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General Information

Social Security #First NameMiddle InitLast Name

Present AddressCityStateZip

Home PhoneWork PhoneCell PhoneE-MailApplying For Position
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Background

Are you a U.S. Citizen
If not a U.S. Citizen, have you legally declared you intention to become a U.S. Citizen
If 'NO', explain

Will you be at least 21 years of age and less than 35 years of age on or before November 4, 2014?
(Note: A Person is not eligible for appointment when he/she turns 35 years of age.)

Do you possess a valid driver's license?
(Note: A copy of your valid driver's license must be submitted.)

Are you a high school graduate or equivalent (G.E.D.)?

You ever been convicted of a felony?
If 'YES', give date, place of arrest and offense.

The Civil Service Law prohibits classified employees from holding public office. Do you hold any office of this type at the present time? Such as precinct committee - person?
If 'YES', explain.
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General Information

Have you had any military service?
If so, state type and date of discharge.
Branch Of Military ServiceDate of Discharged

Do you have a Bachelor's Degree
Do you have a Associates's Degree
Are you an Ohio Certified Peace Officer
Are you in the Canton Safety Forces Mentoring Program?
Will you have been a resident of the City of Canton for the six month period from May 4, 2014 to November 4, 2014?
(SEE DOCUMENTATION STANDARDS FOR EXTRA CREDIT REQUIREMENTS)
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Additional Information


Ethnic Background. ( You are not required to answer this question.)

How did you learn that the City of Canton is seeking applications for Police Officer?
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