Employment Apply For Job HUMAN RESOURCES LINKS Human Resources Employment Job Form Fire Captain Promotional List Firefighter (Full-Time) Eligibility List Fire Lieutenant Promotional List Maintenance Technician Eligibility List Police Eligibility List Step 1 of 8 - Introduction 12% An Equal Opportunity EmployerThe city of Trotwood complies with Equal Employment Opportunity (EEO) laws and regulations. Furthermore, the City of Trotwood considers qualified applicants for positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or military/veteran status, genetic information, or sexual orientation. Thank you for your voluntary assistance in our recruitment and EEO compliance and tracking efforts. The information you provide on this page will be used solely for recruitment and EEO purposes in compliance with State and Federal laws and guidelines. “Race, color, religion, creed, country of origin, ancestry, sex, age, physical disability, political affiliation, or other factors not pertinent to the performance shall not be considered in recruitment, examination, appointment, training, promotion, retention, salary determination or other conditions of employment, except in cases where specific age, sex or physical requirements constitutes a ‘bona fide occupational qualification.’ Discrimination for any of the reasons stated above is, therefore, unlawful and constitutes the denial of civil rights and an affront to human dignity.”Please select oneFemaleMalePlease check all that apply White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East or North Africa. Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands. Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. Two or more races (Not Hispanic or Latino): All persons who identify with more than one of the above five races. Veteran of the United States military, including Reserves or National Guard Person with disabilities: a physical or mental impairment that substantially limits one or more major activities, including the functions of caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working; a record of a physical or mental impairment, or being regulated as having a physical or mental impairment. PLEASE COMPLETE ALL SECTIONS AND EACH QUESTION COMPLETELY AND ACCURATELYThis employment application is to be used for all internal, external, and seasonal or temporary job postings. We encourage you to provide a resume and cover letter in addition to this application. If you require special accommodations to participate in the application or selection process due to disability, please contact Human Resources at (937) 854-7224 or 854-7223.Applications are kept on file for at least one year.A separate application must be submitted for each position for which you are applying.Applications must specifically reflect all requirements for the position, including experience and/or required courses of study. Please answer all questions accurately and completely.By signing this application, you are affirming that all information you provide is accurate and complete.Falsifying information may be grounds for disqualification and/or termination, if employed in the future. Application For EmploymentSelect a job position you are applying for OR upload completed documents*Select an optionClerk Typist IIPart Time Firefighter/EMTFirefighter II Paramedic/ Lateral PositionPolice OfficerOtherUpload Completed DocumentsWhat job position are you applying for?*Select an optionClerk Typist IIPart Time Firefighter/EMTFirefighter II Paramedic/ Lateral PositionPolice OfficerOtherIf "Other", please list the job position below.*You must download and fill-out these additional forms. These documents must be uploaded and submitted with your application. Homeland Security Supplement to Police Application Lateral Hire Application – Waiver And ReleaseName* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social Security #*Desired Salary*Today's Date* Date Format: MM slash DD slash YYYY What shifts are you available for?* Select All 1st 2nd 3rd Full-time Part-time Temporary Seasonal Are you at least 18 years of age?*YesNoHave you ever worked for the City of Trotwood?*YesNoIf yes, when?Do any of your friends or relatives work here?*YesNoIf yes, give name and relationshipAre you a U.S. citizen, or legally authorized to work in the United States?*YesNoAre you currently employed?*YesNoMay we contact your current employer?*YesNoAre you on layoff, and subject to recall?*YesNoPlease answer the following questions if the position you are applying for requires driving:Do you have a valid Driver’s License?*YesNoDo you have a Commercial Driver’s License?*YesNoIf yes, give Driver License # and StateIf yes, give Commercial Driver License # and State EducationHigh SchoolAddressFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDiplomaCollegeAddressFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDiplomaOtherAddressFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoDiploma Military ServiceBranchFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Are you subject to a Reserve obligation?YesNoRank at Discharge Employment HistoryCompany #1PhoneJob TitleAddressSupervisorStarting SalaryEnding SalaryResponsibilitiesFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for leavingMay we contact your previous supervisor for a reference?YesNoCompany #2PhoneJob TitleAddressSupervisorStarting SalaryEnding SalaryResponsibilitiesFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Reason for leavingMay we contact your previous supervisor for a reference?YesNoOther Qualifications/Specialized Training/SkillsList any additional information covering your qualifications including any licenses or professional certificates that you hold which are applicable for this position such as typing skills, Office Equipment, Computer Software, fluency in languages other than English, and any heavy equipment/tool skills:Police Applicant: OPOTA CertifiedYesNoCurrently Enrolled in Police Academy?YesNoIf yes, what is graduation date Date Format: MM slash DD slash YYYY EMS: LevelEMS: Certification #FIRE: LevelFIRE: Certification #If not certified as a Paramedic or a Level II Firefighter, provide the date expected to receive certification Date Format: MM slash DD slash YYYY Professional ReferencesPlease list three professional references (not related to you)List ReferencesNameRelationshipCompanyPhoneAddress Upload DocumentsUpload resume, cover letter, and any other additional forms here Drop files here or How did you hear about us?Check all that apply Advertisement Friend Relative School Inquiry Other Dear Applicant:On behalf of the City of Trotwood, I would like to thank you for your interest in becoming a member of the Trotwood Police Department. Please complete the supplemental application in as much detail as possible. When you return your supplemental application, you must include the following documentation if it applies to you: Certified Copy of your Birth Certificate Certified Copy of Your High School Diploma or GED Certificate or Certified Transcript Certified Copy of your College Transcript and a regular copy of your College Degree Copy of your Ohio Peace Officer Training Council Certification Copy of Training Certificates related to law enforcement duties Your failure to complete the application or to provide the requested documentation may prevent any further processing of you as a candidate for employment. The selection process includes the ability to successfully pass: Written entry-level examination Oral Interview/s Background investigation including a pre-employment truth verification examination and drug screen Psychological examination Pre-employment physical examination including a drug screen Reconsideration, re-evaluation and re-testing are subject to the following constraints: Candidates must observe a twelve (12) month waiting period before being eligible for re-testing. Candidates may retest the written, oral, and / or physical testing components. The psychological testing component and background investigation are not eligible for re-testing or reconsideration for a period of three years. The entire selection process may take from two months to one year, depending on operational needs. Please direct questions to the Human Resource Department (937) 837-7771. Thank you again for your interest in the Trotwood Police Department.Along with your application for employment, please complete or include the following with your application. Applicant’s Waiver to release information (contained in the application packet) A copy of a valid Ohio Driver’s License A copy of your State Certification A copy of your current CPR card Your application packet, including the items mentioned above, should be submited online or forwarded to City of Trotwood Human Resource Department 3035 Olive Road Trotwood, Ohio 45426 If you have any questions regarding the application packet, please contact Fire Chief Richard Haacke at (937) 854-7257.Employment Application Supplement – Police Officers, Firefighters/EMTSThe following questions are in addition to those requested on the original employment application. These questions may be used in a pre-employment truth verification examination. Please answer all questions. If explaining an answer please state the relevant question it applies to within the comment box.Financial Information (Please explain any responses of yes within the comment/ explanation box).Are you now delinquent in any financial obligations?*YesNoDo your monthly bills exceed your take home pay?*YesNoDo you, your spouse or ex-spouse have any civil actions pending?*YesNoAre you delinquent in child support payments?*YesNoHave you ever been garnished, filed for bankruptcy, or been declared bankrupt?*YesNoEmployment (Please explain any responses of yes within the comment/ explanation box).Have you ever been discharged or asked to resign from a job?*YesNoHave you ever filed a workmen’s compensation claim?*YesNoHave you ever been tardy (late) to work?*YesNoHave you ever used more than 2 sick days in a year?*YesNoHave you ever received any disciplinary action (verbal or other) at work?*YesNoGeneral Information (Please explain any responses of yes within the comment/ explanation box).Have you ever been involved in a physical altercation while at work?*YesNoHave you ever threatened to harm another person for reporting your performance deficiencies to your supervisor?*YesNoHave you ever solicited someone to commit a crime or violent act?*YesNoHave you ever violated a company policy in exchange for a bribe or payoff?*YesNoAs an adult, have you ever stolen anything?*YesNoHave you ever received or filed for compensation (ADC, General Assistance, etc.) that you were not legally eligible or entitled to receive?*YesNoHave you ever knowingly bought or sold stolen property?*YesNoHave you ever illegally used any narcotic drug at any time?*YesNoHave you ever used a hallucinogen (including marijuana)?*YesNoHave you ever used any prescription drugs or any other drug for any purpose other than the purpose for which they were intended, or used any such drugs for an extended period of time without a prescription for any reason?*YesNoHave you ever been involved in glue sniffing or used any other such chemical agents for the purpose of obtaining a state of intoxication?*YesNoDo you drink alcohol?*YesNoDo you have any problems because of gambling?*YesNoDo you have any problems controlling your temper?*YesNoDo you have any hatreds or prejudices toward others because of their race, sex, national origin, religion, or color that would be detrimental to you performing your job?*YesNoHave you ever been involved in an automobile accident?*YesNoHave you ever had your drivers license suspended or revoked?*YesNoIf it became necessary in the course of your duties to take a human life, would you have any reluctance to do so?*YesNoHave you ever lied under oath or in an investigation, as a police officer?*YesNoHave you ever knowingly filed a false report or made false statements on an official document?*YesNoHave you ever abused your authority?*YesNoDid you intentionally omit information from your employment application?*YesNoIf a police officer, have you ever used excessive force against another?*YesNoIf a police officer, have you ever used your position for personal financial gain?*YesNoHave you ever been involved in a Domestic Violence incident?*YesNoComments / ExplanationsIf yes to any of the above please explain here.If yes to any of the above please make sure to explain. An applicant may not be hired as a peace officer in the City of Trotwood due to any disqualifying offense which would preclude an individual from performing the functions of a peace officer, including any offense under section 2923.13 of the Revised Code. An applicant may not be hired as a firefighter in the City of Trotwood due to any disqualifying offense which would preclude an individual from performing the functions of a firefighter, including any offense under section 2909.03 of the Revised Code. An applicant that makes false statements during the selection process, including the application and pre-employment information shall be disqualified. Disqualifying Offenses2923.13 Having weapons while under disability.Unless relieved from disability under operation of law or legal process, no person shall knowingly acquire, have, carry, or use any firearm or dangerous ordnance, if any of the following apply: The person is a fugitive from justice.The person is under indictment for or has been convicted of any felony offense of violence or has been adjudicated a delinquent child for the commission of an offense that, if committed by an adult, would have been a felony offense of violence.The person is under indictment for or has been convicted of any felony offense involving the illegal possession, use, sale, administration, distribution, or trafficking in any drug of abuse or has been adjudicated a delinquent child for the commission of an offense that, if committed by an adult, would have been a felony offense involving the illegal possession, use, sale, administration, distribution, or trafficking in any drug of abuse.The person is drug dependent, in danger of drug dependence, or a chronic alcoholic.The person is under adjudication of mental incompetence, has been adjudicated as a mental defective, has been committed to a mental institution, has been found by a court to be a mentally ill person subject to court order, or is an involuntary patient other than one who is a patient only for purposes of observation. As used in this division, "mentally ill person subject to court order" and "patient" have the same meanings as in section 5122.01 of the Revised Code.Whoever violates this section is guilty of having weapons while under disability, a felony of the third degree.For the purposes of this section, "under operation of law or legal process" shall not itself include mere completion, termination, or expiration of a sentence imposed as a result of a criminal conviction. Amended by 130th General Assembly File No. TBD, HB 234, §1, eff. 3/23/2015.(C)(1) Except as otherwise provided in division (C)(2) of this section, an appointing authority shall not appoint or employ a person as a permanent, full-time paid firefighter or a volunteer firefighter if the fire chief has requested a criminal records check pursuant to division (A) of this section and the criminal records check indicates that the person previously has been convicted of or pleaded guilty to any of the following: A felony; A violation of section 2909.03 of the Revised Code; A violation of an existing or former law of this state, any other state, or the United States that is substantially equivalent to any of the offenses described in division (C)(1)(a) or (b) of this section. Notwithstanding division (C)(1) of this section, an appointing authority may appoint or employ a person as a permanent, full-time paid firefighter or a volunteer firefighter if all of the following apply: The fire chief has requested a criminal records check pursuant to division (A) of this section. The criminal records check indicates that the person previously has been convicted of or pleaded guilty to any of the offenses described in division (C)(1) of this section. The person meets rehabilitation standards established in rules adopted under division (E) of this section. (3) If a fire chief requests a criminal records check pursuant to division (A) of this section, an appointing authority may appoint or employ a person as a permanent, full-time paid firefighter or volunteer firefighter conditionally until the criminal records check is completed and the fire chief receives the results. If the results of the criminal records check indicate that, pursuant to division (C)(1) of this section, the person subject to the criminal records check is disqualified from appointment or employment, the fire chief shall release the person from appointment or employment. (D) The fire chief shall pay to the bureau of criminal identification and investigation the fee prescribed pursuant to division (C)(3) of section 109.578 of the Revised Code for each criminal records check conducted in accordance with that section. The fire chief may charge the applicant who is subject to the criminal records check a fee for the costs the fire chief incurs in obtaining the criminal records check. A fee charged under this division shall not exceed the amount of fees the fire chief pays for the criminal records check. If a fee is charged under this division, the fire chief shall notify the applicant at the time of the applicant's initial application for appointment or employment of the amount of the fee and that, unless the fee is paid, the applicant will not be considered for appointment or employment. (E) The appointing authority shall adopt rules in accordance with Chapter 119. of the Revised Code to implement this section. The rules shall include rehabilitation standards a person who has been convicted of or pleaded guilty to an offense listed in division (C)(1) of this section must meet for the appointing authority to appoint or employ the person as a permanent, full-time paid firefighter or a volunteer firefighter. (F) A fire chief who intends to request a criminal records check for an applicant shall inform each applicant, at the time of the person's initial application for appointment or employment, that the applicant is required to provide a set of impressions of the person's fingerprints and that the fire chief requires a criminal records check to be conducted and satisfactorily completed in accordance with section 109.578 of the Revised Code. (G) As used in this section: "Appointing authority" means any person or body that has the authority to hire, appoint, or employ permanent, full-time paid firefighters and volunteer firefighters under section 737.08 of the Revised Code. "Criminal records check" has the same meaning as in section 109.578 of the Revised Code. "Superintendent of BCII" has the same meaning as in section 2151.86 of the Revised Code. Effective Date: 04-09-2003 Applicant’s Statement and AuthorizationPLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNINGAgreement Required*I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed one (1) year. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that any employment relationship with the City of Trotwood is of an “at will” nature, and means that I (as an employee if hired) may resign at any time and the Employer may discharge me with or without cause. It is further understood that this “at-will” employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate discharge. I also understand that I am required to abide by all rules and regulations of the employer. I hereby acknowledge that I, voluntarily and of my own free will, have applied for employment with the City of Trotwood with the understanding that the City may use a variety of screening procedures to evaluate my qualifications and suitability for appointment. I have been advised that these screening procedures might include, but are not limited to interviews, criminal record checks, consumer credit reports, driving record checks, polygraph examinations, written testing, reference checks, background investigations drug/alcohol testing, and other physical and mental assessments used to evaluate whether I am capable of performing the requirements of the position for which I am applying. However, no screening procedures will be implemented to compile or assess my genetic information or used for any discriminatory purpose. I Agree Place initials here*My initials below acknowledges that I have read and understand the above statements.Date Signed* Date Format: MM slash DD slash YYYY Applicant’s Waiver To Release Information*As an applicant for employment with the City of Trotwood, I understand and agree that the City of Trotwood may make a thorough investigation of my past employment, education, credit history, criminal record and other activities related to the selection process. I hereby release the City of Trotwood, its employees, agents and representatives and all others from any liability or damages which may result from the exchange of the information requested. I also authorize and request all persons to whom this request is presented, having information relating to or concerning me, to furnish such information to a duly appointed representative of the City of Trotwood. I also release persons, agents, representatives and others providing such information from any damages or liability which may result in the provision of requested information. Information to be disclosed may include: •Past/Present Employment Information •Educational background •Criminal Record •Driving Record •Polygraph Examination •Psychological Examination •Physical Examination •Credit History •Drug Screen These records will be maintained on file in the Human Resources Department. Signed release will expire sixty (60) days from date of signed release. Firefighters/EMTS - Signed release will expire in conjunction with applicable eligibility lists for employment or 12 months from date of signature, whichever is greater. I Agree Applicant’s Waiver To Release Information - Police*I hereby authorize and request all persons to whom this request (original and/or reproduction) is presented, having information relating to or concerning me, to furnish such information to a duly appointed officer of the Trotwood Police Department. I am aware that this information may be of a personal nature and may otherwise be protected from disclosure by my constitutional, statutory, or common law privileges. I hereby expressly waive all privileges, which may attach to such communication or disclosure and release all persons, firms, and corporations from all claims, of any nature, as a result of said communications or disclosure. Information to be disclosed: •Past/Present Employment Information •Educational background •Criminal Record •Driving Record •Polygraph Examination •Psychological Examination •Physical Examination •Credit History •Drug Screen These records will be maintained on file in the Human Resources Department. These records may be released / mailed / faxed to the attention of the Trotwood Police Department, 3035 Olive Road, Trotwood, Ohio 45426, Fax Number (937-854-5045). I Agree Place initials here*My initials below acknowledges that I have read and understand the above statements.SSN #*Date of Birth* Date Format: MM slash DD slash YYYY Date Signed* Date Format: MM slash DD slash YYYY Agreement Required - Police*I certify that all information provided in this employment application is true and complete. I understand that any false statement or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize and agree to cooperate in a thorough investigation of all statements made herein and other matters relating to my background and qualifications. I understand that any investigation conducted may include a request for employment and educational history, credit reports, consumer reports, investigative reports, driving records, and criminal history. I understand that compliance with the City of Trotwood Police Department’s Code of Conduct and General Orders is a condition of my employment. I understand I will be required to successfully pass a drug screening examination. I understand that all application materials are subject to investigation. I Agree Place initials here*My initials below acknowledges that I have read and understand the above statements.Date Signed* Date Format: MM slash DD slash YYYY Authorization To Obtain Consumer Credit Report*PURSUANT TO 15U.S.C. 1681 (b) (a) (b) (2). I hereby authorize the release of a consumer report for employment purposes to the TROTWOOD POLICE DEPARTMENT. I understand that inquiry may include, but not limited to: my credit history, criminal arrest and conviction history, motor vehicle records, and credit check. A photocopy or fax copy of this authorization shall be effective as the original. This authorization will remain in force until I specifically revoke it in writing. This authorization is given pursuant to the Fair Credit Reporting Act, 15 U.S.C. 1681. I Agree Place initials here*My initials below acknowledges that I have read and understand the above statements.Date Signed* Date Format: MM slash DD slash YYYY CaptchaI'm Human This iframe contains the logic required to handle Ajax powered Gravity Forms.