Application For Employment - Town Of Selbyville Police Department

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TOWN OF SELBYVILLE POLICE DEPARTMENT
Application for Employment
We consider applications for all positions with regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status
or any other legally protected status.
Position Applied for :
Date of Application :
How did you learn about the Selbyville Police Department
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Friend
Employment Agency
Inquiry
Relative
Other
APPLICANT INFORMATION
Middle
Last Name
First
Name
Street Address
Apartment/Unit #
City
State
ZIP
Phone
E-mail Address
Social Security No.
Preferred Phone #
Best time to contact you
a.m.
p.m.
What are your salary
Are you currently employed?
YES
NO
expectations?
Do you currently reside within 20 miles?
YES
NO
If no, are you willing to relocate?
YES
NO
EDUCATION, TRAINING, AND EXPERIENCE
Name &
Course of Study
Number of years
Diploma
Address of School
completed
Degree
Elementary School
High School
College
Police Administrative
or Leadership Training
Other (Specify)
Describe Administrative or Leadership Training including duration
(Attach additional pages if necessary)

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