STANDARD APPLICATION FOR POSITION OF PUBLIC SAFETY OFFICER IN THE STATE OF MONTANA

The information contained on this form is sought in good faith. It will not be used in any way to discriminate against any application for employment in violation of state or federal law.
INSTRUCTIONS: Complete this application by filling in the fields in each section (tab), then click the button on the 'Sign / Submit' tab to submit your application. Please verify all information prior to submitting the application. You will have the opportunity to save and print your completed application at the end of this online application process.
Please contact Job Service Kalispell if you need any assistance submitting your electronic application, at: Job Service Kalispell, 427 1st Avenue East, Kalispell, MT 59901. Phone: (406) 758-6200, Email: KalispellJSC(at)mt.gov
This agency is committed to making reasonable accommodation to any known disability that may interfere with an applicant's ability to compete in the selection process or an employee's ability to perform the duties of the job. If you would like us to consider any such accommodation, please notify us at the time of need.
THE VETERANS' EMPLOYMENT PREFERENCE ACT AND THE DISABILITY PERSONS' EMPLOYMENT PREFERENCE ACT provide preference in public employment for certain military veterans and handicapped persons or their eligible relatives. Contact your local Vocational Rehabilitation Services Office (Department of Public Health and Human Services) for details on obtaining handicapped person's certification. Contact your local Veteran's Affairs Office (Department of Military Affairs) for details on obtaining veteran's preference certification. If you are claiming either employment preference, you must complete the Employment Preference section of this application.
This application form will time out in 3 hours. If you do not complete the form by 6:52 AM you will need to start over.

FLATHEAD COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER

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In order for your application to be submitted and considered, this position requires that you attend and participate in a testing session on . Click here for more information
YOUR INFORMATION
Do you have a valid driver's license?

EDUCATION

High School
Which Awarded the Diploma or Equivalency Certificate
Received diploma or equivalency certificate?
College or University
List Other Schools or Training that Help you Qualify
Which Awarded the Diploma or Equivalency Certificate
Did you Complete?
Which Awarded the Diploma or Equivalency Certificate
Did you Complete?
PROFESSIONAL LICENSES, REGISTRATION OR CERTIFICATES (EMT, GVW, Diver, POST, etc.)
Please enter the complete address (street, city, state and zip)
Please enter the complete address (street, city, state and zip)
Please enter the complete address (street, city, state and zip)
Please enter the complete address (street, city, state and zip)
Please enter the complete address (street, city, state and zip)
SPECIAL SKILLS (Check the skills you posess. Specify speed/errors where requested)
List any criminal convictions you have had as an adult
List types of equipment you can operate and specify name or model you have used such as radio equipment, computers, video equipment, alcohol consumption testing equipment, etc.

Begin with your present or most recent job and list your work experience with emphasis on experience that is relevant to the position for which you are applying. Include military service and any volunteer work experience that would help you qualify. List each promotion as a separate position. You may respond to this section on a separate sheet of paper provided you answer all questions in the blocks and follow the same format. On each sheet, write your name and the job title for which you are applying. This information must be completed even if you submit a resumé.

Notice to applicants: Information that you provide on this application is subject to verification. Previous employers may be contacted as references.
Do you want to be informed before we contact your present employer?
Employer #1
Dates Employed
Such as knowledge, skills, abilities required, employees supervised and accomplishments
Employer #2
Dates Employed
Such as knowledge, skills, abilities required, employees supervised and accomplishments
Employer #3
Dates Employed
Such as knowledge, skills, abilities required, employees supervised and accomplishments
Employer #4
Dates Employed
Such as knowledge, skills, abilities required, employees supervised and accomplishments
Employer #5
Dates Employed
Such as knowledge, skills, abilities required, employees supervised and accomplishments

VETERAN'S AND HANDICAPPED EMPLOYMENT PREFERENCE

If you wish to claim Veterans or Handicapped Persons Employment Preference, in accordance with Montana Law, you must complete this form with your application and it must be submitted by the posted closing date. One form must be completed for each position for which you wish to be considered.


I.


II. To claim VETERAN'S EMPLOYMENT PREFERENCE , you must be a U.S. citizen and select one of the options below:
, if
  1. You have been separated under honorable conditions, AND
  2. You have served more than 180 consecutive days of active duty other than for training in the Army, Air Force, Navy, Marines or Coast Guard, or as a member of the Montana Army or Air National Guard and completed your 6 year enlistment with the last 3 years in a Montana Guard unit.
, if
  1. You have been separated under honorable conditions from active duty, AND
  2. You have an established Armed Forces, service-connected disability OR are receiving compensation, disability retirement benefits, or pension from the U.S. Department of Veterans Affairs or military department, OR you have received a Purple Heart.
if the veteran's disability prevents him/her from working.



, if
  1. THE VETERAN lost his or her life under honorable conditions while serving in the Armed Forces, OR THE VETERAN has a service-connected, permanent, and total disability, AND
  2. YOUR SPOUSE is totally and permanently disabled, OR you are the unremarried widow of the father of the veteran
PLEASE ATTACH FORM DD-214 OR NATIONAL GUARD DCSPER FORM 1 IN THE NEXT SECTION


III. You may claim HANDICAPPED PERSONS EMPLOYMENT PREFERENCE as (select one of the options below):
certified by DPHHS.

of a totally (100%) disabled person certified by DPHHS.

If you checked one of the above boxes for Handicapped Persons Employment Act:

Are you a Montana resident?     

If YES, enter date residency was established:
PLEASE ATTACH COPY OF DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES (DPHHS) CERTIFICATION IN THE ATTACHMENTS SECTION

SUPPORTING DOCUMENT ATTACHMENTS (resumé, DD-214, training certificate, etc.)

Only image types (JPG, GIF, PNG) and document types (PDF, TXT, DOC, and DOCX) are allowed to be uploaded with this application. If an uploaded document is password protected or contains embedded images hosted on a 3rd party website, the application submission may fail.
If you have more than ten (10) documents, multiple documents should be scanned together into one file prior to attachment here.

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All required information must be completed in each section to save/submit your online application. Applications cannot be submitted and will not be accepted after 5:00 pm (Mountain Time) on the closing date.

PLEASE VERIFY ALL INFORMATION IN ALL SECTIONS FOR ACCURACY, SPELLING, AND COMPLETENESS PRIOR TO CONTINUING.

ELECTRONIC SIGNATURE AND CERTIFICATION

By clicking on the 'Continue' button below, you are submitting this form and hereby apply your electronic signature to this application, certifying that you understand and agree to the following:
  • I am the individual named on this application and have filled it out personally, or with assistance from an authorized third-party representative.
  • All information on this and all attached documents is true, correct and complete to the best of my knowledge and contains no willful falsifications or misrepresentations.
  • I am prepared to and can document my claim for preference upon request (if selected in previous section).
  • Falsifications or misrepresentations may disqualify me from consideration for employment or, if hired, may be grounds for termination at a later date.
  • Employers may be contacted as references.