact work?
Less than two years of experience
2-3 years of experience
4 or more years of experience
Describe your experience working directly with the public.
Are you a United States citizen?
Are you at least 21 years of age (as of 2/1/2017)? (This is required.)
Are you certified in Kansas as a Law Enforcement Officer by the Kansas Law Enforcement Training Commission or the Kansas Commission on Peace Officers' Standards and Training?
Are you certified in another state as a Law Enforcement Officer/Peace Officer?
If the answer to the previous question was "yes", please list the state(s) which certified you. If no, use N/A
How many years experience do you have as a Certified Police Officer?
I have less than one year experience
I have one to three years experience
I have three to five years experience
I have more than five years experience
Please indicate the type of law enforcement experience that you have. (Please select all that apply)
Do you live within a 30 minute lawful drive time of Derby City limits? (This is required.)
No, but willing to relocate at my own expense.
Do you fluently speak any language in addition to English? If so, which language(s). Use N/A, if you only speak English)
Have you ever been convicted of or committed a felony (include expungements)?
If the answer to the above question is yes, please explain. If no, put N/A
Have you ever been convicted of a misdemeanor (include expungements)?
If you answer yes to the above question, please explain. If no, put N/A.
Have you ever committed or been convicted of domestic violence (include expungements)?
Have you ever committed or been convicted of sexual battery (include expungements)?
Have you ever committed or been convicted of theft (include expungements)?
Indicate all of the following offenses you have committed or been convicted of within the past five years. (include expungements)
None of the above
Transporting an open container of alcohol
Hit and Run
Driving while driver's license suspended for DUI conviction/chemical test failure
Driving under the influence of alcohol
Criminal damage to property
Possession of marijuana
Possession of hashish
List any of the following drugs you have ever used. (Select all that apply.)
LSd or any type of hallucinogen
None of the above
Please provide the last time any of the drugs listed in the question above were used and the amount and duration of the use. If never used, put N/A.
Have you participated in any illegal act, arising from the sale, manufacture, or distribution of any narcotic, controlled substance or dangerous drug, as defined by state law or federal law?
Have you ever been dismissed, asked to resign, or had any disciplinary action taken against you from any employer?
If yes to the question above, please explain further. If no, please put N/A.
Do you qualify for Veteran's Preference for this position? (A copy of your DD-214 will be required to establish your qualification)
If you answered yes to the above question, please provide your highest rank attained and dates of active duty. Otherwise, please put N/A.
Please list names of relatives (include in-laws and all relatives) who are currently employed with the City of Derby. If none, please put N/A.
Are you able to work all of the following: overtime, weekends, holidays, day shift, evening shift, and night shift? (This is required)
I have read and understand the Notice of Disqualification as attached to the Job Description for this position and acknowledge that I have not committed any of these acts. I acknowledge that if a background investigation uncovers that I have committed one of these acts, I will not be considered for a police officer position for the Derby Police Department.
If a current City of Derby employee told you about this position please put their name here. If you found out about this position from another source, indicate how you heard about this position. If neither applies, put N/A.
Where did you hear about this open position?