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2. Application for Employment - Milton Police Department, VT
4. To apply for a position with the Town of Milton, please complete this Application for Employment. The Town of Milton considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. Before you submit your application, make sure all sections of the application have been completed and that all information requested has been provided. At the sole discretion of the Town Manager, incomplete applications may not be considered.
6. Position Applying For*
   -- Select One --Full Time Law Enforecment OfficerPart Time Law Enforecment OfficerFull Time/Part Time Law Enforecment Officer
8. How did you hear about us?*
   -- Select One --Town of Milton WebsiteInternet Job PostingFriend/RelativeTown of Milton EmployeeCareer Fair Other
10. Personal
12. First Name*
13. Middle Name
14. Last Name*
16. Have you been known by any other name (if applicable)?*
18. Physical Address*
20. City*
21. State*
22. Zip Code*
24. Phone Number #1*
25. Phone Number #2
27. Email Address*
29. When is the best time to call you?*
31. General Information
33. If you are under 18 years of age, can you provide required proof of your eligibility to work?*
    -- Select One --YesNotNot Applicable
35. Have you ever filed an application with us before?*
    -- Select One --YesNo
37. Approximate Date of Previous Application*
39. Have you ever been employed with us before?*
    -- Select One --YesNo
41. Approximate Date of Previous Employment*
43. Are you currently employed?*
    -- Select One --YesNo
45. May we contact your employer for references?*
    -- Select One --YesNo
47. On what date are you available to work?*
    On what date are you available to work?
49. Can you travel if a job requires it?*
    -- Select One --YesNo
51. Do you currently have a legal/valid license to operate a motor vehicle?*
    -- Select One --YesNo
53. Has your license ever been suspended?*
    -- Select One --YesNo
55. When and why was your license suspended?*
57. Can you comply with our Workplace Non-Smoking Policy?*
    -- Select One --YesNo
59. Have you ever used any illegal drugs?*
    -- Select One --YesNo

    Illegal drugs are ANY regulating substances by State and/or Federal Laws like marijuana, methamphetamine, ecstasy, cocaine, heroin, ect.
61. If Yes, please explain:*
63. Have you ever been charged with a criminal offense in Vermont or any other state? *
    -- Select One --YesNo
65. If yes, please explain:*
67. Have you ever been the subject of a domestic restraining or protecton order? *
    -- Select One --YesNo
69. If yes, please explain:*
71. Have you ever been previously convicted of a domestic violence related offense?*
    -- Select One --YesNo
73. If yes, please explain:*
75. Has action ever been taken against any professional license/certification that you have held?*
    -- Select One --YesNo
77. Please explain the action taken against your professional license/certification: *
79. Have you ever been disciplined in any way for alcohol and/or drug use on a job?*
    -- Select One --YesNo
81. If yes, please explain:*
83. Have you ever been discharged or asked to resign from any employment?*
    -- Select One --YesNo
85. If yes Please explain:*
87. Education
89. Name & Location of School
90. Course of Study
91. Number of Years Completed
92. Diploma/Degree Obtained
94. Name & Location of School
95. Course of Study
96. Number of Years Completed
97. Diploma/Degree Obtained
99. Name & Location of School
100. Course of Study
101. Number of Years Completed
102. Diploma/Degree Obtained
104. Are you a veteran of service in the United States Armed Forces?*
     -- Select One --YesNo
106. If so, wee you honorably discharged?
     -- Select One --YesNo
108. From what branch?
109. Date of discharge (if applicable):
     Date of discharge (if applicable):
111. Please list any job-related training received in the United States Armed Forces:
113. Additional Experience or Qualifications
115. Please describe any specialized training, apprenticeships, licenses, or skills, which you believe should be considered in evaluating your qualifications for employment (it is not necessary to include information which indicates race, color, national origin or other protected status).
117. Please list any specialized training, apprenticeship, and skills from previous employment:
119. Please list any additional information you feel may be helpful to us in considering your application:
121. Are you currently a certified Law Enforcement Officer in Vermont or any other state?*
     -- Select One --YesNo
123. If Yes, please explain.*
125. Have you previously taken any of the tests below. Check all that apply. *

     1. Written Entrance Test
     2. MMPI (Minnesota Multiphasic Personality Inventory)
     3. Physical Fitness Test
     4. Polygraph Examination
     5. I have NOT taken any tests
127. If you checked any above, please explain.*
     Please provide dates of testing and any details you can provide.
129. References
     Please list three Personal References, and three Professional References.
131. Personal References
133. Full Name*
134. Physical Address*
135. Phone Number*
137. Full Name*
138. Physical Address*
139. Phone Number*
141. Full Name*
142. Physical Address*
143. Phone Number*
145. Professional References
147. Full Name*
148. Physical Address*
149. Phone Number*
151. Full Name*
152. Physical Address*
153. Phone Number*
155. Full Name*
156. Physical Address*
157. Phone Number*
159. Employment Experience
     Please start with your present or last job held. Please explain any gaps in your employment if needed. NOTE: Alternatively you may attach a resume, however be sure all requested information is included or your application may be denied. Specify reason(s) for leaving and may we contact your past employers.
161. Employer 1.
163. Employer Name and Address*
165. Job Title
166. Employment Dates (from and to)
168. Supervisor
169. Telephone Number
171. Describe work performed:
173. May we contact this employer as a reference?*
     -- Select One --YesNo
175. Reason for leaving:
177. Employer 2.
179. Employer Name and Address*
181. Job Title
182. Employment Dates (from and to)
184. Supervisor
185. Telephone Number
187. Describe work performed:
189. May we contact this employer as a reference?*
     -- Select One --YesNo
191. Reason for leaving:
193. Employer 3.
195. Employer Name and Address*
197. Job Title
198. Employment Dates (from and to)
200. Supervisor
201. Telephone Number
203. Describe work performed:
205. May we contact this employer as a reference?*
     -- Select One --YesNo
207. Reason for leaving:
209. Applicants Statement
     READ CAREFULLY BEFORE SIGNING. I hereby state the information I provided in this application and any supporting information i.e. my resume, is true and accurate to the best of my knowledge. I authorize verification of any or all of the information and any inquiries permissible by law to determine my suitability for employment. I hereby understand and acknowledge that, should the Town of Milton employ me I am entering an At Will employment relationship and may resign or be terminated at any time with or without cause or reason and with or without prior notice. It is further understood this “At Will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the Milton Town Manager. Subject to applicable provisions of the Town of Milton Administrative Code or a Town of Milton Collective Bargaining Agreement. In the event of employment, I understand that false or misleading information given in this application and/or interview(s) may result in discharge. I understand I am required to abide by all rules and regulations of the Town of Milton and the Milton Police Department. I verify I have fully read this application to the best of my ability and have not left any required questions and/or sections blank.
211. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
213. Electronic Signature*
215. Milton Police Department Hiring Process:
     The Milton Police Department hiring process consists of several steps including an application, oral interview before a selection panel, a background and character investigation, a polygraph exam, a credit history check, psychological testing, a physical exam by a doctor and a drug screening. However, this is all preceded by police academy entrance testing. Entrance testing takes place at the Vermont Police Academy in Pittsford and consists of a written entrance exam, MMPI-2 (psychological assessment) and physical fitness test. The written entrance exam consists of 100 multiple choice questions that assess one's abilities in the areas of mathematics & mathematical reasoning, judgment & reasoning, report writing, vocabulary, and reading comprehension. Reading study guides for taking standardized tests is suggested, though we do not endorse or recommend any specific guide. Please advise if you have participated in any of the above police academy entrance testing. If you have taken any of these, you may not have to retest depending on the dates taken and the test results. If you have taken any of these tests for another police agency, we may be able to get the results upon submission of a written waiver from you.
217. Attatch Resume
     It is recommended you include a resume to this application when applying.
Leave This Blank:


219. 1. Receive an email copy of this form.
220. Email address

     This field is not part of the form submission.

221. Submit Submit and Print

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