ࡱ> be]^_`ak tUbjbj:: lXubXubtI     Dddd< Tdbt l;:;;;=GACC_______$d;g~_m CDw="=CDCD_  ;;abPPPCDF ; ;_PCD_PP\h.^ ;йvRDZ]_wb0bj]gFH g :^:^g N^lCDCDPCDCDCDCDCD__PCDCDCDbCDCDCDCDgCDCDCDCDCDCDCDCDCD B : FULL NAME:LastFirstMiddle FORMTEXT       FORMTEXT       FORMTEXT       Today s date is: TIME \@ "MMMM d, yyyy" March 9, 2023Your due date is:30 days from  TIME \@ "MMMM d, yyyy" March 9, 2023MPD has an  open enrollment process in which applications are accepted for review year-round. However, the department will reserve the right to identify a cut-off date for the next available class. Visit the website periodically if you are concerned about the deadline.Police OfficerMADISON POLICE DEPARTMENT ATTN RECRUITMENT 5702 FEMRITE DR MADISON WI 53718 (608) 266-4190  HYPERLINK "mailto:dslawek@cityofmadison.com" dslawek@cityofmadison.com We are pleased that you are interested in a position of trust with the City of Madison Police Department. We are an equal opportunity employer, and no question on this application is intended to secure information to be used for discriminatory purposes. THIS FORM IS A PART OF THE EXAMINATION PROCESS AND IT IS IMPORTANT TO BE AS COMPLETE AS POSSIBLE. Before completing the application, please see the Minimum Qualifications. You cannot be considered for the position unless you meet these requirements. If you are unclear on how to respond to any of these questions, it is your responsibility to check with the Personnel and Training Team at  HYPERLINK "mailto:dslawek@cityofmadison.com" dslawek@cityofmadison.com or (608) 266-4190 for further information or clarification. General Instructions Electronic submissions will be accepted. Send your completed online application via e-mail to:  HYPERLINK "mailto:dslawek@cityofmadison.com" dslawek@cityofmadison.com. Type or handprint (in black ink) an answer to every question. Applications must be legible for full consideration. Provide complete and accurate information. If a question does not apply to you, mark N/A in the space provided. If space provided is insufficient, attach a separate sheet and reference the additional information to the section title. It is your responsibility to notify this department of any changes of mailing address, email address or phone number. Notifications of testing and subsequent steps in the hiring process will be via email. It is imperative that we have up-to-date contact information. The Madison Police Department will verify conviction record, driving records, places of employment and other information listed on this application. If you provide false information, or commit any omissions of fact, either intentionally or unintentionally, you will not be eligible for City of Madison employment. Failure to admit convictions, and/or any untruthfulness will result in immediate disqualification. If you have any questions, you may call (608) 266-4190, Monday through Friday, 9:00 a.m.-3:00p.m. Personal (If more space is needed, submit a separate sheet) LAST NAME: (PRINT CLEARLY)FIRST NAME:MIDDLE NAME: FORMTEXT       FORMTEXT       FORMTEXT      PRESENT ADDRESS (NUMBER, STREET):CITY:STATE:ZIP CODE: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      MAILING ADDRESS - IF DIFFERENT THAN ABOVE (NUMBER, STREET):CITY:STATE:ZIP CODE: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      HOME PHONE:CELL PHONE:WORK PHONE:E-MAIL ADDRESS: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      PLACE OF BIRTH (CITY, STATE): FORMTEXT      ANY OTHER PREVIOUS NAMES: FORMTEXT      NAME AND PHONE OF PERSON TO BE CONTACTED IN CASE OF EMERGENCY: FORMTEXT      Are you a U.S. citizen? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf you are not yet a citizen, have you applied for citizenship? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf yes, what is your expected naturalization date? FORMTEXT      Are you at least 18 years of age? FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf you have conversational fluency in any foreign language, please note this here:  FORMTEXT       MOTOR VEHICLE OPERATION (If more space is needed, submit a separate sheet) Safe operation of a motor vehicle is essential to the position of police officer. An investigation of your driving history will be made through a records check. To expedite this procedure, please supply the following information: 1. Do you hold a valid drivers license?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Name on valid drivers license:  FORMTEXT       Class or Type of License:  FORMTEXT       License No.:  FORMTEXT       State:  FORMTEXT       Expiration Date:  FORMTEXT       2. How many years have you been a licensed driver?  FORMTEXT       Please provide an estimate as to how many miles you have driven in the past two years:  FORMTEXT       3. Have you held a license in any state other than Wisconsin?  FORMCHECKBOX  Yes  FORMCHECKBOX  No List the states:  FORMTEXT       4. Has your license been suspended, revoked, or placed on negligent operator's probation (for other than medical reasons)? If "Yes," please give details (include what , when, where, why).  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMTEXT       5. Have you ever been refused a driver s license (for other than medical reasons) by any state?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please explain (include when, where, why).  FORMTEXT       6. Have you ever been involved in a motor vehicle accident as a driver?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please provide the following information. List any additional accidents on the addendum. DATELOCATION FORMTEXT       FORMTEXT       FORMCHECKBOX  INJURY  FORMCHECKBOX  NON-INJURYPOLICE RESPONDED? FORMCHECKBOX  Yes FORMCHECKBOX  NoPolice Agency: FORMTEXT       DATELOCATION FORMTEXT       FORMTEXT       FORMCHECKBOX  INJURY  FORMCHECKBOX  NON-INJURYPOLICE RESPONDED? FORMCHECKBOX  Yes FORMCHECKBOX  NoPolice Agency: FORMTEXT       7. If there is anything you wish to discuss about your driving record, please use the space below.  FORMTEXT       Education (If more space is needed, submit a separate sheet) Name and Location of HIGH SCHOOL: FORMTEXT      Date You Graduated:Your Name at Time of Attendance (if different than present): FORMTEXT       FORMTEXT      Name and Location of POST-HIGH SCHOOL INSTITUTION: FORMTEXT      Date You Graduated:Your Name at Time of Attendance (if different than present): FORMTEXT       FORMTEXT      Dates Attended:GPACredits EarnedDegree (check one)Field of StudyFromTo FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Associate FORMCHECKBOX  Master s FORMTEXT       FORMCHECKBOX  Bachelor s FORMCHECKBOX  OtherIf you did not graduate, explain:  FORMTEXT      Name and Location of POST-HIGH SCHOOL INSTITUTION: FORMTEXT      Date You Graduated:Your Name at Time of Attendance (if different than present): FORMTEXT       FORMTEXT      Dates Attended:GPACredits EarnedDegree (check one)Field of StudyFromTo FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Associate FORMCHECKBOX  Master s FORMTEXT       FORMCHECKBOX  Bachelor s FORMCHECKBOX  OtherIf you did not graduate, explain:  FORMTEXT      Name and Location of POST-HIGH SCHOOL INSTITUTION: FORMTEXT      Date You Graduated:Your Name at Time of Attendance (if different than present): FORMTEXT       FORMTEXT      Dates Attended:GPACredits EarnedDegree (check one)Field of StudyFromTo FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Associate FORMCHECKBOX  Master s FORMTEXT       FORMCHECKBOX  Bachelor s FORMCHECKBOX  OtherIf you did not graduate, explain:  FORMTEXT      Describe any education or training not covered above (vocational school, correspondence courses, service schools, in-service training), which you feel is relevant to the job for which you are applying. Include relevant licenses, certificates or other information you feel might be pertinent to the position. (BE SPECIFIC) FORMTEXT       During the background investigation, persons who have known you in a learning environment may be contacted. A review of your school records may be made in conjunction with those contacts. Have you ever been suspended or expelled from any high school or post-secondary school? (Post-secondary schools include colleges and universities, graduate schools, business, and vocational schools--any formal education beyond the high school level.)  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes", please explain (include school, date, and circumstances):  FORMTEXT       EMPLOYMENT AND EXPERIENCE (If more space is needed, submit a separate sheet) Give a complete record of any employment, self-employment, military service or volunteer experience over the past 10 years (starting with the most recent). For identification and verification, please indicate the nature of the activity, i.e., full-time, part-time, internship or volunteer. List all intervening periods of military service or unemployment (starting with the most recent). Please provide us with as much information as possible. DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT       DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT      DATE OF EMPLOYMENT / EXPERIENCENAME AND COMPLETE ADDRESS OF EMPLOYERNAME / PHONE OF SUPERVISORFROMTO FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX  Internship  FORMCHECKBOX  VolunteerTITLE:  FORMTEXT      LIST CO-WORKER(S) / PHONEDUTIES: FORMTEXT       FORMTEXT      Reason for leaving: FORMTEXT       Please account for periods of time which are not covered by your educational or employment history. If a period of absence is for a health-related matter, do not respond to this question. From:  FORMTEXT      To:  FORMTEXT      Reason:  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Reason:  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Reason:  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Reason:  FORMTEXT       1. Have you ever held employment under another name?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please give details (include when, where, and name at time of employment).  FORMTEXT       2. Have you ever been fired, discharged, asked to resign or resigned after being informed by your employer you would be discharged?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please give details (include when, where, name at time of employment, and circumstances).  FORMTEXT       3. If you have never held employment, please explain on an addendum sheet.  FORMTEXT       4. Would any problem result if your present employer was contacted during the course of the background investigation?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please explain below:  FORMTEXT       5. Have you EVER applied for an officer position with any law enforcement agency?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, list Agency Name, City, State, and Year you applied. (Also, include each time you applied to MPD.) Agency NameCity/StateYear(s) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       MILITARY SERVICE* (If more space is needed, submit a separate sheet) 1. Have you ever served in the armed forces, National Guard or military reserves?  FORMCHECKBOX  Yes  FORMCHECKBOX  No HIGHEST RANK ATTAINEDRANK DISCHARGEDSEPARATION CODERE-ENLISTMENT CODEOCCUPATION FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      BRANCH OF SERVICESERVICE NUMBERDATES OF SERVICETYPE OF DISCHARGE* FORMTEXT       FORMTEXT       FORMTEXT      TO FORMTEXT       FORMTEXT       *City of Madison ordinances prohibit discrimination based on less than an honorable discharge. This is for purposes of the background check only; the City of Madison complies with all laws which prohibit discrimination based on past or current military service. 2. Were you ever disciplined while in the military service (include court-martial, captains masts, company punishment, etc.)?  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Are you currently participating in any military reserve or National Guard program?  FORMCHECKBOX  Yes  FORMCHECKBOX  No IF YOU HAVE NOT ALREADY SUBMITTED FORM DD214, PLEASE FORWARD A COPY AS SOON AS POSSIBLE. 4. Past or current military superiors or military acquaintances are potential sources of relevant information pertaining to your background. Please list only those individuals who know you well enough to provide accurate information about you. NAMECONTACT ADDRESSCONTACT PHONEYEARS KNOWN FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       LEGAL (If more space is needed, submit a separate sheet) 1. Please list ALL convictions. Include relevant dates for felonies, misdemeanors, city/county ordinances, state or federal laws, or conviction by a military court-martial. In accordance with the law, any pending criminal charges or convictions will not be used or considered unless the circumstances are substantially related to the circumstances of being a police officer. Domestic violence convictions are automatic disqualifiers. Include any juvenile court convictions, as well as adjudications of delinquency. Include traffic violations. (Do not include violations for parking incidents.) DATE OF OFFENSECHARGEPOLICE AGENCYDISPOSITION FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       List any pending charges (include traffic, if applicable): DATE OF OFFENSECHARGEPOLICE AGENCY FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       2. Have you ever been placed on court probation as an adult?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please give details (include when, where, why). Give dates of probation. Start with the most recent.  FORMTEXT       3. Have you ever applied for a permit to carry a concealed weapon?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please provide the following information: Permit granted?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Date:  FORMTEXT       Name of enforcement agency:  FORMTEXT       4. Are you now or have you ever been involved as a plaintiff or defendant in any civil court action other than bankruptcy (i.e., small claims court, family court or collections)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please give details, (include when, where, name and location of court, circumstances).  FORMTEXT       ILLEGAL DRUG / CONTROLLED SUBSTANCE / NARCOTIC USE (If more space is needed, submit a separate sheet) It is not the intent of the Madison Police Department to utilize information solicited in this section for criminal prosecution. This section does not include substances prescribed by your physician. 1. Have you ever used or experimented with marijuana? Including edibles (baked goods, candy, gummies), even if you were in a State where it is legal?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please provide the following information. Your best recollection will suffice. Date first used:  FORMTEXT       Date last used:  FORMTEXT       2. Have you ever used or experimented with any form of illegal drugs, controlled substances and/or narcotics (amphetamines, barbiturates, hallucinogenics) such as Cocaine, Speed, PCP, Heroin, Mescaline, LSD, Hashish, Opiates, Steroids, etc. other than those drugs prescribed by your physician?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," please provide the following information. Your best recollection will suffice. NAME OF DRUG/CONTROLLED SUBSTANCE/NARCOTICDATE FIRST USEDDATE LAST USED FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Have you ever sold marijuana?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you ever cultivated or supplied marijuana?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you ever sold or furnished any form of drug or narcotic?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you manufactured any form of drug or narcotic?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If you answered "Yes" to any of the above questions, please explain on an addendum. The above questions do not apply to legal activities engaged in as a licensed professional. ESSAY question #1 Instructions: Maximum of one 8-1/2 x 11 page. (Please note that a typical response to this question will fill this page. Providing examples is encouraged to expand upon your life experiences related to this topic). Your  customer for this essay response is our Internal Admissions Committee, thus it is important that they have as complete of a response as possible to get a good understanding of your experiences.) If you have any questions regarding this, please email Deb Slawek at HYPERLINK "mailto:dslawek@cityofmadison.com"dslawek@cityofmadison.com. The Madison Police Department places an emphasis on providing a high quality, unbiased service, to all members of the community. Please provide an experience where you have exemplified these same traits.  FORMTEXT       HAVE YOU REMEMBERED? If you need any additional assistance or clarification in completing the application process, feel free to contact the Personnel and Training Team of the Madison Police Department at (608) 266-4190. In order for your application to be considered, it must be complete. An incomplete application will not be advanced for consideration unless/until all information requested has been submitted. An application is not complete without forwarding the following documents: If you are a high school graduate (or GED High School Equivalency) with no additional college courses taken, you will need to submit a copy of your high school transcript (or a copy of your high school equivalency scores if you meet education requirements on that basis). A transcript from each post-high school educational institution. Note: Wisconsin s Law Enforcement Standards Board requires that you have a minimum of 60 semester college credits within five years of employment with any law enforcement agency in the State of Wisconsin. For purposes of completing the preliminary application,  unofficial or student transcripts are acceptable. If you are advanced to the  background phase of the hiring process,  official transcripts will then be required. You may provide a resume, letters of recommendation, or any other similar documentation. If you are claiming Veterans Preference Points, please attach a copy of your DD214 form. (We understand that those still active in the armed forces will not have access to a DD214; submit the DD214 when separation has occurred.)  FORMCHECKBOX  Check here if any document will be delayed or if the institution wishes to mail it directly to the Madison Police Department. Please identify below the delayed documents:  FORMTEXT       APPLICANT DATA SHEET  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Last Name (print clearly) First Name Middle Name Date Application for position of: Police Officer Department/Division: Madison Police Department DATE OF BIRTH  FORMTEXT       /  FORMTEXT       /  FORMTEXT        FORMTEXT         FORMTEXT         FORMTEXT       (required) Social Security Number (optional) VETERAN STATUS: (please check one)  FORMCHECKBOX  Non Veteran  FORMCHECKBOX  Veteran claiming disability (DD214 Form and Veterans Disability Form must be attached)  FORMCHECKBOX  Veteran (DD214 Form must be attached)  FORMCHECKBOX  Other (specify service dates): The City of Madison has adopted an Affirmative Action Ordinance in compliance with State and Federal Law and City of Madison policies and ordinances. The disclosure of the following information is voluntary and allows us to meet federal government reporting requirements and evaluate the effectiveness of our recruitment efforts. This sheet will be removed from your application and the data will be kept confidential and will not be used in making employment decisions. Refusal to provide this information will not subject you to any adverse treatment. (PLEASE CHECK THE APPROPRIATE CATEGORY) RACIAL AND/OR ETHNIC HERITAGE:  FORMCHECKBOX  White, not Hispanic/Latino origin. (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)  FORMCHECKBOX  Black or African American, not Hispanic/Latino origin. (A person having origins in any of the Black racial groups of Africa.)  FORMCHECKBOX  Hispanic or Latino. (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)  FORMCHECKBOX  American Indian or Alaskan Native, not Hispanic/Latino origin. (A person having origins in any of the original peoples of North and South America, including Central America, and who maintain tribal affiliation or community attachment.)  FORMCHECKBOX  Asian, not Hispanic/Latino origin. (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.)  FORMCHECKBOX  Native Hawaiian or Other Pacific Islander, not Hispanic/Latino origin. (A person having origins in any of the original peoples of Hawaii, Guana, Samoa, or other Pacific Islands.)  FORMCHECKBOX  Two or more races, not Hispanic/Latino origin. (All persons who identify with more than one of the above races.)  FORMCHECKBOX  Other (specify)  FORMTEXT       GENDER:  FORMCHECKBOX  Male  FORMCHECKBOX  Female (Gender as identified on driver s license.) DISABILITY: Do you have a disability?  FORMCHECKBOX  Yes  FORMCHECKBOX  No The City of Madison considers a person with a disability anyone who meets the definition under either the American With Disabilities Act or the Wisconsin Fair Employment Act. You may contact the Occupational Accommodations Specialist at the number listed below if you need additional information. If you need reasonable accommodation(s) during the application process due to disability related functional limitations, please notify City of Madison Human Resources Occupational Accommodations Specialist at (608) 267-1156; TTY/Textnet (866) 704-2340;  HYPERLINK "mailto:sseverson@cityofmadison.com" sseverson@cityofmadison.com I need an accommodation in the hiring/examination process:  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, accommodation requested is (i.e., extended time, reader, alternative test format, other):  FORMTEXT       **You will be required to provide written verification from a doctor or other authorized person confirming your disability and indicating reasonable accommodation. How did you learn of this vacancy?  FORMCHECKBOX  Recruiting Officer  FORMCHECKBOX  Madison Police Officer  FORMCHECKBOX  Internet: Please indicate the site:  FORMTEXT        FORMCHECKBOX  Social Media: Please indicate the site:  FORMTEXT        FORMCHECKBOX  College Posting: Please indicate the institution:  FORMTEXT        FORMCHECKBOX  Job Fair: Please indicate where:  FORMTEXT        FORMCHECKBOX  On-Site Testing: Please indicate where:  FORMTEXT        FORMCHECKBOX  Other:  FORMTEXT        APPLICATION CERTIFICATION STATEMENT: (Please sign and date the following statement): I certify that all answers to the questions in this application are true, and I agree that any misstatements or omissions of fact will cause forfeiture on my part of rights to employment in the City service. Applicant s Signature Date Witness to Signature Date ELECTRONIC APPLICATION CERTIFICATION STATEMENT  FORMCHECKBOX  By checking this box, I certify that all answers to the questions in this application are true, and I agree that any misstatements or omissions of fact will cause forfeiture on my part of rights to employment in the City service.  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