Carrollton Police Department Police Officer Pre-Application

Candidate’s First Name*

Candidate’s Last Name*

Suffix such as Jr., Sr., II, III, etc

Race

Sex/Gender

Social Security #

Present Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Physical Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone

Cell Phone

Work Phone

Other Phone

Email*

example@example.com

Are you related by blood or marriage to any person(s) now employed by the City of Carrollton?*

YesNo

If yes, give name(s) and relationship

Are you applying for a Police Officer or Civilian position?*

Police OfficerCivilian (non-sworn)

United States Citizen
Minimum age of 20
Valid U.S. Driver’s License
Veterans must have an Honorable Discharge (Indicated on DD-214)
High School Diploma or GED Certificate

Official copies of SAT, ACT, ACCUPLACER and/or COMPASS Scores if not Georgia POST Certified.

Applicants must also meet the requirements as set forth in Georgia Code 35-8-8 and the Georgia Peace Officer Standards and Training Council. Requirements for appointment or certification of persons as Peace Officers, must be met before the effective date of hiring. Additional requirements may be mandated at the discretion of the City of Carrollton and the Chief of Police such as: present Peace Officer Certification, prior completion of a POST mandated academy training program, or pertinent levels of education, and/or levels of experience or combination of the experience and education.

Are you at least twenty (20) years old?*

YesNo

Are you a citizen of the United States or a repatriated or naturalized citizen of the United States?*

YesNo

Have you obtained a high school diploma, general education diploma, or have you completed home schooling?*

YesNo

Have you been convicted or charged by any state or by the federal government of any crime for which the punishment could have been imprisonment in a Federal or State prison?*

YesNo

If yes, explain:

Have you been convicted of sufficient misdemeanors to establish a pattern of disregard for the law (including traffic laws)?*

YesNo

If yes, explain:

Have you possessed marijuana in the last 6 months, or have you possessed other illegal drugs in an unlawful manner in the last five (5) years?*

YesNo

If yes, explain:

If you served in the military, did you have an Honorable Discharge? (indicated on form DD-214)*

YesNo

Are you a certified Peace Officer?*

YesNo

Have you ever been the subject of a POST investigation?

YesNo

If yes, explain:

Do you possess a valid Driver's license?*

YesNo

Contact Lt. S. Davenport at (770) 834-4451, or send email to sdavenport@carrollton-ga.gov for an appointment.

Please check each box indicating you have the documentation below.*

1. Current Driver’s License.2. Copy of your DD-214, if served in the military.3. Proof of Educational Status, High School Diploma or GED Certificate in addition to Official/Certified copies of all transcripts High School, College, Technical School, etc.4. Police Academy Certificates, if applicable.5. Proof of citizenship/birth certificate (original NOT a copy)6. Official copies of SAT, ACT, ACCUPLACER and/or COMPASS Scores if not Georgia POST

Certified (P.O.S.T. minimum score required)

You must also be prepared to provide the following information:

References: (5) Name, address, home, and work telephone numbers (these must be non-relatives and non-employer references.
Credit references: Names, addresses, and amount owed to all creditors.
Complete work history: Employer names, addresses, dates of employment, and reason for leaving. Explain any breaks in employment.
List of addresses for the past ten years, and provide landlord’s name and contact information, if applicable.
Also, be prepared to list any traffic citations, (offense and disposition) you have received.
Be prepared to list any traffic accidents in which you have been involved.
Be prepared to write a full 8.5” x 11” page about yourself.

Applicants must answer truthful and fully all questions asked of them. Any misrepresentation or omission of any material fact on the application, during the application, background investigation, or in any phase of the selection process shall disqualify the applicant. If an investigation discloses a willful misrepresentation, omission, or falsification, the application will be rejected, and the applicant may be permanently disqualified from applying in the future for any position in the Carrollton Police Department.

The City of Carrollton does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services. All individuals considered for employment are evaluated without regard to race, color, religion, gender, national origin, age, marital, or veteran status, the presence of a non-job-related disability or any other legally protected status.

Signature*

Date*

Date

CARROLLTON POLICE DEPARTMENT POLICE OFFICER PRE-APPLICATION

Qualifications to Compete for Employment

APPLICANT CHECKLIST