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The DJ-LE-330 form serves as a crucial document for individuals seeking employment in law enforcement, jail, or secure juvenile detention officer positions in Wisconsin. This application requires applicants to provide detailed personal information, including their educational background, work history, and any military service. A valid driver’s license, whether from Wisconsin or another state, is necessary, as is proof of age and citizenship. The form also includes questions regarding previous convictions, ensuring that candidates meet the legal requirements for the role. Additionally, applicants must outline their professional training, specifically any basic law enforcement training they have completed. References are required, and applicants are encouraged to share their motivations for applying and experiences that have shaped their qualifications. The DJ-LE-330 is designed to gather comprehensive information to assess the suitability of candidates for these critical roles in public safety.

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1
College(s)
Name of School(s)
High School(s)
From
(mm/yyyy)
Do you possess a valid Wisconsin driver’s license or a valid driver’s license from another state?
2. EDUCATION Dates
To (mm/yyyy)
Are you prohibited by state or federal law from possessing a firearm?

Wisconsin Department of Justice

Law Enforcement Standards Board

DJ-LE-330, Rev. 5/17

www.wilenet.org

APPLICATION FOR EMPLOYMENT

LAW ENFORCEMENT, JAIL OR SECURE JUVENILE DETENTION OFFICER

NOTICE: All questions must be answered. Incomplete or illegible applications will not be considered. If the space provided is insufficient for complete answers or you wish to furnish additional information, please attach additional pages.

1. PERSONAL INFORMATION

Name (Last, First, Middle)

Social Security # (xxx-xx-xxxx)

Address (Apartment, Street, P.O. Box)

Home Telephone Number

City

State

Zip Code

Work Telephone Number

Email Address

Cell Phone Number

Have you successfully completed the basic training required for certification (i.e. 720-hour law enforcement academy)? Yes

No

If yes, what type(s) of basic training have you successfully completed? Law Enforcement

Jail

Secure Juvenile Detention

If applicable, include the name of the school where you completed basic training and the date that training was completed:

 

Are you at least 18 years old?

Yes

No

 

Are you a United States citizen?

Yes

No

 

Do you have a high school diploma, GED or HSED? Yes

No

Do you have an Associate Degree or 60 associate degree level credits or higher from an accredited college or university? Yes

No

If No, were you employed as a law enforcement officer prior to February 1, 1993? Yes

No

The college credit requirement as written in Wisconsin Administrative Code § LES 2.01(1)(e), pertains to law enforcement and tribal law enforcement officers first employed on or after February 1, 1993.

Have you ever been convicted of a felony? Yes

No

Have you ever been convicted of a misdemeanor crime of domestic violence? Yes

No

Yes

No

Yes

No

Degree, Diploma, or Credits Earned

3. EMPLOYMENT

Begin with current or most recent employer. List chronologically all employment, including summer and part-time employment while attending school. To furnish additional employment information, attach sheets of the same size and format as this application.

Name and Address of Employer

 

Dates of Employment

From (mm/yyyy)

To (mm/yyyy)

 

Name of Employer:

 

 

 

 

 

 

 

Address:

 

 

Annual Salary/Wages:

 

Full-Time

Part-Time

 

 

 

 

 

City:

State:

 

Zip Code:

 

 

 

Supervisor’s Name / Telephone Number:

May we contact the employer /

supervisor?

 

Yes

No

 

Position and kind of work:

Reason for Leaving:

 

 

 

 

Name and Address of Employer

 

Dates of Employment

From (mm/yyyy)

To (mm/yyyy)

 

Name of Employer:

 

 

 

 

 

 

 

Address:

 

 

Annual Salary/Wages:

 

Full-Time

Part-Time

 

 

 

 

 

City:

State:

 

Zip Code:

 

 

 

Supervisor’s Name / Telephone Number:

May we contact the employer /

supervisor?

 

Yes

No

 

 

 

 

Position and kind of work:

Reason for Leaving:

 

 

 

 

 

 

 

 

 

Name and Address of Employer

 

Dates of Employment

From (mm/yyyy)

To (mm/yyyy)

 

Name of Employer:

 

 

 

 

 

 

 

Address:

 

 

Annual Salary/Wages:

 

Full-Time

Part-Time

 

 

 

 

 

City

State:

 

Zip Code:

 

 

 

Supervisor’s Name / Telephone Number:

May we contact the employer /

supervisor?

 

Yes

No

 

 

 

 

Position and kind of work:

Reason for Leaving:

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Branch of Service

From

(mm/yyyy)

 

4. MILITARY SERVICE

 

To

 

Active Duty or

 

 

 

 

 

 

(mm/yyyy)

 

Reserve

 

 

Highest Grade

 

 

 

 

 

 

Skill Specialty or Primary Duty

Honorably Discharged from Military Service? Yes

No

Not Applicable

 

 

 

5. REFERENCES

 

 

 

Give three references (not relatives, or present employer; avoid listing members of the clergy).

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

6. GENERAL

COMPLETE IF INSTRUCTED TO DO SO BY EMPLOYING AGENCY.

Attach no more than one additional page for each answer.

A.Why have you chosen to apply for this position?

B.Discuss things you have done which have contributed to your life experience. Be sure to include information regarding volunteer work with civic, school, or professional organizations. Be specific about names and dates.

C.Why do you believe you could relate to and/or work with people of different races, genders, cultures, ages, socio-economic groups, and educational levels?

3

APPLICANT PLEASE READ CAREFULLY AND SIGN BELOW

Information provided and statements made as part of this application may be grounds for not employing you or for dismissing you after you begin work. All information and statements made are subject to verification.

CERTIFICATION

ALL INFORMATION PROVIDED AND STATEMENTS MADE BY ME AS PART OF THIS APPLICATION, OR AS PART OF ANY ADDITIONAL INFORMATION PROVIDED IN SUPPORT OF THIS APPLICATION, ARE COMPLETE, CORRECT, AND TRUE TO THE BEST OF MY KNOWLEDGE.

I UNDERSTAND THAT IF I AM EMPLOYED, FALSE INFORMATION PROVIDED OR FALSE STATEMENTS MADE AS PART OF THIS APPLICATION MAY BE CONSIDERED AS CAUSE FOR DISMISSAL.

Applicants Signature

Date Signed

Under the provisions of § 19.36, Wis. Stats., I request that my identity as an applicant for this position not be revealed without my consent or until required under law.

Applicants Signature

Date Signed

APPLICANT: COMPLETE QUESTIONS A – C IN SECTION SIX

4

CERTIFICATION

I certify that the information given by me on this application is true and correct without omissions to the best of my knowledge. I understand and agree that any misrepresentations or deliberate omissions of fact during the application/hiring process may result in a rejection of my application, or if employed, a termination from employment.

I further understand that the County will make a thorough investigation of my entire work history and may verify all data given in my application for employment, related papers, or oral interviews. I consent to and authorize information requested by the County or its agents and I release from liability any person giving or receiving any such information.

I understand that due to business needs, it may be necessary at times for management to mandate overtime. I understand this is within management's rights as dictated by the needs of the County.

I further understand that Price County has adopted a Drug Free Work Environment that requires that all candidates for employment undergo a drug-screening test prior to appointment.

Signature

Date

 

 

CONFIDENTIAL INFORMATION RELEASE AUTHORIZATION

INDIVIDUAL WHO IS SUBJECT OF RECORD

INFORMATION RELEASED TO

Name

 

_

 

 

Price County

Address

 

 

 

 

_

 

 

 

 

Human Resources Department

 

 

 

 

 

 

 

 

 

 

 

 

Price County Courthouse

City,State, Zip

 

 

_

 

126 Cherry Street

 

 

 

 

 

 

 

 

 

 

 

Phillips, WI 54555

SPECIFIC RECORDS AUTHORIZED FOR RELEASE

1.Present employer(s)

2.Former employer(s)

3.Any school, college, university, or other educational institution

4.Personal references

PURPOSE OR NEED FOR RELEASE OF INFORMATION

As evidence of my desire to obtain a position with Price County, I hereby authorize any official representative of Price County, bearing this release, to obtain information and records pertaining to me and my qualifications whether such information is public, private, or confidential in nature from any or all of the above sources. I understand that the above information is necessary for determining my eligibility or suitability to obtain employment with Price County. I hereby release any individual or institution, including its officers, employers, or related personnel, both individually or collectively, from any and all liability from damages of whatever kind, which may at any time result to me, because of compliance with this authorization and request to release information or any attempt to comply with it. A photocopy of this release will be valid as an original thereof.

As evidenced by my signature below, I hereby authorize disclosure of records to the person(s) or agency(s) as specified above.

Signature of individual who is subject of record

Date signed

klb H:\.APPLICATION FORM.doc

5

Form Specifications

Fact Name Fact Description
Form Purpose The DJ-LE-330 form is an application for employment as a law enforcement officer, jail officer, or secure juvenile detention officer.
Governing Law This form is governed by Wisconsin state law and specifically adheres to the Wisconsin Administrative Code.
Eligibility Criteria Applicants must be at least 18 years old and possess a high school diploma, GED, or HSED.
Basic Training Requirement Completion of a 720-hour law enforcement academy is required for certification.
Criminal History Applicants must disclose any felony convictions or misdemeanor crimes of domestic violence.
Military Service Information regarding military service, including discharge status, is required.
References Three references, who are not relatives or current employers, must be provided.
Confidentiality Applicants can request confidentiality regarding their identity during the application process.
Drug Testing Policy Price County requires all candidates to undergo drug screening prior to appointment.

Dj Le 330: Usage Guidelines

Filling out the DJ-LE 330 form is an important step in your application for employment in law enforcement, jail, or secure juvenile detention officer positions. It requires careful attention to detail and accurate information. Once you complete the form, you will submit it to the appropriate agency for review, and they will evaluate your qualifications based on the information provided.

  1. Personal Information: Fill in your full name (last, first, middle), social security number, address, home telephone number, work telephone number, email address, and cell phone number.
  2. Education: List the names of colleges and high schools you attended, along with the dates (from and to). Indicate if you possess a valid driver’s license and answer questions about your educational background and certifications.
  3. Employment: Start with your current or most recent employer. Provide the name and address of each employer, dates of employment, annual salary or wages, whether you worked full-time or part-time, and your supervisor's name and contact number. State your position and reason for leaving each job.
  4. Military Service: If applicable, provide information about your military service, including dates of service, branch, highest grade, and whether you were honorably discharged.
  5. References: List three references who are not relatives or current employers. Include their name, position, number of years acquainted, address, and telephone number.
  6. General Questions: If instructed, complete questions A through C regarding your reasons for applying, life experiences, and ability to work with diverse groups.
  7. Certification: Read the certification statement carefully, then sign and date the application to confirm that all information is true and correct.

Your Questions, Answered

What is the purpose of the DJ-LE-330 form?

The DJ-LE-330 form is an application for employment specifically designed for positions in law enforcement, jails, or secure juvenile detention facilities in Wisconsin. It collects essential personal, educational, and employment information from applicants to assess their qualifications for these roles.

What personal information is required on the form?

Applicants must provide their full name, social security number, address, phone numbers, and email address. This information is necessary for identification and communication purposes throughout the hiring process.

What educational background must I disclose?

The form requires applicants to list their educational history, including high schools and colleges attended, along with the dates of attendance. Additionally, applicants must indicate whether they have completed a high school diploma, GED, or higher education credits, as well as any relevant training for law enforcement certification.

Are there any age or citizenship requirements?

Yes, applicants must be at least 18 years old and must be United States citizens to qualify for employment in these positions. This requirement ensures that applicants meet the legal standards for law enforcement roles.

What kind of criminal history information must be disclosed?

Applicants are required to disclose any felony convictions or misdemeanor convictions related to domestic violence. This information is crucial for evaluating an applicant's suitability for a position in law enforcement or related fields.

Is military service information required?

Yes, the form asks for details about any military service, including dates of service, highest grade achieved, and whether the applicant was honorably discharged. This information can be relevant to an applicant's qualifications and experience.

What references do I need to provide?

Applicants must provide three references who are not relatives or current employers. Each reference should include their name, position or title, years acquainted, address, and phone number. This helps the hiring agency to verify the applicant's background and character.

What is the significance of the certification section at the end of the form?

The certification section requires applicants to affirm that the information provided is accurate and complete. This is important, as any false information could lead to disqualification from the hiring process or termination if employed. It also includes a request for confidentiality regarding the applicant's identity during the hiring process.

Common mistakes

  1. Failing to provide complete personal information. Every section must be filled out accurately, including name, address, and contact numbers.

  2. Neglecting to answer all questions. Incomplete applications will not be considered, so it's essential to respond to each query.

  3. Using an incorrect format for dates. The form requires dates in the mm/yyyy format, and any deviation can lead to confusion or rejection.

  4. Omitting prior employment details. It is important to list all previous jobs chronologically, including summer and part-time work.

  5. Not providing sufficient information about references. Ensure that references are not relatives or current employers, and include their contact details.

  6. Forgetting to indicate the type of training completed. If basic training has been finished, specify the type and the institution where it was completed.

  7. Misunderstanding the educational requirements. Be clear on whether you meet the necessary education criteria, including diplomas and degrees.

  8. Ignoring the felony and misdemeanor questions. Answer these questions honestly, as they are crucial for the background check process.

  9. Failing to sign and date the application. The certification section must be signed to validate the information provided.

  10. Not attaching additional pages when necessary. If more space is needed for answers, include extra sheets as specified in the instructions.

Documents used along the form

The DJ-LE-330 form is an important document used in the application process for law enforcement positions. Along with this form, several other documents may also be required to provide a comprehensive overview of an applicant's qualifications and background. Below is a list of commonly associated forms and documents.

  • Background Check Authorization Form: This form allows the employer to conduct a thorough background check on the applicant, including criminal history, employment verification, and educational credentials.
  • Medical Examination Release Form: Applicants may need to complete this form to authorize a medical examination, ensuring they meet the physical requirements for the job.
  • Drug Screening Consent Form: This document gives consent for the employer to perform drug tests as part of the hiring process, in line with workplace policies.
  • Veteran Status Verification Form: For applicants who have served in the military, this form verifies their veteran status, which may affect hiring preferences and benefits.
  • Employment History Form: This form provides a detailed account of the applicant's previous work experiences, including job titles, responsibilities, and reasons for leaving.
  • Reference Check Authorization Form: This allows the employer to contact the applicant's references to gather insights into their character and work ethic.
  • Educational Verification Form: This form is used to confirm the applicant's educational credentials, including degrees earned and institutions attended.
  • Affidavit of Truthfulness: This document requires the applicant to affirm that all information provided in their application is accurate and truthful, with potential consequences for false statements.

Each of these documents plays a crucial role in the hiring process, helping employers assess the suitability of candidates for law enforcement positions. It is essential for applicants to prepare and submit these forms accurately and promptly to enhance their chances of being considered for employment.

Similar forms

The DJ-LE-330 form is an application specifically designed for individuals seeking employment in law enforcement, jails, or secure juvenile detention facilities in Wisconsin. Several other documents share similarities with this form, primarily focusing on employment applications and background checks. Below is a list of eight documents that are comparable to the DJ-LE-330 form, along with explanations of their similarities.

  • Standard Employment Application: Like the DJ-LE-330, a standard employment application gathers personal information, educational background, and work history to evaluate a candidate's qualifications for a job.
  • Law Enforcement Background Investigation Form: This document is used to conduct thorough background checks on law enforcement applicants, similar to how the DJ-LE-330 collects information on criminal history and references.
  • Military Service Record Request: Both forms require detailed information about military service, including dates of service and discharge status, to assess the applicant's qualifications and character.
  • Personal Reference Form: Just as the DJ-LE-330 requests references, this form collects information about individuals who can vouch for the applicant's character and qualifications.
  • Educational Verification Form: This document is similar in that it verifies the educational credentials claimed by the applicant, much like the DJ-LE-330 checks for diplomas or degrees.
  • Professional Certification Application: Similar to the DJ-LE-330, this application requires proof of training and certifications relevant to the job, ensuring that candidates meet necessary qualifications.
  • Criminal History Disclosure Form: This form is used to disclose any past criminal convictions, paralleling the DJ-LE-330's inquiries about felony or misdemeanor convictions.
  • Drug Screening Consent Form: Like the DJ-LE-330, which mentions drug screening as part of the employment process, this form gives consent for drug testing as a condition of employment.

Dos and Don'ts

When filling out the DJ-LE-330 form, it's important to follow some best practices. Here are five things you should and shouldn't do:

  • Do read the entire form carefully before starting.
  • Don't leave any questions unanswered; incomplete forms may be rejected.
  • Do provide accurate and truthful information about your background.
  • Don't use abbreviations or slang; clarity is key.
  • Do double-check your contact information to ensure it's correct.

Following these tips can help make your application process smoother and more efficient.

Misconceptions

  • Misconception 1: The DJ-LE-330 form is only for law enforcement positions.
  • This form is applicable not only to law enforcement positions but also to roles such as jail and secure juvenile detention officers.

  • Misconception 2: Completing the DJ-LE-330 form guarantees employment.
  • Submission of the form does not guarantee a job. The application must meet all requirements and undergo a review process.

  • Misconception 3: Only individuals with a college degree can apply.
  • While a college degree is beneficial, applicants can qualify with a high school diploma or equivalent, provided they meet other criteria.

  • Misconception 4: Applicants do not need to disclose felony convictions.
  • All felony convictions must be disclosed on the form, as they may impact eligibility for employment.

  • Misconception 5: The form does not require references.
  • The DJ-LE-330 specifically asks for three references who are not relatives or current employers.

  • Misconception 6: The form can be submitted incomplete.
  • Incomplete or illegible applications will not be considered, as all questions must be answered.

  • Misconception 7: Applicants can skip the military service section if they have never served.
  • This section must still be completed, indicating "Not Applicable" if the applicant has not served in the military.

  • Misconception 8: Providing false information will not have consequences.
  • Providing false information can lead to disqualification from the application process or termination if already employed.

Key takeaways

When filling out and using the DJ-LE-330 form for employment as a law enforcement, jail, or secure juvenile detention officer, there are several important considerations to keep in mind:

  • Complete All Sections: Every question on the form must be answered. Incomplete or unclear applications will not be considered. If additional space is needed, attach extra pages.
  • Verify Eligibility: Ensure you meet the basic requirements, such as age, citizenship, and educational qualifications. Specific criteria apply, particularly for those seeking certification as law enforcement officers.
  • Employment History: Provide a comprehensive account of your employment history, starting with your most recent job. Include details such as dates of employment, job titles, and reasons for leaving.
  • References Matter: Choose your references carefully. They should not be relatives or current employers. The quality of your references can significantly impact your application.

By paying attention to these key aspects, applicants can enhance their chances of successfully navigating the application process.