Homepage Official Florida 10 1777 Template
Overview

When considering a career with the Seminole Police Department, the Florida 10-1777 form is your initial step towards entering a world of law enforcement that is deeply rooted in community service and protection. This Pre-Screener Application is designed to gather comprehensive information about applicants to ensure they meet the strict criteria required for roles within the department. Tailored specifically for individuals aspiring to serve in various capacities such as police officers, dispatchers, clerical/administrative staff, or community service aides, it sets the groundwork for assessing suitability for the positions available. What stands out about this form is its thorough approach to capturing personal information, employment history, education record, and crucially, an applicant's criminal history and military record if applicable. This process underscores the importance of integrity and transparency in candidates, reflecting the department's commitment to upholding high standards. Moreover, the inclusion of specific questions about drug use, criminal activity, and past employment disciplines emphasizes the need for candidates of the highest calibre. The form also highlights that applicants must be at least 19 years old, a crucial detail for those considering applying. Through a meticulous process, the Florida 10-1777 form plays a vital role in shaping the future of law enforcement personnel within the Seminole Police Department, ensuring that only those who truly align with the values and requirements of the department proceed in the selection process.

Example - Florida 10 1777 Form

Pre-Screener Application

SEMINOLE POLICE DEPARTMENT

Human Resources Division, 3101 N State Road 7, Hollywood, Fl 33021

Tel. 954-967-5100 Fax 954-963-9134 Visit us online at www.semtribe.com

INSTRUCTIONS: The purpose of this pre-screener application is to get accurate applicant information. Please complete all portions – incomplete forms will be destroyed. Applicants MUST

be 19 years of age or older to apply.

Name:

 

 

SSN:

 

 

 

 

 

 

 

 

Phone #:

Alternate Phone #:

 

 

 

 

 

 

 

 

 

 

Address:

City:

 

State:

 

Zip:

 

 

 

 

 

 

Email Address:

Driver’s License #

-

State

 

 

 

 

 

 

 

RESERVATION:_________________________ Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce

 

-Dssolfdqwv#pxvw#olyh#zlwklq#rqh#krxuᄊv#gulyh#wlph#ri#wkhlu#SELECTED RESERVATION.

 

 

Position Sought (check one only):

We DO NOT accept Non-Certified Police Officer Applicants.

Police Officer

Dispatcher

Clerical / Administrative

Community Service Aide

 

 

 

 

 

If it is determined that you are a viable candidate and positions are available, your processing will begin. If there are no positions available, your pre-screener will be kept on file for up to one year and

you will be notified once we have openings. Do not include any documents (including certifications). resume’s, etc) unless, they are meant to explain pre-screener questions.

PERSONAL INFORMATION

Yes

No

Are you a United States Citizen? (Or registered alien for civilian position?)

 

 

 

Yes

No

Do you possess a high school diploma or GED?

 

 

 

Yes

No

Have you received 3 or more moving traffic violations within the past three years?

 

 

 

Yes

No

Have you ever been convicted of a felony?

 

 

 

Yes

No

If employed by a law enforcement or corrections agency, are you now under internal investigation?

 

 

 

Yes

No

Have you used, possessed, or cultivated an illegal controlled substance? Date last used:

 

 

 

Yes

No

Have you been cited for any drug or alcohol related charges within the past five years? When:

 

 

 

Yes

No

Have you ever been convicted of any crime involving, but not limited to: perjury, domestic violence,

sexual misconduct (of any kind) or assault/battery?

 

 

Yes

No

Have you ever worked for or applied to the Seminole Police Department before?

Position:

Date:

 

 

Yes

No

Is there any other language you can read, write or speak fluently? Specify:

Have you re

10-1777 (Revised 08/10)

EMPLOYMENT HISTORY: Describe below the last four jobs you have held (including military, part-time, temporary, or volunteer work.) Begin with your present or most recent employment. If you’ve ever worked in law enforcement or corrections, include that information. You may attach an additional information sheet if necessary. Please provide details of your job duties. You must account for all periods of unemployment.

PRESENT OR MOST RECENT

1. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

2. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

3. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

4. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

 

Li#|rx#dqvzhu#ᄈ|hvᄡ#wr#wkh#iroorzlqj/#|rx#pxvw#dwwdfk#d#ixoo#h{sodqdwlrq#ehiruh#|rxu#dssolfdwlrq#zloo#eh#frqvlghuhg1#

Yes

No

Have you ever been disciplined by any current or past employer(s)? If military experience, list

disciplines, i.e., Article 15, etc. (List each discipline, employer, and dates.)

 

 

 

 

Yes

No

Have you ever been terminated or asked to resign from a job? (List each employer, reason and dates.)

 

 

 

 

 

EDUCATION RECORD

Do you have a college degree?

Yes

No

Type of degree:

Course of study:

 

 

If no, how many credits?

 

 

 

Course of study:

 

 

 

Have you received your Florida law enforcement certification

or are you currently attending an academy?

Yes

No

Type of academy:

 

 

 

Graduation date:

 

 

 

CRIMINAL HISTORY

NOTE – Because you are applying to a law enforcement agency, you must include information about any arrest, charge, conviction or other criminal activity, even if the records are sealed or expunged. If you answer “yes” to any of the following,

you must attach a full explanation before your application will be considered.

Yes

No

Have you ever been arrested or charged of any felony and/or misdemeanor?

Yes

No

Have you ever been convicted of any felony and/or misdemeanor?

Yes

No

Have you ever been involved in the sale of illegal drugs?

Yes

No

Have you ever taken anything from an employer without proper permission?

Yes

No

Are you now or have you been the member of a gang or any association that engages in criminal

activity?

 

 

Yes

No

Do you have regular or continuous associations or dealings with anyone under criminal investigation or

indictment, or who is involved in criminal behavior?

 

 

UNITED STATES MILITARY RECORD

Yes

No

 

Have you ever been a member of the United States Armed Forces?

 

 

 

 

 

 

 

 

 

 

 

Branch:

Highest Rank:

 

Type of Discharge:

 

 

 

Active Duty Dates from

to

Reserve Duty Dates from

to

Signature: ______________________________________________ Date: ________________

File Specifications

Fact Detail
Form Title Pre-Screener Application for the Seminole Police Department
Purpose To collect accurate applicant information for potential employment opportunities.
Minimum Age Requirement Applicants must be 19 years of age or older to apply.
Document Retention Incomplete forms will be destroyed, and complete pre-screeners are kept on file for up to one year.
Governing Law Florida law enforcement certification requirements (For law enforcement positions).

Instructions on Filling in Florida 10 1777

The journey to joining the Seminole Police Department begins with a comprehensive pre-screening process designed to collect accurate applicant information through the Florida 10 1777 form. This application stands as the first step towards evaluating potential candidates for various roles within the department. Following the instructions accurately and providing thorough information is crucial, as incomplete applications are not considered. Here's a step-by-step guide to help you fill out the form correctly. Remember, this is your opportunity to make a strong first impression, so accuracy and honesty in your responses are paramount.

  1. Start by entering your full name, Social Security Number (SSN), primary and alternate phone numbers.
  2. Fill in your address, including city, state, and zip code, as well as your email address.
  3. Provide your driver’s license number and the state it was issued in.
  4. Choose from the list and mark the reservation you wish to apply for: Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce.
  5. Select the position you are applying for: Police Officer, Dispatcher, Clerical/Administrative, or Community Service Aide. Note that Non-Certified Police Officer Applicants are not accepted.
  6. Answer personal information questions regarding citizenship, education, driving violations, criminal history, drug and alcohol charges, employment by law enforcement or corrections agencies, and previous applications or employment with the Seminole Police Department.
  7. Detail your employment history, including the last four positions you have held. Provide information on your employer, dates of employment, position(s) held, type of business, reason for leaving, and a description of your duties.
  8. If applicable, mention any periods of unemployment and explain.
  9. Answer whether you have ever been disciplined or terminated from a position and provide details.
  10. Specify your education record, including college degrees, courses of study, credits earned, and law enforcement certifications or academy attendance.
  11. Include a full disclosure of your criminal history, if any, as it's mandatory for applicants to a law enforcement agency.
  12. Fill out your United States military record if applicable, including branch, rank, type of discharge, and duty dates.
  13. Finally, sign and date the form at the bottom to certify the accuracy and completeness of the information provided.

After completing and reviewing the form for accuracy, submit it to the Human Resources Division at the address provided. Your application will undergo a thorough review to determine your eligibility and suitability for the position you have applied for. If your qualifications meet the department's needs and there are available positions, you will be contacted for further processing. Applications remain on file for one year, and candidates will be notified if suitable openings become available during that time.

Understanding Florida 10 1777

What is the purpose of the Florida 10 1777 form?

The Florida 10 1777 form serves as a preliminary screening application for individuals interested in positions with the Seminole Police Department. Its primary objective is to collect accurate applicant information to determine suitability for the roles available within the department, which includes police officers, dispatchers, clerical/administrative workers, and community service aides.

Who is eligible to apply using the Florida 10 1777 form?

Applicants must be 19 years of age or older to be eligible to fill out the form. Additionally, the form specifies that only applicants who are United States citizens or registered aliens (for civilian positions) and possess a high school diploma or GED are considered eligible. It’s also geared towards individuals who meet other specific criteria such as not having certain types of criminal convictions or too many traffic violations.

Can I include certifications or resumes with my Florida 10 1777 application?

No, the form explicitly instructs applicants not to include any additional documents such as certifications or resumes unless they are necessary to provide clarifications for pre-screener questions. If additional information beyond the form is required, applicants will be notified during the screening process.

What happens after I submit the Florida 10 1777 form?

Upon submission, if you are deemed a viable candidate and there are positions available, the Seminole Police Department will begin the processing of your application. However, if no positions are available at the time of your application, your pre-screener will be kept on file for up to one year. You will be notified if and when openings that match your qualifications become available.

Is there a minimum education requirement for applicants?

Yes, applicants must possess at least a high school diploma or GED to be considered for positions within the Seminole Police Department. The form also asks for further educational background, such as college degrees or law enforcement certifications, to better understand the applicant’s qualifications and readiness for the role they are applying for.

Common mistakes

Filling out the Florida 10-1777 form accurately is crucial for candidates interested in positions with the Seminole Police Department. However, several common mistakes can potentially derail an application. Awareness and avoidance of these will ensure a smoother application process.

  1. Not completing all sections: Leaving parts of the form blank is a primary mistake. The instructions clearly state that incomplete forms will be destroyed. Every section must be filled out thoroughly.

  2. Incorrect information: Providing inaccurate details, whether unintentionally or intentionally, can lead to disqualification. Double-check all entries for accuracy, especially personal identification details.

  3. Failing to indicate the selected reservation: The form requires applicants to select a reservation where they prefer to work. Overlooking this step or leaving it blank can result in the application not being processed correctly.

  4. Omitting employment history details: Not fully describing previous job duties or neglecting to account for periods of unemployment can raise red flags. Detailed, accurate job history is essential for a comprehensive assessment.

  5. Ignoring the instruction regarding additional documents: If the form states not to include certificates, resumes, etc., unless they're necessary to explain answers, applicants must follow this directive. Unsolicited materials may lead to an application being disregarded.

  6. Incorrect criminal history disclosure: Applicants must be entirely forthcoming about their criminal history, as the form specifically instructs to include even sealed or expunged records. Failure to disclose such information can disqualify the candidate.

  7. Providing an invalid contact number or email: If the contact details are incorrect or outdated, the HR division won't be able to reach the applicant, potentially costing them the opportunity.

  8. Not signing or dating the form: An unsigned or undated form is incomplete. It's a small but crucial detail that confirms the applicant's acknowledgment and understanding of the application's authenticity and accuracy.

By avoiding these mistakes, applicants enhance their chances of moving forward in the hiring process. It's about attention to detail and following instructions to the letter.

Documents used along the form

When an individual applies to the Seminole Police Department using the Florida 10 1777 Pre-Screener Application, there are various other forms and documents that often accompany or follow this initial application in the employment process. Understanding these documents helps streamline the application process and ensures the applicant is well-prepared for the steps ahead.

  • Employment Application: A more detailed application form than the pre-screener, providing comprehensive employment history, education, and personal details.
  • Background Check Authorization Form: Grants the Police Department permission to perform a thorough background check on the applicant, including criminal history, previous employment, and education verification.
  • Drug Screening Consent Form: Consent by the applicant to undergo drug testing, which is a compulsory part of the pre-employment screening for law enforcement positions.
  • Physical Examination Form: To be completed by a certified health professional, certifying the applicant’s health status and physical fitness for duty.
  • Psychological Evaluation Consent Form: Authorizes a psychological assessment to evaluate the applicant's suitability for a law enforcement role, focusing on mental stability and compatibility with police work.
  • Fingerprint Submission Form: Used alongside the applicant’s fingerprints, this form is essential for a criminal background check and is submitted to both state and federal agencies.
  • Proof of Certifications and Training: Documents or certificates highlighting the applicant’s completion of required or additional law enforcement training and certifications, such as the Florida law enforcement certification.
  • Military Service Record (DD Form 214): For applicants with a military background, this document provides a summary of their service, conduct, and rank, crucial for evaluating experience relevant to law enforcement duties.

Together, these forms and documents contribute to a comprehensive dossier that supports the Pre-Screener Application, enabling a more accurate evaluation of the candidate’s credentials, history, and readiness for a role within the Seminole Police Department. Ensuring these documents are complete and submitted in a timely manner can greatly impact the applicant's progression through the hiring process.

Similar forms

  • Job Application Forms: Similar to the Florida 10 1777 form, standard job application forms collect personal information, employment history, and educational background from applicants. They often include questions about skills, qualifications, and experiences relevant to the position applied for.

  • Volunteer Application Forms: These forms also gather personal information, background, and areas of interest or expertise from people looking to volunteer. Just like the 10 1777 form, volunteer applications might ask about previous volunteer or work experience to match applicants with suitable roles.

  • Background Check Authorization Forms: These documents, similar to parts of the Florida 10 1777 form, require applicants to provide personal information and consent for conducting background checks. This often includes checking criminal records, employment history, and educational qualifications.

  • Police Academy Application Forms: Specific to law enforcement careers, these applications resemble the 10 1777 form in asking about criminal history, educational background, military service, and other personal information critical for law enforcement roles.

  • Security Clearance Forms: These forms, required for positions demanding high levels of trust, collect in-depth personal data, past residences, employment history, and information on family members, similar to the detailed background checks associated with the 10 1777 form.

  • Professional Licensing Applications: For various professional fields, these applications require detailed personal information, educational history, and past employment records, similar to the 10 1777 form, to determine eligibility for practicing in certain professions.

  • College Admission Forms: Like the 10 1777 form, these ask for personal information, educational background, and extracurricular activities but are focused on evaluating candidates for admission into academic programs rather than employment or service positions.

  • Government Service Forms: Applications for civic positions, military enlistment, or other government services often require comprehensive personal, educational, and professional information similar to what is requested in the Florida 10 1777 form, including disclosures regarding criminal history and drug use.

Dos and Don'ts

When filling out the Florida 10-1777 form for the Seminole Police Department, it's important to pay close attention to detail and provide accurate information. Here are some do's and don'ts to guide you through the process:

  • Do ensure that you complete all portions of the form. Incomplete forms are not accepted and will be destroyed.
  • Do review each question carefully and provide honest answers. This form is the first step in the pre-screening process, and accuracy is crucial.
  • Do account for all periods of unemployment in the Employment History section. This demonstrates transparency and attention to detail.
  • Do attach a full explanation if you answer "yes" to any of the questions concerning criminal history. Full disclosure is required for consideration.
  • Do check the reservation you are applying for, ensuring it matches your preference and availability.
  • Don't include documents, certifications, resumes, etc., unless they are meant to explain answers to pre-screener questions.
  • Don't leave any fields blank. If a question does not apply to you, it's appropriate to mark it as "N/A" (Not Applicable).
  • Don't forget to sign and date the form. An unsigned or undated form may not be processed.
  • Don't apply if you are under 19 years of age, as applicants must meet the age requirement.

Taking the time to carefully complete the Florida 10-1777 form is the first step towards a potential career with the Seminole Police Department. Paying attention to the details and presenting your information in a clear, concise manner can greatly influence the success of your application.

Misconceptions

When discussing the Florida 10 1777 form, a range of misconceptions might lead to confusion. These misunderstandings can complicate the application process for individuals interested in positions with the Seminole Police Department. Below is a list of common misconceptions and their explanations.

  • Completing the form guarantees employment: Submission of this pre-screener application does not ensure a job offer. It is the initial step to determine if an applicant meets basic qualifications.
  • All positions require police certification: While the form states that Non-Certified Police Officer Applicants are not accepted, there are positions such as Dispatcher, Clerical/Administrative, and Community Service Aide that do not explicitly require police certification.
  • The form is only for first-time applicants: Both new applicants and those who have applied or worked for the Seminole Police Department before can use this form. Previous applicants or employees need to provide their history with the department.
  • Applicants must attach all supporting documents: The instructions specifically advise not to include documents unless they are meant to clarify answers on the pre-screener. Unnecessary documentation will not be considered at this stage.
  • Only permanent US citizens can apply: The form inquires if the applicant is a United States citizen or a registered alien for civilian positions, indicating that non-citizens can apply for certain roles.
  • Applicants with any criminal history are immediately disqualified: While the form asks detailed questions about criminal history, it does not state that any criminal record automatically disqualifies an applicant. Each case is reviewed individually.
  • Age is the only prerequisite: Though applicants must be 19 years of age or older, other requirements include a high school diploma or GED, a clean driving record, and other qualifications depending on the position.
  • Military experience is irrelevant: The form requests detailed military history, suggesting that such experience is valued and considered during the application process.
  • Prior drug use leads to automatic rejection: The form asks about illegal controlled substance use, specifying a date of last use. This implies consideration of the circumstances and possibly the time elapsed since last use rather than outright dismissal.

Understanding the specifics of the Florida 10 1777 form is crucial for applicants to ensure they meet the requirements and correctly present their qualifications for positions within the Seminole Police Department. Clearing up these misconceptions can aid applicants in navigating the pre-screening process more effectively.

Key takeaways

Filling out and using the Florida 10 1777 form, a pre-screener application for positions within the Seminole Police Department, requires attention to detail and thoroughness. Here are key takeaways to ensure the process is completed accurately:

  • Complete all sections: The form explicitly states that incomplete applications will not be considered and will be destroyed. This emphasizes the importance of filling out every section meticulously.
  • Age requirement: Applicants must be 19 years of age or older. This is a strict requirement, ensuring candidates meet a minimum age threshold for consideration.
  • Do not include unnecessary documents: The instructions caution against including documents such as certifications or resumes unless they are specifically meant to clarify answers to pre-screener questions. This helps streamline the application process and focuses attention on the most relevant information.
  • Employment history is critical: The form requires detailed information about the last four positions held, including military, part-time, temporary, or volunteer work. Accurately accounting for all periods, including times of unemployment, is crucial for a comprehensive review.
  • Disciplinary actions and terminations: Applicants are asked to disclose any past disciplinary actions or terminations from employment. Being transparent about such experiences is essential for integrity and may be considered during the evaluation process.
  • Educational background: Information about educational achievements, including college degrees or credits if applicable, and law enforcement certifications, is requested. Highlighting education and training is fundamental for positions with the police department.
  • Criminal history and associations: Given the nature of the positions, a thorough disclosure of any criminal history, drug use, or associations with criminal behavior is mandatory. This also includes information about sealed or expunged records, maintaining the department's high standards for integrity and legality.
  • Military service: For applicants with military backgrounds, details such as branch, rank, type of discharge, and duty dates are necessary. This information offers insight into an applicant's discipline and experience in structured, demanding environments.

Adhering to these takeaways can significantly impact the outcome of your application with the Seminole Police Department. It's about presenting yourself accurately, covering all the bases from personal information to your professional and educational background, and ensuring that you meet the specific requirements set forth by the department.

Please rate Official Florida 10 1777 Template Form
4.67
Excellent
18 Votes