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Police Department Job Application

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Steps

  1. 1. Step One (current)
  2. 2. Step Two
  3. 3. Step Three

  • Step One

    2. PD patch New 2020

    3. Miami Township Police Department
      Montgomery County, Ohio
      2660 Lyons Road, Miamisburg, OH 45342
      Phone: (937) 433-2301 


      Application for Employment


      * Print Clearly and in BLUE INK and reply to all questions 

    13. Have you read and do you understand the Job Description and the essential functions for the position for which you are applying?*

      Check box that applies:

    15. Are you capable of performing the material and substantial duties of the position that you are applying for with or without reasonable accommodation? *

      Check box that applies:

    17. I understand that if hired I am subject to random drug testing as outlined in any applicable collective bargaining agreements and the employee policy manual? *

      Check box that applies:

    19. Referred by:*

      Check all boxes that apply:


    23. PERSONAL INFORMATION

    42. Email address is highly recommended to insure receipt of follow up information.

    48. Are you legally eligible for employment in the country?*

      Proof of U.S. citizenship will or immigration status will be required upon employment.

    50. CURRENT OR MOST RECENT EMPLOYMENT HISTORY/EXPERIENCE

    72. READ CAREFULLY BEFORE SIGNING

      I certify that the information provided in and with this Employment Application is true, correct and complete. I agree that, if I am hired, Miami Township may terminate my employment for any false or misleading statements or omissions in this application regardless of when they may be discovered. I understand that an investigative background report may be made concerning my character, general reputation, personal characteristics and code of living. Upon written request within a reasonable period of time, I may obtain from Miami Township a written disclosure of the nature and scope of any investigation requested. I have read and do understand the Job Description and the essential functions for the position for which I am applying. I understand that if hired I am subject to random drug testing as outlined in any applicable collective bargaining agreements and the employee policy manual. I understand I will be required to obtain educational transcript and military records. I understand that if I have a qualifying conviction of certain state or federal laws will disqualify me from employment as a police officer. I agree that, if hired, my employment is for no definite period of time, my employment may be terminated any time for any reason in accordance with the language in any applicable labor agreement or employee manual of Miami Township. I agree that Miami Township can change this in writing and that any verbal statement to the contrary is not binding. If any section(s) of this Application for Employment are held to be invalid, the remaining sections shall not be affected and shall remain in effect.

    74. User acknowledgement/electronic signature*

      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    76. READ CAREFULLY BEFORE SIGNING

      This Application for Employment will be considered active for the period in which the position being applied for is open and active. If you are hired, the Application for Employment and all addendums and additions become a part of your official employment record. By signing below, I am acknowledging that I have read and that I understand all that is contained within the Application for Employment.

    78. Application active time period*

      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    80. READ CAREFULLY BEFORE SIGNING

      I hereby give my permission for authorized agents of the Miami Township to conduct an investigation of my background, including education, employment, credit, reputation, military records, social networks, and any other factors which such agents may deem proper and necessary in connection with my application. I hereby authorize those parties to whom this document (or reproduction thereof) is presented to make full disclosure of all records, reports, and related documents or information that would reflect favorably or unfavorably upon my application for employment with Miami Township. In addition, I authorize those parties to conduct pre-employment investigation and examinations; not limited to a credit check, drug and alcohol testing, polygraph, pre-employment physical, and psychological examination. I also specifically waive any right I may have to written notice from any former employer, references, or schools prior to the release of my employment information to Miami Township. I give my permission for any person, business or institution contacted in the course of such investigation to release any and all information properly requested, and Photostats of same if requested, and do hereby release such person, business or institution from all liability for providing correct information. You may be requested to sign additional release of information waiver forms. My signature below indicates that I have read, that I understand, that I agree with the above information, that my agreement is legal and binding.

    82. Investigation Permission*

      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    84. Miami Township considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status or any other legally protected status. Equal access to programs, services, and employment is available to all n thon anntioante persons. Those applicants requiring reasonable accommodation to the application and/or selection process need to contact tact the chief of police in a timely fashion.