Full Text
Kennewick Police Department Lateral Entry Assessment Application Please return the completed assessment application to the Civil Service Examiner, City of Kennewick, PO Box 6108, Kennewick WA 99336 (mailing address). To deliver in person, the street address for City Hall is 210 W. 6th Avenue in Kennewick. Current Peace Officer certification in Washington State. Minimum of 12 months of commissioned police experience. Successful completion of the Lateral Entry Assessment Application. Minimum score of 80% on the Command Staff oral board. Prior to the oral board the candidate would have to successfully complete the background investigation, polygraph, as well as the state physical agility test. When a conditional job offer is extended it would require successful completion of the medical and test. This lateral entry assessment exam is designed to help us evaluate candidates on those factors considered most important to succeed as a police officer with the City of Kennewick. Please answer each question fully. Be specific and concise in your responses. You may attach additional pages if necessary. NOTE: This application must be completed in your own hand. Please print all responses. Do not submit a typed copy. Name Address Email Address Phone Number Cell SECTION I. This section must be completed for your application to be accepted for consideration. 1. Why do you want to leave your present employer? ---PAGE BREAK--- 2. Have you had any complaints officially filed against you while performing your law enforcement duties? Yes No If yes, please explain in detail. Include the type of complaint, reason for the complaint, date and resolution. If you have had more than one complaint filed against you, please cite each. 3. Have you ever had a disciplinary action imposed on you while performing the duties of a law enforcement officer? Yes No If yes, please explain the circumstances in detail, including what disciplinary action was taken, the reason for the disciplinary action, the name and address of your employer and the date of the action. (If you have received more than one, please cite each instance. You may use a separate sheet of paper, if needed.) 4. Have you used any non-prescribed controlled substances? Yes No If yes, when did you last use a non-prescribed controlled substance? Date(s): If yes, what type(s) of non-prescribed controlled substance(s) have you used? ---PAGE BREAK--- 5. Have you had any traffic tickets within the last five years? Yes No If yes, please list each citation/infraction/ticket and the dates you received them. 6. Have you been involved in a traffic accident on or off duty, in the last five years? Yes No If yes, please explain and list the date(s). SECTION II - LAW ENFORCEMENT EMPLOYMENT List all the positions you have held as a full time paid law enforcement officer, beginning with your present or most recent job. Agency/Employer Title/Rank Number of full-time paid officers Population of jurisdiction Agency/Employer Address Dates of Employment From: To: Total number of months employed Hours worked per month ---PAGE BREAK--- Immediate Supervisor’s Name Major responsibilities Reason for leaving Agency/Employer Title/Rank Number of full-time paid officers Population of jurisdiction Agency/Employer Address Dates of Employment From: To: Total number of months employed Hours worked per month Immediate Supervisor’s Name Major responsibilities Reason for leaving ---PAGE BREAK--- SECTION III - LAW ENFORCEMENT ASSIGNMENTS Areas of work: Describe all duty and specialty assignments in your career: such as traffic, computer operation, criminal investigations, narcotics, SWAT, community relations, FTO assignments, instructor assignments etc. Assignment Your Title/Rank Agency Length of Assignment Years: Months: Duties Performed Assignment Your Title/Rank Agency Length of Assignment Years: Months: Duties Performed Assignment Your Title/Rank Agency Length of Assignment Years: Months: Duties Performed ---PAGE BREAK--- Assignment Your Title/Rank Agency Length of Assignment Years: Months: Duties Performed Assignment Your Title/Rank Agency Length of Assignment Years: Months: Duties Performed ---PAGE BREAK--- SECTION IV - LAW ENFORCEMENT TRAINING (include military training) Law Enforcement Training: List by documented training classes that were certified or certificated by a recognized training center. Note: Course title, certificate earned, school and location, dates and number of hours-earned beginning with a basic academy. Please attach copies of certificates. Also, please request that your training commission or like agency send copies of transcripts or training records to the Kennewick Civil Service Commission, PO Box 6108, Kennewick WA 99336. Course Title Certificate Earned Total Number of Hours School Location Dates Attended Course Title Certificate Earned Total Number of Hours School Location Dates Attended Course Title Certificate Earned Total Number of Hours School Location Dates Attended Course Title Certificate Earned Total Number of Hours School Location Dates Attended ---PAGE BREAK--- Course Title Certificate Earned Total Number of Hours School Location Dates Attended Course Title Certificate Earned Total Number of Hours School Location Dates Attended SECTION V -FORMAL EDUCATION Formal Education: List formal education that you have completed at the college or university level. Note course title(s), degree earned, school and location, dates attended and number of credit hours earned. Please attach a copy of your graduation diploma(s) or a copy of your official transcript. Please have your college or university send an official transcript to the Kennewick Civil Service Commission, PO Box 6108, Kennewick WA 99336. Course Title/Major Degree Earned Total Number of Credit Hours Earned Institution Attended Location Dates Attended ---PAGE BREAK--- Course Title/Major Degree Earned Total Number of Credit Hours Earned Institution Attended Location Dates Attended Course Title/Major Degree Earned Total Number of Credit Hours Earned Institution Attended Location Dates Attended Signature Date ---PAGE BREAK--- POLICE DEPARTMENT AFFIDAVIT RELEASE AND WAIVER To Whom It May Concern: I hereby authorize any Police Officer or authorized representative of the Kennewick Police Department bearing this release, or copy of it, within one year of its date, to obtain any information in your files pertaining to my employment, including, but not limited to documents concerning my credit history or education, academic achievement, attendance, athletics, personal history, military history, work performance, background investigations, polygraph examination and any and all internal affairs investigations and discipline, including any files which are deemed to be confidential and/or sealed. I hereby direct you to release this information upon request of bearer. This release is executed with full knowledge and understanding that the information is for the official use of the Kennewick Police Department. Consent is granted for the Kennewick Police Department to furnish the information described above to third parties in the course of fulfilling its official responsibilities. I further understand that I waive any right or opportunity to read or review any information provided and the background investigation report prepared by the Kennewick Police Department. I hereby release you, as my employer, former employer, or representative of either of them and any government agency or entity, school, college, university, or other education institution, credit bureau, lending institution, consumer reporting agency, or retail business establishment, including any of their officers, employees, or related personnel both individually and collectively, from any and all liability for damage of whatever kind, which may at any time result to me, my heirs, or my assigns, because of compliance with this authorization and request to release information, or any attempt to comply with it. Should there be any questions as to the validity of this release, you may contact me as indicated below. I understand that I have the right to receive a copy of this authorization and acknowledge that I have received a copy. ---PAGE BREAK--- FULL NAME: (Signature) FULL NAME: (Printed Name) Date: DOB: Current Address: Telephone Number: Sworn to and subscribed before this day of , 20 Notary Public, State of My Commission Expires: ---PAGE BREAK--- KENNEWICK POLICE KENNEWICK POLICE DEPARTMENT “Committed To Your Safety” 211 W. 6th Avenue ♦ Kennewick, WA 99336 ♦ (509) 585-4208 ♦ Fax (509) 582-9528 ♦ [EMAIL REDACTED] MEDIA RESOURCE QUESTIONNAIRE (This page must be completed and submitted with your application) Applicant Name (please print) Date: How did you hear about the open positions at KPD? Please check the box that applies AND provide the name of the corresponding venue or media source. Newspaper Publication Name Internet Website Name Career Fair Month and Location Social Media Page Name College/University/Military Presentation Institute Name and Location Other Please Explain CHIEF OF POLICE K.M. Hohenberg