south kingstown police department Job Application - South Kingstown (Dispatch Only) Step 1 of 10 10% PERSONAL INFORMATIONName(Required) First Middle Last Suffix Current Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your mailing address different from your current address?(Required) Yes No Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail Address(Required) DESIRED EMPLOYMENTPosition Type(Required) Full Time Part Time Temporary Seasonal Per Diem I am available for these shifts(Required) Days Mornings Evenings Weekends How you learned about this position:(Required) Newspaper Social Media Town's Website Referral Other Please mark all that applyIf you are applying for a position that requires CDL licensure, do you currently hold a valid Rhode Island CDL license?(Required) Yes No N/A If yes, identify(Required) Class A Class B Class C EndorsementsIf yes, have you ever been part of a CDL required random pool? Yes No If you are applying for a position that requires specific licensure(s), other than a CDL, do you currently hold the required licensure(s) in the State of Rhode Island?(Required) Yes No N/A SUPPLEMENTAL QUESTIONSAre you at least 18 years of age?(Required) Yes No If not, provide your date of birth. Month Day Year Have you worked for the Town of South Kingstown previously?(Required) Yes No If yes, list Title(s) and Department(s)Are you legally eligible for employment in the United States?(Required) Yes No Proof of identity and employment eligibility will be required upon employment EDUCATIONMiddle/High SchoolAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Identify last grade completed 7 8 9 10 11 12 Status Attended Currently Attending Graduated GED Course of StudyCollege/UniversityAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Degree PursuingCourse of StudyStatus Attended Currently Attending Graduated College/UniversityAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Degree PursuingCourse of StudyStatus Attended Currently Attending Graduated PROFESSIONAL ASSOCIATIONS, LICENSURE, AND CERTIFICATIONSPlease provide information regarding relevant professional associations, current licensure (please include expiration dates), and/or certifications you possess. Please note, information regarding employment experience can be provided on the following page. MILITARY SERVICEHave you served in the United States military?(Required) Yes No Currently Serving If yes, which branchDates: (Starting and Ending Date)If yes, please list applicable duties/responsibilities belowPlease note, if you are providing a resume with this application where specific duties and/or responsibilities are detailed, you may leave the duties/responsibilities fields blank. EMPLOYMENT EXPERIENCEEmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position HeldDepartmentEmployment DatesAre you still currently employed? Yes No Reason for leavingPlease list applicable duties/responsibilities belowEmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position HeldDepartmentEmployment DatesAre you still currently employed? Yes No Reason for leavingPlease list applicable duties/responsibilities belowEmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position HeldDepartmentEmployment DatesAre you still currently employed? Yes No Reason for leavingPlease list applicable duties/responsibilities belowEmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position HeldDepartmentEmployment DatesAre you still currently employed? Yes No Reason for leavingPlease list applicable duties/responsibilities below REFERENCESPlease list the name, relationship, and contact information for 3 professional references, not related to you, that can provide information regarding your work performance, skill set, and/or qualifications. It is preferred that one reference be a current or previous supervisor. If necessary, you may include educational references.Name First Middle Last Suffix RelationshipOccupationPhoneEmail Name First Middle Last Suffix RelationshipOccupationPhoneEmail Name First Middle Last Suffix RelationshipOccupationPhoneEmail DocumentationFileMax. file size: 256 MB. File descriptionPlease provide a brief description of the uploaded file. For example: "Resume for John Doe," "Test results for January 2025," or "Identification Documents."FileMax. file size: 256 MB. File descriptionPlease provide a brief description of the uploaded file. For example: "Resume for John Doe," "Test results for January 2025," or "Identification Documents." ACKNOWLEDGEMENTI hereby certify that all of the information provided by me in this application (and within any other accompanying application materials such as a resume or cover letter) is true, correct, and complete to the best of my knowledge. I authorize the Town of South Kingstown to investigate any and all statements within said documents. I understand that any falsification, misrepresentation, or material omission of any facts in said documents, and/or during an interview shall lead to my application being rejected, or should I already be employed, shall be considered sufficient cause for the termination of my employment. I authorize previous and current employers, references, and educational institutions to release and/or verify information about my work history, professional experience, and education in order to assist the Town of South Kingstown with determining my qualifications for this position. I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that if offered a position with the Town of South Kingstown, I will be required to submit to a preemployment background check, and may be required to submit to a pre-employment medical examination and/or drug screening as a condition of employment. I understand that unsatisfactory result from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and/or checks will result in withdrawal of any employment offer or termination of employment if already employed. By typing my name below I acknowledge that I have read, understood, and agree to the above statements.Applicant NameDate Month Day Year
