14. Have you ever been discharged, asked to resign, furloughed, or put on inactive status for a cause, or subjected to disciplinary action while in any position (except military)? Yes No If yes, state circumstances: Have you ever resigned (quit) after being informed that your employer intended to discharge (fire) you for any reason? Yes No Arrest, detention, and litigation (show all arrests including juvenile delinquent and traffic below). 15. Have you ever been arrested or detained by a law enforcement agency? Yes No If the answer to any of the above questions is yes, list below the date, place, and full details of each incident: 16. Residence: List all residences for the past 10 years. Month and Year From To Street and Number City State and County / / / / / / / / / / / / / / / / / /
14. Have you ever been discharged, asked to resign, furloughed, or put on inactive status for a cause, or subjected to disciplinary action while in any position (except military)? Yes No If yes, state circumstances: Have you ever resigned (quit) after being informed that your employer intended to discharge (fire) you for any reason? Yes No Arrest, detention, and litigation (show all arrests including juvenile delinquent and traffic below). 15. Have you ever been arrested or detained by a law enforcement agency? Yes No If the answer to any of the above questions is yes, list below the date, place, and full details of each incident: 16. Residence: List all residences for the past 10 years. Month and Year From To Street and Number City State and County / / / / / / / / / / / / / / / / / /
PoliceOfficerApplication2016-5.docx