MT. VERNON POLICE DEPARTMENT

APPLICATION PACKET

Enclosed please find the following documents: 1. NOTICE OF IMPORTANT DATES 2. OUTLINE OF POLICE OFFICER POSITION (3 pages) 3. PHYSICAL FITNESS TEST INFORMATION 4. APPLICATION PACKET RECEIPT (complete and return) 5. CHECKLIST (complete and return) 6. POLICE DEPARTMENT APPLICATION (4 pages) (complete and return; must be notarized) 7. DISCLOSURE TO APPLICANT (complete and return) 8. BACKGROUND WAIVERS (2 TOTAL; GENERAL AND DCFS) (complete and return) 9. AGREEMENT (complete and return) 10. AGILITY TEST - RELEASE OF ALL LIABILITIES

(complete and return) 11. REIMBURSEMENT OF TRAINING AND RELATED EXPENSES POLICY (complete and return)

N O T I C E

Police Officer Applications must be returned or postmarked to the Mt. Vernon

Police Department, 211 North 10th Street, Mt. Vernon, IL 62864 on or before:

September 19, 2016

Physical agility tests will be:

September 24, 2016 8:00 a.m.

at

Mt. Vernon High School 11101 N. Wells Bypass

Mt. Vernon, Illinois 62864

Written Police Officer examinations will be:

September 24, 2016

immediately following physical agility test

NOTE: If possible, please bring tennis shoes, shorts and top for the physical agility testing.

OUTLINE OF POLICE OFFICER POSITION

The Fire and Police Commission of the City of Mt. Vernon is compiling an

eligibility list for the position of Police Officer, from which list future hires may be made.

Below is a brief outline of various points you should know regarding the position of Police

Officer with the City of Mt. Vernon.

In order to avoid any misunderstandings, please review the following information carefully.

YOU CAN EXPECT

SALARY

The starting salary is approximately $44,500.00, which includes holiday and roll call pay

with step increases. Current police officers with 3 years experience start at approximately

$52,000, which includes holiday and roll call pay.

HEALTH INSURANCE

The City pays 100% of the employees’ health insurance premiums. The employee, if he

or she chooses, may purchase dependent coverage at current negotiated rates. The City is

self-insured with HCH Administration, Inc. as their third party administrator.

VACATION

Earned vacation is as follows:

Eighty (80) hours after one (1) year of service One hundred twenty (120) hours after seven (7) years of service One hundred sixty (160) hours after twelve (12) years of service

UPON COMPLETION OF FIRST YEAR

Upon completion of the first year employee will earn:

o Sixteen (16) hours of personal leave off per calendar year o Sixteen (16) hours of leave off for perfect attendance, if no sick leave taken

during the previous year o Eight (8) hours for safety day, if no avoidable accident occurred during the

previous year o Eight (8) hours for birthday leave off annually after first year of employment

HOLIDAYS

Police Officer positions do not include holidays off. Due to this fact, the City of Mt.

Vernon will pay ninety-six (96) hours of holiday pay annually to be paid bi-weekly above the

base pay.

SICK LEAVE

Eight (8) hours of sick leave will be earned for each full month of employment, up to a

total of one thousand (1,000) hours. Additional sick leave time is earned for perfect attendance.

SHIFTS

Police Officers work twelve (12) hour shifts, which periodically rotate.

RESIDENCY REQUIREMENTS

Police officers are required to reside in Jefferson County within six (6) months of hire.

ALSO

√ Opportunities for advancement based on Departmental growth and City growth √ Opportunity to further your education √ Incentive pay program for advanced training and education

APPLICATION AND TESTING PROCEDURES

1. Applications must be returned to the Mt. Vernon Police Department, 211 N. 10th Street,

Mt. Vernon, IL 62864, or postmarked by September 19, 2016. Failure to do so will

disqualify Applicant. 2. All testing is mandatory. Applicants will be required to provide driver’s license for

admittance to any part of the procedure. Applicants shall further be required to sign in at all testing procedures. Failure to attend any part of the procedure shall result in the disqualification of the Applicant.

3. Written examination. 4. Physical agility test—this test will be given only to Applicants who have taken the written

examination. 5. Oral interview—for Applicants who have passed all previous tests. 6. Thorough background investigation will be made on all Applicants. Applicants shall be

required to sign a document authorizing release of all background information to the Fire and Police Commission, including credit history.

7. When returning your notarized application, please include the following:

(1) Copy of birth certificate (2) Copy of service discharge (if applicable) (3) Copy of DD Form #214 (if applicable) (4) Copy of high school diploma, or G.E.D. certificate (5) Proof of previous law enforcement experience and certificates (if applicable) (6) Signed waivers and release forms (7) Original agility test/release of all liabilities – signed (8) Any additional information or resume (optional)

(Please send copies of the above information—except item #7. None of the above will be returned)

8. Applicants must be between the ages of twenty-one (21) and thirty-five (35) years old. 9. All Applicants placed on eligibility list will be subject to medical examination and in-depth

physiological examination. 10. Incomplete applications shall be rejected and disqualify candidate from

testing. Final decision on rejections and disqualifications will be made by the Police Chief or his designee.

FIRE AND POLICE COMMISSION George W. Beck, Chairperson Myron Moreland, Secretary Kay Shaw, Commissioner

APPLICANT PACKET

I, , have received an application packet for (print name)

testing procedures for the City of Mt. Vernon Police Department.

I understand that I must personally return this Application, or have it postmarked, on or

before September 19, 2016. I also understand that this Application must be completed in its

entirety in order to continue testing procedures.

I have also received a separate document entitled “Disclosure To Applicant” under the

Fair Credit Reporting Act.

APPLICANT SIGNATURE ________________________________ (For office use only) Receipt of Application: __________________ _________, 2016 Police personnel review of all paperwork for signature(s): __________________________

MT. VERNON POLICE DEPARTMENT APPLICANT CHECKLIST

Date: __________ Initials: ________ Name: ___________________________ Police Dept. Application: _______ (Notarized) Disclosure to Applicant: _______ Background Waivers (2): _______ Agreement: _______ Agility Test Release: _______ Reimbursement Policy: _______ Copy of Birth Certificate: _______ Copy of Service Discharge (if applicable): _______ Copy of DD Form #214 (if applicable): _______ Copy of High School Diploma, or G.E.D. Certificate: _______ Copy of Previous Police Officer Experience/Certificates (if applicable): ______ Any additional information or resume (optional): _______

Completed checklist should be placed inside envelope

MT. VERNON POLICE DEPARTMENT

EMPLOYMENT APPLICATION

Name: ____________________________________________________________________ Address: ____________________________________________________________________ City: ___________________________ State: ________ Zip Code: _____________ Telephone: ( ) ____________-______________ Email: ________________________

PERSONAL Date of birth: __________/_______/__________ Social Security Number: __________-_________-___________ Length of time at current address: __________________________________________________ If less than six months, list previous address(es) for the past six months: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Have you ever been convicted of a felony or a crime involving moral turpitude?

o Yes o No If yes, state when, where and the type of felony or crime you were convicted of: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

EMPLOYMENT Do you have experience in law enforcement? o Yes o No If yes, please complete the following: Agency: ____________________________________________________________ Address: ____________________________________________________________ Telephone: ____________________________________________________________ Employment period: ________________________________________________________ Please provide employment history for the last five years, beginning with your current employer: Position: ___________________________________________________________

Name of employer: ___________________________________________________________

Address: ___________________________________________________________

City/State/Zip Code: ___________________________________________________________

Telephone: ___________________ From: _____________ To: ________________

Position: ___________________________________________________________

Name of employer: ___________________________________________________________

Address: ___________________________________________________________

City/State/Zip Code: ___________________________________________________________

Telephone: ___________________ From: _____________ To: ________________

Position: ___________________________________________________________

Name of employer: ___________________________________________________________

Address: ___________________________________________________________

City/State/Zip Code: ___________________________________________________________

Telephone: ___________________ From: _____________ To: ________________

Position: ___________________________________________________________

Name of employer: ___________________________________________________________

Address: ___________________________________________________________

City/State/Zip Code: ___________________________________________________________

Telephone: ___________________ From: _____________ To: ________________

(Attach sheet for additional employers)

EDUCATION Do you have a high school diploma or G.E.D.? o Diploma o G.E.D. If yes, please provide the following information:

Name of school: _____________________________________________________

Date graduated: ___________________ Received G.E.D.: ________________ Do you have college credit hours or a degree (i.e. criminal justice)? If yes, please include a copy of degree or transcript

REFERENCES Give six (6) names of property owners, not related to you.

Name: ____________________________ Name: ______________________________ Address: ____________________________ Address: _____________________________ Telephone: ____________________________ Telephone: ___________________________ Name: ____________________________ Name: ______________________________ Address: ____________________________ Address: _____________________________ Telephone: ____________________________ Telephone: ___________________________ Name: ____________________________ Name: ______________________________ Address: ____________________________ Address: _____________________________ Telephone: ____________________________ Telephone: ___________________________

I understand that misrepresentation of the facts on this or any other form shall automatically disqualify me from taking the examination and for appointment to the position I seek and is good cause for termination of my employment in the event of my appointment. Signed: ___________________________________ Applicant

Subscribed and sworn to before me this day of , 2016. (Seal) Notary Public Note: You are required to immediately notify the Fire and Police Commission of any change in

your address. Send changes to: Fire and Police Commission

City Hall 1100 Main Street Mt. Vernon, IL 62864

DISCLOSURE TO APPLICANT

The City of Mt. Vernon, Illinois, may obtain a consumer report (commonly known as a

credit report) for employment purposes.

The Fair Credit Reporting Act provides:

A person (e.g., City) may not procure a consumer report, or cause a consumer report to be

procured, for employment purposes with respect to any consumer unless:

(A) A clear and conspicuous disclosure has been made in writing to the consumer at any

time before the report is procured or caused to be procured, in a document that

consists solely of the disclosure, that a consumer report may be obtained for

employment purpose; and

(B) The consumer has authorized the procurement of the report by that person.

AUTHORIZATION

I, the undersigned, hereby authorize in writing the procurement of a consumer report by

the City of Mt. Vernon, Illinois.

(SIGNATURE) (DATE) ___________________________________ _______________________________

Date: ___________________, 2016 TO WHOM IT MAY CONCERN:

I respectfully request that you forward to the Mt. Vernon Fire and Police

Commission any and all information that you may have concerning me, my work

record, or my reputation.

Please give any information that may appear in my personnel file. This

information is to be used to determine my qualifications and fitness for the

position I am seeking with the Mt. Vernon Police Department.

I hereby release you and/or your employer from any liability and damage of

whatsoever nature as a result of furnishing the information requested above.

Signature: _____________________________

Address: _______________________________

_______________________________________

AGREEMENT

To: Mt. Vernon Board of Fire and Police Commissioners

I hereby agree to abide by all rules and regulations of the Board of Fire and Police

Commissioners of the City of Mt. Vernon during and after taking the examination, and

during any probationary period I might be appointed to and as a regular member of the

Mt. Vernon Police Department.

Signature: ___________________________

Date: _____________________________

AGILITY TEST

RELEASE OF ALL LIABILITIES

The undersigned, for and in consideration of good and valuable consideration, receipt of

which is hereby acknowledged, hereby releases, remises and discharges the City of Mt. Vernon,

Illinois, a municipal corporation, its officers, servants, agents and employees of any and all claims,

demands and liabilities to me, due to any and all injuries, losses and damages to my person which

shall have been caused, or may at any time arise as the result of a certain police examination agility

test conducted by the Board of Fire and Police Commissioners of Mt. Vernon, Illinois; the intention

hereof being to completely, absolutely and finally release the City of Mt. Vernon, Illinois and its

officers, servants, agents and employees of and from any and all liability arising wholly or partially

from the cause aforesaid.

Dated at ______________ (city) ____________ (state), this day of

, 2016.

Signed: ________

Witnessed by:_______________________________

ReimbursementofTrainingandRelatedExpensesPolicyIfanemployeeleavestheemploymentoftheCityofMt.Vernonduringthefirstfouryearsofemployment,exceptforreasonsofdeathordisabilityoriftheemploymentisterminatedbytheCity,theCitymayrequiresuchemployeetoreimbursetheCityforallcosts(includinguniformsandequipmentpurchased)andexpensesforCity-paidtrainingreceivedbytheemployeeduringtheirservicewiththeCityinaccordwiththefollowingformula: Serviceunder1yearofservice: 100% Servicefrom1yearto2years: 80% Servicefrom2yearsto3years: 60% Servicefrom3yearsto4years: 40%

IacknowledgereceiptofandhavereadtheCity’spolicyonReimbursementofTrainingandRelatedExpenses.

IfreelyconsenttohaveanyamountsdueforthereimbursementtobedeductedfrommyfinalCityofMt.Vernon,IllinoisCitypayrollcheck.Ialsoagreetopaytheremainderofamountowed(ifany)within10businessdays.

______________________________ApplicantName(Pleaseprint)______________________________ _______________Applicant’sSignature Date______________________________ _______________Witness’Signature Date