APPLICATION FOR EXAMINATION Carefully read the requirements section. Answer all questions.
Equal Opportunity Employer The County of Wayne is an Equal Opportunity Employer and does not discriminate based on religion, race, color, national origin, age, sex, sexual orientation, marital status, height, weight, arrest record or disability. Wayne County Department of Personnel/Human Resources 500 Griswold, 9th Floor - Detroit, Michigan 48226-2838
In order to be a Police Officer with the Wayne County Sheriff's Office, you must meet all announced qualifications and requirements. You must completely and accurately answer all questions on this application. Any erroneous or missing information can lead to rejection of your application.
REQUIREMENTS: 1. Never have been convicted of a felony. (The Sheriff's Office verifies all applicant statements). 2. Have a good driving record. Applicants are considered to have less than a good driving record if their record of Traffic Violation Convictions at the time of application or appointment shows:
NOTE: Any candidate not disqualified under the above section whose driving license is restricted, suspended or revoked or who has not paid an outstanding traffic fine, must have their license restored and have paid all fines prior to appointment.
3. Pass a pre-employment medical examination and be in good physical condition to perform essential job duties as determined by a licensed physician or qualified health care professional in compliance with Wayne County Standards including:
NOTE: An examinee currently or recently under professional medical care may be required to submit a report from the medical professional indicating his/her current medical condition and ability to perform the essential job duties
A conviction or felony charge does not necessarily prevent employment. A false answer, however, will result in disqualification or dismissal. If your answer is “Yes”, explain fully under COMMENTS on Page 7.
IMPORTANT: The information which you give regarding your experience and training may be rated as a part of your examination and thus affect your final grade. Answer in detail. If more space is needed, attach additional sheets. Attach transcript copies if available or requested. Materials submitted will become part of your permanent record and will not be returned.
What occupational license, registration, certificate, or journeyman's card do you hold?
Give addresses of other places that you have lived in the past five (5) years and dates of residence
Account for ALL of your time in the past TEN (10) years and any earlier experience which qualifies you for the position for which you are applying. If more than one position was held under the same employer, describe each position separately. Periods not worked must also be indicated (homemaker, military service, unemployed, etc.). If more space is needed, attach additional sheets. For “Your Duties” describe in detail the kind of work and responsibilities.
I hereby certify that all information given in this application is true, and I agree and understand that any misstatement of material facts contained in this application may cause forfeiture of all my rights to employment with the County of Wayne. I certify that this application is made under my correct legal name. I further authorize former employers to furnish all information concerning my employment record to the Wayne County Department of Personnel/Human Resources, and I release them from any liability for having furnished this information. I hereby authorize Wayne County, as a condition of employment, to complete a check of any possible reference, along with a thorough background investigation and criminal history search. A copy of this authorization shall be considered as effective and valid as the original.
I agree that any claim I may have against the Charter County of Wayne (or its' employees, elected officials or agents) must be brought wit in 180 days of the day I knew or should have known of the claim. I waive any longer but not shorter periods of limitations.
AUTHORITY TO RELEASE INFORMATION
I hereby authorize a review of and full disclosure of all records, or any part thereof, concerning myself, by and to ANY duly authorized agent of the Wayne County Sheriff's Office, within one year of its' date, whether the said records are of public, private or confidential nature.
The intent of this authorization is to give my consent for full and complete disclosure of information including but not limited to: military records, the records of educational institutions, financial or credit institutions, public utility companies, employment and pre-employment records, including background reports, efficiency ratings, complaints or grievances filed by or against me, salary records, real and personal property tax statement and records, and other financial statements and records wherever filed; records of complaint, arrest, trial and/or convictions for alleged or actual violations of law, including criminal, civil, and/or traffic records, records of complaint of a civil nature made by or against me, wheresoever filed.
I reiterate and emphasize that the intent of this authorization is to provide full and free access to the background and history of my personal life, for the specific purpose of pursuing a background investigation, which may provide pertinent data for the Wayne County Sheriff's Office to consider in determining my suitability for employment by that department. It is my specific intent to provide access to personal information, however personal or confidential it may appear to be, and the sources of information specifically identified herein.
I understand that any information obtained by a personal history background investigation, which is developed directly or indirectly, in whole or in part, upon this release authorization will be considered in determining my suitability for employment by the Wayne County Sheriff's Office. I understand that all materials pertaining to this background investigation become the property of the Wayne County Sheriff's Office and will not be returned to me.
I agree to indemnify and hold harmless the person to whom this request is presented and his agents, employees and related personnel, both individually and collectively, from and against all claims, damages, losses and expenses, including reasonable attorney fees arising out of or by reason of complying with this request. I further understand that in the event my application is disapproved, the sources of confidential information cannot be revealed to me.
An electronic signature herein maintains the full legal force and effect of a handwritten signature authorization pursuant to the Uniform Transaction Act (MCL 450.831 et seq).
