City of Denham Springs

The City of Denham Springs

Police And Fire Application

Which department are you applying for:

Applicant Information

Are you a citizen of the United States?

Full Name

Date of Birth

Primary Phone

Email Address

Social Security Number

Address

Street Address

Apt/Suite/Unit (optional)

City

State

Postal/Zip Code

Driver's License

License State

License Number

License Expiration

Ethnicity and Gender Information (optional)

The Federal government requires that we request the following race and sex information for statistical reporting purposes. Completion of this section is voluntary, and your application will not be rejected if you choose not to provide this information.

What is your gender?

What is your ethnicity?

Background Information

If you answer “YES” to any of the following questions, please provide an explanation. A conviction will not necessarily disqualify you from the job for which you are applying. A conviction will be judged on its own merits with respect to time, circumstances and seriousness.

In the past five years, have you been dismissed or resigned as an alternative to dismissal from any role for reasons other than a downsizing of the workforce?

Have you ever been convicted of a felony?

Have you been convicted of a misdemeanor during the last 3 years?

Training/Education

High School Diploma or Equivalency Certificate

No High School Diploma

College Graduate

Formal Training

Professional development courses and training in various fields such as business, trade, military, and other industries.

Experience/Certifications/Licenses

Please list below any professional licenses or certifications that are relevant to the job for which you are applying.

Work Experience

Start with your present or most recent position and work back, including any military experience. List each position separate if you were promoted or your duties changed materially while working for the same employer. For volunteer experience disregard the reference to salary. It is to your advantage to completely describe your duties in each position, placing particular emphasis on duties, tasks performed, and responsibility. Attach additional pages, if necessary.

Documentation

In accordance with civil service law you must be a citizen of the United States, and of legal age. In addition to these requirements, the Denham Springs Municipal Fire and Police Civil Service Board has adopted its own qualification requirements for each of its competitive classes. Therefore, you must attach the necessary documentation to verify that you meet all the requirements of the civil service board. You must attach a copy of the following documents:

Proof that you are a citizen of the United States (Original Birth Certificate, Voter’s Registration Card, US Passport, or Certificate of Naturalization)

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Proof that you meet the age requirement of the civil service board (Birth Certificate, Driver’s License, Selective Service Card)

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Proof of high school diploma or equivalent.

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Proof that you have a valid driver's license

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Copy of Social Security Card

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Copy of Civil Service score letter

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Authority for Release of Information I have completed this application with the knowledge and understanding that any or all items contained herein may be subject to investigation prescribed by law, and I consent to the release of information concerning my capacity and fitness by employers, educational institutions, law enforcement agencies, and other individuals and agencies to duly accredited investigators, civil service board members and other authorized employees of government for that purpose. I certify that the answers I have given to all questions in this application are true to the best of my knowledge. I know that any misrepresentation herein may cause my application to be rejected, my name removed from the eligible list and/or may subject me to dismissal from employment.

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