Fillable SAG HARBOR VILLAGE POLICE DEPARTMENT (Incorporated Village of Sag Harbor)

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SAG HARBOR VILLAGE POLICE DEPARTMENT (Incorporated Village of Sag Harbor)

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Country of origin: US
File type: PDF

U.S.A. forms for Incorporated Village of Sag Harbor

BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

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SAG HARBOR VILLAGE POLICE
DEPARTMENT
70 Division Street, PO Box 660, Sag Harbor, NY 11963
Tel: 631-725-0247 Fax: 631-725-5660
APPLICATION FOR EMPLOYMENT
Full Name:
Last
First
Middle
Address:
Street Address
Apartment/Unit number
City
State
Zip Code
Phone: E-Mail:
Social Security No.: Date of Birth:
Do You Have a Valid Driver’s License? Yes No
If Yes, State of Issuance: Motorist ID No.:
Present/Former Employer:
Address:
Street/PO Box Unit Number
City State Zip Code
Phone: Number of Years/Months Employed:
If Student Name of School Attending:
Present Grade Level: College Level:
High School: Address:
From: To: Did You Graduate? Yes No Degree:
College: Address:
From: To: Did You Graduate? Yes No Degree:
Other: Address:
From: To: Did You Graduate? Yes No Degree:
Applicant Information
Education
Reference Name: Phone:
Address: Relationship:
Reference Name: Phone:
Address: Relationship:
Reference Name: Phone:
Address: Relationship:
1. Full Time Police Officer 2. Part Time Police Officer
3. Traffic Control Officer 4. School Crossing Guard
5. Academy for Part Time Officer 6. Jail Matron
Date You Can State: Date You Can Work To:
Please provide any further information detailing your qualifications for any of the above listed titles. For
example, Prior Law Enforcement Employment, Military Service, Criminal Justice Degree, Prior Experience in
Related Field of Work etc.
“I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize
the investigation of all statements contained herein and release all parties from all liability for any damage that
may result from furnishing said information to you. I understand and agree that if hired, my employment is for
no definite period any may, regardless of the date of payment of my wages and salary, be terminated at any time
without prior notice.”
Signature: Date:
Job Title Seeking
References
Additional Information
Disclaimer and Signature
REST FORM
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SAG HARBOR VILLAGE POLICE DEPARTMENT (Incorporated Village of Sag Harbor)

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Completed 19 January 2021

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