COUNTY OF SAN BERNARDINO-HUMAN RESOURCES

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157 West Fifth St. (First Floor). San Bernardino, CA 92415-0440. SHORT-FORM APPLICATION FOR SHERIFF'S DETECTIVE/CORPORAL
COUNTY OF SAN BERNARDINO-HUMAN RESOURCES 157 West Fifth St. (First Floor) San Bernardino, CA 92415-0440 SHORT-FORM APPLICATION FOR SHERIFF’S DETECTIVE/CORPORAL

Ann#18-04204-01

NAME:_____________________________________________

Bus.Phone:____________________________

ADDRESS:_________________________________________

Personal Email:________________________

CITY, STATE, ZIP:___________________________________

Employee ID#__________________________ Duty Station:___________________________

You may be eligible to apply for the promotional examination for Sheriff's Detective/Corporal. If you meet the requirements as stated on the announcement and are interested in pursuing this opportunity, please complete the information below and return this application to Human Resources NO LATER THAN September 10, 2018 at 5 p.m. (You are highly encouraged to apply on-line at www.sbcounty.gov/jobs under Promotional Jobs). FULLY COMPLETE THE INFORMATION REQUESTED BELOW. I qualify under the following Option (check one): Option A: Five (5) years as a San Bernardino County Deputy Sheriff. Option B: Four (4) years as a San Bernardino County Deputy Sheriff, which includes one (1) year as a patrol officer. Option C: Three (3) years as a San Bernardino County Deputy Sheriff, which includes two (2) years as a patrol officer. Option D: Three (3) years as a San Bernardino County Deputy Sheriff, which includes one (1) year as a patrol officer; AND three years of patrol experience gained through working as a POST certified peace officer in a patrol function for another CA POST certified law enforcement agency.

➢ I am currently a SBCSD Deputy Sheriff.  Yes  No ➢ I became a SBCSD Deputy Sheriff (not Sheriff’s Trainee) on (date) ______________________________ ➢ My experience as a SBCSD Deputy Sheriff ON PATROL Began _______________________ and ended _______________________ (date: mm/dd/yy)

(date: mm/dd/yy)

➢ My three years of experience as a patrol officer for another CA POST certified law enforcement agency was acquired at: (name of agency) ____________________________________________________________; my patrol experience began _______________________ and ended _______________________ (date: mm/dd/yy)

(date: mm/dd/yy)

➢ Are you willing to take a promotion to the Needles/Colorado River area?  Yes  No ➢ Are you willing to take a promotion to the Trona area?  Yes  No This is a resident-post position, and requires a minimum 2-year commitment. As a resident-post position, this assignment is "24/7"; housing and additional compensation are also provided. Only those who indicate a willingness to work in the Trona area will be considered for a vacancy in the Trona area.

➢ I possess the following Certificates (Include Title, Issuing Agency & Date of Expiration): If none, indicate “N/A”. Aviation Certifications: _______________________________________________________________________ Bomb/Arson Certifications: ____________________________________________________________________ Boating Enforcement Certifications: _____________________________________________________________ Other Special Certifications/Training: ____________________________________________________________

FORM CONTINUES ON THE BACK

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CONVICTIONS: I understand that if I am offered a conditional offer of employment, I may be required to provide information about my criminal conviction history as an adult (age 18 and older). Convictions are evaluated in a manner consistent with California law and are not necessarily disqualifying.

I understand. I certify that all statements made in this application, including any attachments, are true and complete to the best of my knowledge. I understand that any false statements of material facts will subject me to disqualification or dismissal. ______________________________________________ (Signature)

______________________________ (Date)

NOTE: Apply online to receive all communication quickly, including test scheduling options.

RETURN THIS COMPLETED APPLICATION FORM NO LATER THAN 5 P.M. MONDAY, Sept. 10, 2018 TO: San Bernardino County Human Resources Employment Division, Attn: DET/CORP 157 W. Fifth St., 1st Floor San Bernardino, CA 92415-0440 Fax to (909) 383-2394

You may also apply on-line at: www.sbcounty.gov/jobs Questions? Call HR @ (909) 387-8304

PLEASE NOTE: FAILURE TO SUBMIT A COMPLETED APPLICATION BY THE STATED DEADLINE WILL RESULT IN YOUR APPLICATION REQUEST BEING DENIED. LATE APPLICATIONS WILL NOT BE ACCEPTED.

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San Bernardino County Human Resources Completion of this section is optional; the information provided will only be used for statistical purposes. It will be detached and not used to make any decisions that affect you.

Position applied for : ______________________________ Sex:  Male  Female

Age Group:  Under 40  40 or over

Race/Ethnic Category: (Check one or more that apply)  American Indian or Alaska Native: 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.  Asian: 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.  Black or African American: 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: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.  White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

 Two or more of the above categories.  Decline to state

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