Phone: (586) 783-8142 Fax: (877) 443-9505 clerk.macombgov.org/civilservice Rev. 1/11/2019 Civil Service Commission Macomb County Sheriff222s Office 120 North Main Street Mount Clemens, MI 48043 Commissioners Robert Stanley, Chairman Fred Miller Diane McGee, Vice-Chair Macomb County Clerk Ronald Geml, Commissioner Dear Applicant: Thank you for your interest in employment with the Macomb County Sheriff222s Office. You must submit your signed application in person to the Macomb County Clerk222s Office at 120 N. Main Street, Mount Clemens, MI 48043 between the hours of 8:00 a.m. 226 12:00 p.m. and 1:45 p.m. 226 4:00 p.m., Monday-Friday. Always check the website for holiday hours. This Civil Service Application Packet includes: Application (To be completed and signed) Oath (Sign only in front of the Deputy Clerk) Waiver (Sign only in front of the Deputy Clerk) Required Documents Receipt Check List Pre-Employment Drug Screening Policy Download the application and open in Acrobat Reader. (If the application is not printing correctly, you may need to install the latest version by visiting https://get.adobe.com/reader. Uncheck the optional selections before installing). Print the application single-sided, no staples or folders. Make sure you have all the necessary documents listed on the 223REQUIRED DOCUMENTS & QUALIFICATIONS224 check list on page 2. Your application will NOT be accepted, or considered active, without all required documentation. Corrections Deputy applicants have to take the LCOPAT (http://www.misctc.org/standards.html) and EMPCO (https://www.empco.net/msctc/reg/) exams prior to applying. Click on the links to register. Dispatcher applicants will need to pass the typing test first and then the video exam before you are put on the eligibility list. You will be asked to take a typing test when you submit your application. Please allow extra time for testing. It takes about 10 minutes. ***IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE WRITTEN UPDATED INFORMATION TO THE CIVIL SERVICE SECRETARY AS TO CONTACT INFORMATION, EDUCATION, EMPLOYMENT, REFERENCES, ETC., DURING THE TWO-YEAR PERIOD THAT THE APPLICANT REMAINS ON THE ELGIBILITY LIST. FAILURE TO MAINTAIN UPDATED CONTACT INFORMATION COULD RESULT IN YOUR FAILURE TO BE CONSIDERED FOR EMPLOYMENT*** ***THE CIVIL SERVICE COMMISSION RESERVES THE RIGHT UNDER P.A. 298 TO REQUIRE ADDITIONAL WRITTEN, ORAL AND/OR PHYSICAL TESTING*** American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 REQUIRED DOCUMENTS & QUALIFICATIONS CHECKLIST Date: Applicant Name: Application: Complete legibly with black ink or type; sign and date. (#3) Must be at least 18 years of age and a Michigan Resident: Minimum of one year Pursuant P.A. 1966 NO.298 51.360 SEC.10(4). (#6) United States Citizen (#20) Selective Service Number (Mandatory): Male applicants222 only (Required ONLY if born after 1960). Call (888) 655-1825 or go online at http://www.sss.gov to get your number. Letter of Interest (Mandatory): Include position desired & relevant qualifications. Resume (optional) (#11) High School Transcripts or G.E.D. Certificate (Mandatory): Provide a legible copy of the OFFICIAL transcript & must show graduation date. (Diploma is not acceptable.) College Transcripts (Mandatory if completed college) of highest level of degree completed from an accredited college as determined by the United States Department of Education (http://www.ed.gov). Provide a legible copy of the official transcript. (#21) Military Discharge: Copy of DD214 with Honorable or General under Honorable discharge. FOR CORRECTIONS DEPUTY APPLICANTS ONLY: MSCTC LCOPAT PAPERWORK (Mandatory): MUST COMPLETE TEST BEFORE APPLYING. Visit http://www.misctc.org/standards.html to find date and locations of the exam. PHYSICAL ABILITIES TEST RESULTS: Date: (VALID FOR ONE (1) YEAR) EMPCO (Mandatory). MUST COMPLETE TEST BEFORE APPLYING. Secretary will look up scores. Visit https://www.empco.net/msctc/reg/ to register. CORRECTIONS DEPUTY WRITTEN TEST: Date: (VALID FOR THREE (3) YEARS) Additional documents (attach to your packet and list below) Waiver: (Mandatory) Must be signed in front of clerk. Oath: (Mandatory) Must be signed in front of clerk. List any additional documentation attached (mcoles written, Police Academy certificate, degrees, etc.): Clerk222s Initials: American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 Civil Service Commission APPLICATION MACOMB COUNTY SHERIFF222S OFFICE Position(s) applying for: Corrections Deputy Dispatcher INSTRUCTIONS Read each question carefully and ANSWER EACH QUESTION ACCURATELY. An applicant may be disqualified from further processing if he/she intentionally makes false statements of material fact, practice or attempt to practice, any deception or fraud in his/her application, examination and/or appointment. ALL ENTRIES MUST BE PROVIDED LEGIBLY in BLACK INK or TYPED. If the space provided is not sufficient for complete answers, or you wish to furnish additional information, attach sheets of the same size to this application and number answers to correspond with the questions. PLEASE PRINT PERSONAL DATA 1.Name As stated on your driver222s license (Last) (First) (Middle)(Suffix) List any Maiden / Alias or Former Names 2.Present Address (Street number and name) (Apt. No.) (City) (State) (Zip Code) 3.How many years have you been a resident of the State of Michigan? 4.Telephone Numbers (Cell) (Business) (Home) (Email Address) 5.Are you 18 years of age or older? Yes No 6.Are you a United States citizen? Yes No 7.Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?(Proof of citizenship or immigration status will be required upon employment.) Yes No8.Social Security Number (Required) Driver's License Number (Required) American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 FELONY/MISDEMEANOR CONVICTIONS 9. Have you ever been convicted of a felony or misdemeanor? Yes No If yes, complete the following: DATE OFFENSE PLACE DISPOSITION EDUCATION AND TRAINING 10. List all schools, colleges, and business schools in the order attended: DID YOU GRADUATE NAME OF SCHOOL DAY OR EVENING ADDRESS LAST GRADE OR TERM ATTENDED YES NO 11. Did you graduate and receive a High School Diploma? Yes No If no, do you have a High School Equivalent Certificate? Yes No If yes, who issued certificate? Date Issued 12. If you attended college, what was your major minor What Degree, if any, was conferred? 13. Were you ever dismissed from a school or college, or was any other disciplinary action, including scholastic probation, ever taken against you? Yes No If yes, indicate below: (School or College) (Date) (Type of Action) (School or College) (Date) (Type of Action) 14. Have you had any training in law enforcement? Yes No If yes, give details: 15. What foreign languages do you speak? Read? Write? American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 EMPLOYMENT 16. What is your present occupation? 17. Are you now involved in any business as an owner or partner (active or silent)? Yes No If yes, give details: 18. Have you ever applied for employment with the Macomb County Sheriff222s Office, or any other police or fire department, or other government agency? Yes No If yes, give details, position(s) sought, dates and agencies: 19. List below your complete work history, STARTING WITH YOUR PRESENT POSITION AND WORKING BACKWARD, to your first employment. List any period of unemployment. All of your time must be accounted for. Include all part-time employment. Attach another sheet if you have additional work history. NAME, ADDRESS, PHONE NUMBER OF EMPLOYER FROM TO BEGINNING SALARY ENDING SALARY TYPE OF WORK REASON FOR LEAVING MO./YR. MO./YR. 1. 2. 3. 4. 5. 6. American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 NAME, ADDRESS, PHONE N U MBER O F EMPL O Y ER FROM TO BEGINNING SALARY ENDING SALARY TYPE OF WORK REASON FOR LEAVING MO./YR. MO./YR. 7. 8. 9. 10. 11. 12. 13. 14. 15. American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/11/2019 SELECTIVE SERVICE DATA 20. Are you registered with the Selective Service (Only pertains to Males born after 1960)? Yes No Selective Service Number (Requ