Florida Form 10 1777 PDF Details

Navigating the application process for a position within the Seminole Police Department has been streamlined with the introduction of the Florida 10 1777 form, a comprehensive pre-screener application ensuring thorough and accurate collection of applicant information. This essential document, hosted by the Human Resources Division at 3101 N State Road 7, Hollywood, FL, is a primary step for individuals aspiring to join the law enforcement team, laying out clear instructions for prospective candidates. Designed for individuals 19 years of age or older, it covers a wide array of applicant details such as personal information, position sought, employment history, education record, and a detailed section on criminal history to maintain integrity and safety standards within the department. With a firm emphasis on reliability and transparency, the Florida 10 1777 form meticulously screens candidates to ensure that only the most eligible applicants proceed in the hiring process. Importantly, this process respects privacy and legal standards by requesting sensitive information about criminal history directly and discreetly, an approach that balances the department's commitment to thorough vetting with respect for applicant confidentiality. Furthermore, the form highlights the department's policy of retaining applications on file for up to a year, ensuring that even if immediate openings are not available, promising candidates remain considered for future opportunities.

QuestionAnswer
Form NameFlorida Form 10 1777
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesspd job application form pdf pdf fill police form

Form Preview Example

Pre-Screener Application

SEMINOLE POLICE DEPARTMENT

Human Resources Division, 3101 N State Road 7, Hollywood, Fl 33021

Tel. 954-967-5100 Fax 954-963-9134 Visit us online at www.semtribe.com

INSTRUCTIONS: The purpose of this pre-screener application is to get accurate applicant information. Please complete all portions – incomplete forms will be destroyed. Applicants MUST

be 19 years of age or older to apply.

Name:

 

 

SSN:

 

 

 

 

 

 

 

 

Phone #:

Alternate Phone #:

 

 

 

 

 

 

 

 

 

 

Address:

City:

 

State:

 

Zip:

 

 

 

 

 

 

Email Address:

Driver’s License #

-

State

 

 

 

 

 

 

 

RESERVATION:_________________________ Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce

 

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Position Sought (check one only):

We DO NOT accept Non-Certified Police Officer Applicants.

Police Officer

Dispatcher

Clerical / Administrative

Community Service Aide

 

 

 

 

 

If it is determined that you are a viable candidate and positions are available, your processing will begin. If there are no positions available, your pre-screener will be kept on file for up to one year and

you will be notified once we have openings. Do not include any documents (including certifications). resume’s, etc) unless, they are meant to explain pre-screener questions.

PERSONAL INFORMATION

Yes

No

Are you a United States Citizen? (Or registered alien for civilian position?)

 

 

 

Yes

No

Do you possess a high school diploma or GED?

 

 

 

Yes

No

Have you received 3 or more moving traffic violations within the past three years?

 

 

 

Yes

No

Have you ever been convicted of a felony?

 

 

 

Yes

No

If employed by a law enforcement or corrections agency, are you now under internal investigation?

 

 

 

Yes

No

Have you used, possessed, or cultivated an illegal controlled substance? Date last used:

 

 

 

Yes

No

Have you been cited for any drug or alcohol related charges within the past five years? When:

 

 

 

Yes

No

Have you ever been convicted of any crime involving, but not limited to: perjury, domestic violence,

sexual misconduct (of any kind) or assault/battery?

 

 

Yes

No

Have you ever worked for or applied to the Seminole Police Department before?

Position:

Date:

 

 

Yes

No

Is there any other language you can read, write or speak fluently? Specify:

Have you re

10-1777 (Revised 08/10)

EMPLOYMENT HISTORY: Describe below the last four jobs you have held (including military, part-time, temporary, or volunteer work.) Begin with your present or most recent employment. If you’ve ever worked in law enforcement or corrections, include that information. You may attach an additional information sheet if necessary. Please provide details of your job duties. You must account for all periods of unemployment.

PRESENT OR MOST RECENT

1. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

2. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

3. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

4. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

 

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Yes

No

Have you ever been disciplined by any current or past employer(s)? If military experience, list

disciplines, i.e., Article 15, etc. (List each discipline, employer, and dates.)

 

 

 

 

Yes

No

Have you ever been terminated or asked to resign from a job? (List each employer, reason and dates.)

 

 

 

 

 

EDUCATION RECORD

Do you have a college degree?

Yes

No

Type of degree:

Course of study:

 

 

If no, how many credits?

 

 

 

Course of study:

 

 

 

Have you received your Florida law enforcement certification

or are you currently attending an academy?

Yes

No

Type of academy:

 

 

 

Graduation date:

 

 

 

CRIMINAL HISTORY

NOTE – Because you are applying to a law enforcement agency, you must include information about any arrest, charge, conviction or other criminal activity, even if the records are sealed or expunged. If you answer “yes” to any of the following,

you must attach a full explanation before your application will be considered.

Yes

No

Have you ever been arrested or charged of any felony and/or misdemeanor?

Yes

No

Have you ever been convicted of any felony and/or misdemeanor?

Yes

No

Have you ever been involved in the sale of illegal drugs?

Yes

No

Have you ever taken anything from an employer without proper permission?

Yes

No

Are you now or have you been the member of a gang or any association that engages in criminal

activity?

 

 

Yes

No

Do you have regular or continuous associations or dealings with anyone under criminal investigation or

indictment, or who is involved in criminal behavior?

 

 

UNITED STATES MILITARY RECORD

Yes

No

 

Have you ever been a member of the United States Armed Forces?

 

 

 

 

 

 

 

 

 

 

 

Branch:

Highest Rank:

 

Type of Discharge:

 

 

 

Active Duty Dates from

to

Reserve Duty Dates from

to

Signature: ______________________________________________ Date: ________________

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Ways to complete Florida Form 10 1777 stage 2

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Dates of Employment From Type of, Dates of Employment From Type of, and Yes Yes in Florida Form 10 1777

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Step number 4 for completing Florida Form 10 1777

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Filling out section 5 of Florida Form 10 1777

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