Skip to main content
Police/Fire Department Application

This is an application for employment with the Penitas Police Department. You may fill out the online application form below, or you may download, complete and submit the application form in person. 

Police Department Job Application.pdf

Firefighter Application.pdf

Volunteer Firefighter Application.pdf

Additional documents may be required for completion of this personal history statement, including the following:

  1. Birth Certificate
  2.  Naturalization Papers (If Applicable)
     NOTE: Federal law prohibits duplication of these documents; however, the Penitas Police Department Personnel Officer does not need to see them.
  3. Driver's License
  4. High School Diploma or GED Certificate
  5. High School Transcript
  6. College Diploma
  7. College Transcripts
  8. Military Discharge (If Applicable)
  9. Selective Service Number (If Applicable)
  10. Certificates of Specialized Training (i.e., Military, Police-Related, etc.)
  11. Copy of Credit History

NOTE: A legible copy of the above documents can be uploaded below or submitted in-person.

This personal history statement must be completed in its entirety, along with any required supporting documentation, to be considered for employment.

*Position Applying For
City and State
Are you legally authorized to work in the United States?
Enter N/A if not applicable
List all addresses where you have lived during the past ten (10) years. Begin with the present address, and list by month and year.
Begin with your present or most recent job, list the three (3) most recent jobs you have held.
(from Month/Year to Month/Year)
(from Month/Year to Month/Year)
(from Month/Year to Month/Year)
-
-
Upload a current resume detailing all employment since the age of 16, including part-time, temporary or seasonal employment. Include all periods of unemployment as well.
Have you served in the U. S. Armed Forces?
Were you ever disciplined while in the military service (including court martial, captain's masts, and company punishment?
(From Month/Year to Month/Year)
*Graduated?
(From Month/Year to Month/Year)
(From Month/Year to Month/Year)
List other schools attended (trade, vocational, business, etc.) Give name and address of school, dates attended, course of study, certificate, and any other pertinent information)
-
-
*Have you ever been convicted of a violation of the law other than a minor traffic violation?
*Have you ever been involved as a party in a civil litigation?
*Has your driver's license ever been suspended or revoked?
Include Month/Year, Charge, City & State, Disposition
List five (5) persons who you know well enough to provide sufficient information about you. Do not list any relatives or former employers.
List any past or present organizations that you have been involved in, the type (social, professional, etc.), and the dates of participation:
Do you have any reason and/or obligations which would prevent you from fully performing assigned duties, including working on weekends, holidays, evenings, or night shifts?
Have you ever been employed by the City of Penitas?
Are you related by blood or marriage to any member of the Penitas City Council or any employee of the City of Penitas?
I hereby certify that there are no willful misrepresentations, omission or falsifications in the foregoing statements and answers to questions. I am fully aware that any such willful misrepresentations, omissions, or falsifications may be grounds for immediate rejection or termination of employment.
-
-

X
Confirm
Cancel