You will be required to answer these questions as part of the application process.

1. Do you have a High School diploma or equivalent? (This is required)
Yes
No

2. What is your highest level of education completed?
Do not have a High School Diploma or GED (This is required)
High School
More than 60 hours of college coursework
Associate's Degree
Bachelor's Degree
Master's Degree

3. Are you a United States citizen?
Yes
No

4. Which best describes your degree or coursework?
Criminal Justice
Social Work
Sociology
Other

5. Are you at least 21 years of age (as of 12/17/2017)? (This is required.)
Yes
No

6. 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?
Yes
No

7. Are you certified in another state as a Law Enforcement Officer/Peace Officer?
Yes
No

8. If the answer to the previous question was "yes", please list the state(s) which certified you. If no, use N/A
9. How many years experience do you have as a Certified Police Officer?
None
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

10. Please indicate the type of law enforcement experience that you have. (Please select all that apply)
None
Municipal
Sheriff/County
State Patrol
School District
College/University
Military
Federal

11. Do you live within a 30 minute lawful drive time of Derby City limits? (This is required.)
Yes
No, but willing to relocate at my own expense.
No

12. Do you fluently speak any language in addition to English? If so, which language(s). Use N/A, if you only speak English)
13. Have you ever been convicted of or committed a felony (include expungements)?
Yes
No

14. If the answer to the above question is yes, please explain. If no, put N/A
15. Have you ever been convicted of a misdemeanor (include expungements)?
Yes
No

16. If you answered yes to the above question, please explain. If no, put N/A.
17. Have you ever committed or been convicted of domestic violence (include expungements)?
Yes
No

18. Have you ever committed or been convicted of sexual battery (include expungements)?
Yes
No

19. Have you ever committed or been convicted of theft (include expungements)?
Yes
No

20. Indicate all of the following offenses you have committed or been convicted of within the past five years. (include expungements)
Theft
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

21. List any of the following drugs you have ever used. (Select all that apply.)
Cocaine/Crack Cocaine
Methamphetamine/ICE
Heroine
LSd or any type of hallucinogen
Marijuana
None of the above

22. 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.
23. 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?
Yes
No

24. Have you ever been dismissed, asked to resign, or had any disciplinary action taken against you from any employer?
Yes
No

25. If yes to the question above, please explain further. If no, please put N/A.
26. Do you qualify for Veteran's Preference for this position? (A copy of your DD-214 will be required to establish your qualification)
Yes
No

27. If you answered yes to the above question, please provide your highest rank attained and dates of active duty. Otherwise, please put N/A.
28. 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.
29. Are you able to work all of the following: overtime, weekends, holidays, day shift, evening shift, and night shift? (This is required)
Yes
No

30. 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.
Yes
No

31. Where did you hear about this open position?
Wichita Eagle
Career Builder
Derby Informer
Facebook
Twitter
derbyweb.com
HRePartners Website
Other

32. 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.