Police Department Employment Application

Apply for a position with the Girard Police Department.

Employment Requirements

To be eligible for employment as a police officer with the Girard Police Department, you must at the time of employment meet the following criteria:
1. You must be at least twenty-one (21) years of age.
2. You must be a United States citizen.
3. You must have no felony conviction(s), including any felony conviction(s) that have been expunged.
4. You must not have any felony behavior involving use, production, transportation or sale of illegal drugs or narcotics.
5. You must have a high school diploma or its equivalence.
6. You must have or be able to obtain a Kansas Driver's License.
7. You must be able to qualify for vehicle insurance in the use of motor vehicles.
8. You may be required to meet certain job-related sight and hearing standards.
9. As a condition of employment, you may be required to pass: Physical Agility Test, Polygraph Examination, Background Investigation, Drug Screen, Psychological Examination, and Medical Examination..

Applicant Information

Date / Time
Name
Address
Are you a citizen of the United States?
Have you ever worked for the City of Girard?

Education

High School

Did you graduate?

College

Did you graduate?

Other Education

Did you graduate/complete?

References

Please list three references who are not related to you
1.) Name
Address
2.) Name
Address
3.) Name
Address

Previous Employment

Company Name, Phone, Address, Supervisor, Job Title, Starting and Ending Salary, Responsibilities, From/To (Dates), Reason for leaving
May we contact this supervisor?
Company Name, Phone, Address, Supervisor, Job Title, Starting and Ending Salary, Responsibilities, From/To (Dates), Reason for leaving
May we contact this supervisor?
Company Name, Phone, Address, Supervisor, Job Title, Starting and Ending Salary, Responsibilities, From/To (Dates), Reason for leaving
May we contact this supervisor?
Branch of Service, From/To (Dates), Rank at Discharge, Type of Discharge, if other than honorable, please explain.

Disclaimer & Signature

Authorization to Release Information

I hereby authorize any sworn officer, or authorized representative of the Girard Police Department bearing this release, or photostatic copy thereof, within 6 months of its date, to obtain information from your files pertaining to my employment, credit, or educational records, including but not limited to academics, achievements, attendance, athletics, personal (non-medical) history and disciplinary records. I hereby release you as the custodian of such records and any school, college, university or other educational institution, credit bureau, lending institutions, consumer reporting agency or retail business establishment including its officers, employees or related personnel both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs, family or associates because of compliance with this authorization. I hereby acknowledge that information obtained in the background investigation is confidential and will not be released to me.
Name
Address

Application Options

Download PDF Application

Contact

620-724-6219

Questions about the application process? Contact the Girard Police Department directly.