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The Florida 10 1777 form serves as a crucial pre-screener application for those interested in joining the Seminole Police Department. This form is designed to gather essential information from applicants, ensuring that all sections are completed accurately. Applicants must be at least 19 years old to apply. The form requests personal details such as name, contact information, and address, as well as the specific position sought, whether as a police officer, dispatcher, or in clerical roles. It also includes a series of yes-or-no questions regarding citizenship, educational background, driving record, criminal history, and prior employment. Additionally, applicants are asked to disclose any military experience. It is vital to provide complete and truthful information, as incomplete submissions will be discarded. If a candidate qualifies and positions are available, the application process will commence. Otherwise, the pre-screener will be retained for up to one year, with notifications sent when openings arise.

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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: ________________

Form Specifications

Fact Name Details
Form Purpose The Florida 10-1777 form serves as a pre-screener application for candidates applying to the Seminole Police Department.
Age Requirement Applicants must be at least 19 years old to be eligible for consideration.
Governing Law This form is governed by Florida law regarding employment and hiring practices within law enforcement agencies.
Application Validity If a candidate is not selected, their pre-screener will be kept on file for up to one year.
Information Required The form requests personal information, employment history, education records, and criminal history.
Citizenship Verification Applicants must confirm their citizenship status or indicate if they are registered aliens when applying for civilian positions.

Florida 10 1777: Usage Guidelines

Completing the Florida 10 1777 form is essential for those interested in applying for a position with the Seminole Police Department. It is crucial to provide accurate and thorough information, as incomplete forms will not be processed. Once submitted, the department will review the application and notify candidates regarding the next steps in the hiring process.

  1. Begin by filling out your personal information at the top of the form. This includes your name, Social Security Number (SSN), phone number, alternate phone number, address, city, state, zip code, email address, and driver's license number along with the state of issuance.
  2. Indicate your selected reservation from the options provided: Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce.
  3. Check the appropriate box for the position sought. You can choose from Police Officer, Dispatcher, Clerical/Administrative, or Community Service Aide. Remember, non-certified police officer applicants are not accepted.
  4. Answer the personal information questions honestly. These questions pertain to your citizenship, educational background, driving record, criminal history, and any previous applications to the Seminole Police Department.
  5. In the employment history section, list your last four jobs, starting with the most recent. Include all relevant details such as employer name, dates of employment, position held, type of business, reason for leaving, and a brief description of your duties.
  6. Address the education record section by indicating whether you have a college degree, the type of degree, your course of study, and any relevant law enforcement certification or academy attendance.
  7. Complete the criminal history section by answering questions about any arrests, charges, or convictions. If you answer “yes” to any of these questions, be prepared to attach a full explanation.
  8. If applicable, fill out the military record section by providing details about your service in the United States Armed Forces, including branch, highest rank, type of discharge, and dates of active and reserve duty.
  9. Finally, sign and date the form at the bottom to certify that the information provided is accurate.

Your Questions, Answered

What is the Florida 10 1777 form?

The Florida 10 1777 form, also known as the Pre-Screener Application, is a document used by the Seminole Police Department to gather essential information from applicants seeking employment. This form must be completed in full, as incomplete submissions will not be processed. It is specifically designed for individuals interested in positions such as Police Officer, Dispatcher, Clerical/Administrative, or Community Service Aide.

Who is eligible to apply using this form?

Applicants must be at least 19 years old to submit the Florida 10 1777 form. Additionally, they must be either a United States citizen or a registered alien for civilian positions. A high school diploma or GED is also required. The form is not open to non-certified police officer applicants.

What information is required on the form?

The form requests personal details such as name, Social Security Number, contact information, and address. It also asks about the applicant's citizenship status, education, employment history, and any criminal history. Specific questions regarding traffic violations, drug use, and previous employment with the Seminole Police Department are included to assess the applicant's suitability.

What happens if my application is incomplete?

If the Florida 10 1777 form is submitted with incomplete information, it will be destroyed. It is crucial to ensure that all sections are filled out accurately and completely to avoid disqualification from the application process.

How long will my application be kept on file?

If an applicant is deemed a viable candidate but no positions are available at the time of submission, their pre-screener will be retained for up to one year. The applicant will be notified when openings arise within that timeframe.

What should I do if I have a criminal history?

Applicants must disclose any arrests, charges, or convictions, including misdemeanors and felonies, even if those records are sealed or expunged. Failure to provide this information can result in disqualification from the hiring process. If there is a history, a full explanation must be attached to the application.

Is military service relevant to the application?

Yes, military service is relevant. Applicants are asked to provide details about their military experience, including branch, rank, and type of discharge. This information can be an important factor in the hiring decision.

Common mistakes

  1. Incomplete Information: Failing to complete all sections of the form can lead to the application being discarded. Each field must be filled out accurately.

  2. Age Requirement: Applicants must be at least 19 years old. Not providing proof of age or misrepresenting age can disqualify an application.

  3. Missing Contact Information: Omitting phone numbers or email addresses makes it difficult for the department to reach applicants for follow-up.

  4. Incorrect Reservation Selection: Applicants must select the correct reservation where they wish to work. Failing to do so may result in processing delays.

  5. Employment History Gaps: Not accounting for all periods of unemployment can raise red flags. It is important to provide a complete employment history.

  6. Criminal History Disclosure: Any arrests or convictions must be disclosed, even if records are sealed. Failure to do so can lead to disqualification.

  7. Documentation Errors: Submitting incorrect or unrequested documents, such as resumes or certifications, can complicate the application process.

Documents used along the form

When applying for a position with the Seminole Police Department, the Florida 10 1777 form is just one piece of the puzzle. There are several other documents that you may need to provide to complete your application process. Understanding these forms can help you prepare and ensure that your application stands out. Here’s a brief overview of five important documents often used alongside the Florida 10 1777 form:

  • Resume: A resume provides a summary of your work experience, education, and skills. It highlights your qualifications and helps the hiring committee understand your background at a glance.
  • Cover Letter: This document allows you to introduce yourself and explain why you are interested in the position. It’s your chance to convey your enthusiasm and showcase how your experiences align with the department's values.
  • Background Check Authorization: This form gives the department permission to conduct a thorough background check. It's a standard procedure for law enforcement positions and ensures that all candidates meet the necessary criteria.
  • Certification Documents: If you have completed any relevant training or certification programs, include copies of these documents. They can demonstrate your commitment to the field and your readiness for the role.
  • References List: A list of professional or personal references can support your application. These individuals can vouch for your character and qualifications, providing insight into your work ethic and suitability for the position.

Being prepared with these documents can make a significant difference in your application process. Each piece plays a vital role in presenting a complete picture of who you are as a candidate. Take the time to gather and review these materials to enhance your chances of success with the Seminole Police Department.

Similar forms

The Florida 10 1777 form, used for pre-screening applicants for the Seminole Police Department, shares similarities with several other documents commonly utilized in employment and law enforcement contexts. Here are six documents that are comparable:

  • Job Application Form: Like the Florida 10 1777, a standard job application form collects personal information, employment history, and qualifications from candidates. Both documents aim to assess the suitability of applicants for specific positions.
  • Background Check Authorization Form: This form, similar to the Florida 10 1777, seeks permission from applicants to conduct background checks. Both documents focus on gathering information about an applicant's criminal history and other relevant background details.
  • Employment Verification Form: An employment verification form is used to confirm a candidate’s past employment. Like the Florida 10 1777, it requires details about previous jobs, including dates of employment and job responsibilities.
  • Personal History Statement: Often required by law enforcement agencies, this document gathers extensive personal information from candidates. It parallels the Florida 10 1777 in that it probes into an applicant’s criminal history, military service, and personal background.
  • Resume: A resume provides a summary of an applicant's work experience, education, and skills. While the Florida 10 1777 is more focused on specific questions and criteria, both documents serve the purpose of presenting an applicant's qualifications.
  • Interview Questionnaire: This document is used during the interview process to assess candidates further. Similar to the Florida 10 1777, it includes questions about an applicant's background and experiences, helping to evaluate their fit for the position.

Dos and Don'ts

When completing the Florida 10-1777 form, it is essential to follow specific guidelines to ensure your application is processed smoothly. Here are five important dos and don'ts:

  • Do fill out every section of the form completely. Incomplete forms will be discarded.
  • Don't include any additional documents unless they specifically address questions on the form.
  • Do provide accurate information regarding your employment history and criminal background. Honesty is crucial.
  • Don't leave any questions unanswered. If a question does not apply to you, indicate that clearly.
  • Do ensure you meet the age requirement of 19 years or older before submitting your application.

Following these guidelines will help you present a complete and accurate application, increasing your chances of being considered for a position.

Misconceptions

Understanding the Florida 10 1777 form is essential for applicants seeking positions within the Seminole Police Department. However, several misconceptions often arise regarding this pre-screener application. Below is a list of seven common misunderstandings, along with clarifications for each.

  • Misconception 1: The form can be submitted with incomplete information.
  • This is incorrect. Incomplete forms will be destroyed, so it is crucial to fill out every section accurately.

  • Misconception 2: Applicants under 19 years of age can still apply.
  • Only individuals who are 19 years or older may submit the application. Age verification is a strict requirement.

  • Misconception 3: You must submit supporting documents like resumes and certifications with the form.
  • Supporting documents should not be included unless they are necessary to clarify questions on the pre-screener. The focus should remain on the application itself.

  • Misconception 4: Past criminal history does not need to be disclosed if it has been expunged.
  • All criminal history, including sealed or expunged records, must be disclosed. This transparency is critical for law enforcement positions.

  • Misconception 5: The application guarantees a job if submitted.
  • Submitting the application does not guarantee employment. Candidates must still meet qualifications and have available positions.

  • Misconception 6: Previous applications to the Seminole Police Department do not need to be mentioned.
  • Applicants must disclose any prior applications or employment with the department. This information is relevant to the screening process.

  • Misconception 7: The application process is the same for all positions within the department.
  • Different positions may have specific requirements. For example, non-certified police officer applicants are not accepted, which is important for candidates to note.

By addressing these misconceptions, potential applicants can better prepare themselves for the application process and ensure they meet all necessary criteria.

Key takeaways

The Florida 10-1777 form, used by the Seminole Police Department for pre-screening applicants, serves as a crucial first step in the hiring process. Here are some key takeaways to consider when filling out and using this form:

  • Complete All Sections: It is essential to fill out every part of the form. Incomplete applications will be discarded, so attention to detail is necessary.
  • Age Requirement: Applicants must be at least 19 years old. This age limit is strictly enforced.
  • Position Selection: Only one position can be selected on the form. Options include Police Officer, Dispatcher, Clerical/Administrative, and Community Service Aide.
  • No Non-Certified Applicants: The department does not accept applications from individuals who are not certified police officers.
  • Criminal History Disclosure: Full disclosure of any criminal history is required. This includes arrests, charges, and convictions, even if records are sealed or expunged.
  • Employment History: A detailed account of the last four jobs held must be provided. This includes military and volunteer work, ensuring a comprehensive employment history.
  • Educational Background: Applicants should indicate their educational qualifications, including any college degrees or law enforcement certifications.
  • Notification of Openings: If no positions are available, the pre-screener will be kept on file for up to one year, and applicants will be notified when openings arise.
  • Signature Requirement: The application must be signed and dated. This confirms the accuracy of the information provided and acknowledges the terms of the application process.

By understanding these key aspects, applicants can navigate the Florida 10-1777 form more effectively, increasing their chances of progressing through the hiring process with the Seminole Police Department.