Form Center

The City of New Smyrna Beach provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The City of New Smyrna Beach complies with applicable state and local laws governing nondiscrimination in employment in every location in which the City has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. The information below will be used only in the compilation of data for required reporting to the Federal Government. Completion of this form is voluntary and will be kept confidential. It will not affect your opportunity for employment, or terms and conditions of employment, if hired. A photocopy of your Driver License or State ID is also required.

World War II: December 7, 1941 to December 31, 1946 Korean Conflict: June 27, 1950 to January 31, 1955 Vietnam Era: February 28, 1961 to May 7, 1975 Persian Gulf War: August 2, 1990 to January 2, 1992 Operation Enduring Freedom: October 7, 2001 to TBD Operation Iraqi Freedom: March 19, 2003 to TBD Operation New Dawn: September 1, 2010 to TBD

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER - DRUG FREE WORKPLACE

It is the policy of the New Smyrna Beach Police Department to recruit qualified individuals who will make the best candidate from all segments of the work force. In pursuing this goal, a background investigation of each candidate is conducted with respect to factors that may have a bearing upon the applicant’s job performance or which measure job capability. It is impossible to state all relevant and material factors necessary for a complete background investigation. In each case, the agency will consider whether the candidate’s background makes him/her the best-suited candidate for employment. The circumstances underlying any negative findings will be considered relating to the candidate’s ability to perform the particular job for which he/she is applying.

The New Smyrna Beach Police Department does not discriminate on the basis of race, religion, color, sex, national origin, veteran status, political affiliation, marital status, disability, or other factors that are not considered bonafide occupational qualifications identified by job analyses. This policy covers all areas of employment, including, but not limited to, recruitment, selection, placement, training, promotion, transfer, discipline, layoff, termination, wages, benefits, performance appraisals, and work conditions. The Department strongly encourages minorities and women to apply for positions within the New Smyrna Beach Police Department, and active recruiting efforts will be directed toward that end. The selection process will use only those components that measure behaviors, knowledge, skills, and abilities that are demonstrated to be job-related.

In accordance with the requirements set forth in Florida State Statues 440.101 and 440.102, as well as in accordance with Rule 38F-9, established by the Florida Department of Labor and Employment Security, Division of Worker’s Compensation, the City of New Smyrna Beach adheres to a “Drug Free Workplace Policy”. It is a condition of employment with the City of New Smyrna Beach to refrain from reporting to or working with the presence of drugs or alcohol in an employee’s body. The City of New Smyrna Beach sees substance abuse as a serious threat to employees and its customers, the general public. Violation of this policy may subject the employee to disciplinary procedures up to and including termination.

Applicants must be non-smokers. Employees hired after October 1, 2008 are not permitted to use tobacco products of any type, at any time (on-duty or off- duty) and must comply with such prohibitions as a condition of hire and continued employment.

Tattoos, body art, brands, intentional scarring, piercings and/or mutilation on the head, face, neck, scalp or hands that cannot be covered or concealed by a short sleeve uniform shirt are prohibited. This includes, but is not limited to; pierced, split or forked tongue, and/or stretched out holes in the ears.

The work environment characteristics described here are representative of those an officer encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, an officer occasionally works in outside weather conditions, near moving mechanical parts; in high, precarious places; with explosives, and is occasionally exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, extreme cold, extreme heat, and vibration. The noise level in the work environment is usually moderate.

During the selection and placement process, it will be necessary to inform the appropriate persons participating in the selection process of your record. Pursuant to Florida Statute 119, the Public Records Act, documents made or received by the New Smyrna Beach Police Department in the course of processing the application may be public record and open for inspection by the public. Some records, such as examination questions and answers and medical documentation are not public records and may not be disclosed.

Any individual convicted of a felony shall be ineligible for appointment to the New Smyrna Beach Police Department as required in Florida Statute 943.13. A felony is defined by Florida law “as any offense for which a person may receive one year of confinement in a state or federal institution”. Additionally, any misdemeanor crime shall be a preclusion if it involved moral character, false statement, or perjury. With respect to all other criminal convictions which are not felonies, in each case the agency will consider whether the prior criminal conviction or military offense conviction will have a bearing on the applicants’ qualifications or suitability for the job for which he/she is applying, in accordance with FL State Statute 943.13. The date and nature of the offense, the requirements of the position sought, as well as other qualifications, will be evaluated.

The New Smyrna Beach Police Department allows for reapplication, and reevaluation of candidates not selected for employment. Applicants must wait (3) three months and must go through the entire evaluation process. This does not include candidates whose history indicates unfitness for duty; candidates who were untruthful during the initial application process; and candidates who were not selected due to not fulfilling state mandated requirements/

As an employee with the New Smyrna Beach Police Department, you may be required to work any hour of the day, and day of the week, or any recognized holiday. You will be required to maintain proficiency in the use of any equipment related to your job classification. You will be required to work with and for persons of differing race, sex, religious affiliation, age group, and physical disability. The job description is subject to change by the employer as the needs of the employer and requirements of the job change.

Required: High school diploma or equivalent. Preferred: A minimal two-year community college degree or vocational school training in police science, law enforcement, criminal justice administration, public administration, or related field, or an equivalent combination of education and experience. Required: Possess certifications as required by Florida Criminal Justice Standards and Training Council and any other certificates mandated by State, County, or local Statutes. Required: Possesses a valid State of Florida Driver's License without record of suspension or revocation in any state. Required: The following documents are required to process your application. Not all positions are required to certain documents. The chart is designed to inform you what you will be required to furnish

Should you be selected by the Chief of Police as a candidate for employment as a POLICE OFFICER or INTERN and extended a conditional offer of employment, you will be required to successfully complete a Physical Abilities Test (PAT). This test is approved by the Criminal Justice Standards of Training Commission and is currently being utilized by training centers throughout the State of Florida. The PAT consists of a battery of job-related field tests. The test is designed to measure balance, muscular endurance and strength, flexibility, anaerobic power and capacity, fine motor skills and aerobic power. Tests will include two 220 yard runs, dragging 150 pounds 100 feet, jumping over obstacles (12-24 inches high), climbing over a wall (40 inches high), two 50 foot sprints and movement around a series of pylons. This test must be successfully completed within 6 minutes 4 seconds. Candidates failing to complete the PAT within the required time will be removed from consideration for employment.

The purpose of the application is to obtain truthful answers regarding your personal history. Providing false information will be sufficient cause for rejection. Please complete all portions of the application fully, accurately, legibly printed or typed, or your processing may be delayed or stopped. All addresses must be complete, including a zip code and phone number. If an item does not apply to you, write in the letters “N/A” for “Not Applicable.” The candidate must submit the application with notarized signatures on the Certificate of Information and FDLE Form CJSTC 58. Additional space may be needed regarding past employment or residences; you may copy or attach additional pages to this application form. Prior to submitting the application to the City Human Resources office, ensure that your signature is notarized on the proper forms. Mail or return all competed forms within the application to the City of New Smyrna Beach Personnel Office located: City of New Smyrna Beach Attn: Human Resources 210 Sams Ave New Smyrna Beach, Florida 32168

Each step must be passed in order to proceed to the next. You will be notified by mail or phone as to the next step. Unsuccessful applicants are eligible to re-apply after three (3) months and begin again at Step 1.

Step 1- Required to Pass Oral Board Step 2- Voice Stress Test and Background Investigation. Step 4- Physical Abilities Testing Step 3- Conditional Offer of Employment: Conditional Upon the Successful Completion Medical/Drug Screening and Psychological Testing. If you have any questions you may call 386-424-2243, ask for the Office of Professional Standards.

The New Smyrna Beach Police Department is unable to process your application until you submit the completed and notarized FDLE Authority for Release of Information (CJSTC 58). If you are unable to scan and upload the document in the space provided above, please fax to 386-424-2255 or mail to NSBPD 210 Sams Ave. New Smyrna Beach, FL 32168. Your application will not be reviewed until this form is received.

The City of New Smyrna Beach provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, The City of New Smyrna Beach complies with applicable state and local laws governing nondiscrimination in employment in every location in which the City has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. The City of New Smyrna Beach expressly prohibits any forms of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, nation origin, age, genetic information, disability, or veteran status.

The purpose of this application is to obtain truthful answers. Providing false information will be sufficient cause for rejection. Please complete all portions of this application fully, accurately, legibly printed or typed, or your processing may be delayed or stopped. All addresses must be complete, including a zip code and phone number. If an item does not apply to you, write in the letters “N/A” for “Not Applicable.” The candidate must complete the application and submit the notarized signatures on the Certificate of Information and FDLE Form CJSTC 58. Additional space has been provided and the application may be copied, if needed.

Please submit copies of all the documents listed below applicable to you. Copies should be on letter size paper (8.5” by 11) be inserted in the order listed at the back of the application. Your application will not be accepted and your processing will not begin without the necessary documents. In the event you are selected for a position with this agency, you will be required to present an original copy of your driver’s license, birth certificate, or state ID, and social security card.

List all the jobs held in the past ten (10) years, including military service. Begin with your present or most recent employment and work backward. List all law enforcement agencies that employed you, even if it was more than 10 years previously. Use the supplement page on page 15 or copy of this form if more space is necessary. If you were employed under a different name with a past employer, indicate the name in the parenthesis. Applicants may be required to furnish satisfactory proof of experience claimed.Start with Present or Most Recent

List chronologically all of your residences for the past ten years, beginning with the most recent. Include addresses while attending school, if away from home, and all military addresses, including any off military base. (Use additional Sheet if Necessary)

List three personal references that are friends or coworkers that you have known for at least five (5) years. Do not list relatives or neighbors. You must give complete information on each reference.

Please read and sign in the presence of a Notary. I certify that the information contained in this application is correct and complete to the best of my knowledge. I agree to inform the agency in writing of any additional information relating to questions raised on the application that occur after completing the application. I realize that misrepresentation of facts or the failure to include or update information may be cause for rejection or dismissal after employment. I understand each application will be given consideration, but its receipt does not imply the candidate will be employed. THIS IS NOT AN EMPLOYMENT CONTRACT OR OFFER OF EMPLOYMENT. Any offer of employment is conditional upon my satisfactory completion of all pre-placement procedures, which includes, but is not limited to the following: applications screening, written test, oral interviews, full background investigation, physical abilities testing, truth verification testing, drug/medical testing, psychological tests, and any other testing that the New Smyrna Beach Police Department deems necessary. I may incur some expenses for background checks. I understand that I will not be reimbursed for these extra expenses whether employed or not. I also realize that this processing may be lengthy and that no promises or commitments are expected as to a time when a hiring decision and/or actual employment may take place. Should I be employed by the New Smyrna Beach Police Department, I understand and accept that I must successfully complete a probationary period, and if deemed necessary by the agency, that probationary period may be extended beyond the minimum 12-month period and minimum completion of FTEP (field training). If probation period is extended, I will be notified of the extension and the length of it. As a probationary employee, I understand that I may be discharged at- will with no entitlement to any right to discharge me for any or no reason. I understand that the continuation of processing does not guarantee that the results of preceding examinations were acceptable. Candidates not selected for a position shall be notified in writing within 30 days of decision. I understand that due to the large volume of applicants, I am not to contact the New Smyrna Beach Police Department unless specifically told to do so by a representative from the Office of Professional Standards. A Professional Standards representative will contact applicants periodically. Therefore, I will be expected to inform the Professional Standards representative as to any address/contact change. I confirm that I do have the ability to perform all job-essential duties with or without reasonable accommodation. I understand that I must comply with the conditions outlined in this application package to be considered for employment. I also understand the information contained in this application package is subject to change by the New Smyrna Beach Police Department or the City of New Smyrna Beach and the requirements contained in this application package may not be all of the requirements necessary for successfully obtaining the position for which I have applied. In signing below, I acknowledge I have read and understand the attached policies and standards of the City of New Smyrna Beach and the job description for the position for which I am applying. Police Interns: Be it enacted by the Legislature of the State of Florida, Section 1. Section 943.16 Florida Statutes, is amended to read: 943.16 Payment of tuition by employing agency. (1) An employing agency is authorized to pay any costs of tuition of a trainee in attendance at an approved basic recruit-training program. Page 10 of 16 (2) A Trainee who attends such approved training program at the expense of an employing agency must remain in the employment or appointment of such employing agency for a period of not less than THREE YEARS, If employment or appointment is terminated on the trainee's own initiative within THREE YEARS, he or she shall reimburse the employing agency for the cost of his or her participation; and such employing agency may institute a civil action to collect such tuition cost if it is not reimbursed. Statement of Application: I understand that previous employers will be contacted for references. I hereby authorize former employers to furnish any and all records of my service with them. I also release my former employers from any liability for any damage in providing this information. I also authorize educational institutions to furnish any records of education-related information they may have concerning me. Status: I understand that positions regarded as part-time and/or temporary are paid for actual hours worked and are not entitled to benefits offered to full time positions, with the exception of FICA and Worker’s Compensation. Probation Period: I understand that if hired, my position with the City of New Smyrna Beach is temporary during the established initial probationary period. My employment may be ended before the expiration of that period for any reason, without recourse. Physical Examination/Drug/Alcohol Testing: I am aware that the City of New Smyrna Beach is a “Drug-free Workplace”. I understand that I may be required to take and pass a physical examination after an offer of employment is made and employment is contingent on the results of that examination in accordance with the Americans With Disabilities Act (ADA). I also understand that the post-offer physical, I will receive a copy of the City’s Drug-free Workplace Program. Any illegal or controlled substance that shows in my test results will cause my immediate disqualification for employment with the City of New Smyrna Beach. Public Records: Pursuant to Florida Statute 119, the Public Records Act, documents made or received by the City of New Smyrna Beach may be public record and open for inspection by the public. Some records, such as social security numbers, examination questions and answers and medical documentation are not public records and may not be disclosed. Certification: I understand that this application must be completed in full. Incomplete applications may be rejected. I agree that any false or misleading information provided by me will be cause for canceling the application process. If hired by the City of New Smyrna Beach, after my hire date, it may cause my dismissal from City service. I have answered all the questions on this form completely and truthfully. I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. If hired, I agree to accept conditions of employment and abide by rules, procedures and policies of the City of New Smyrna Beach. Release of Information: By signing below you hereby authorize and give consent for the City of New Smyrna Beach to obtain information pertaining to possible criminal history on myself. This includes the following: Criminal Background Records/Information Sex Offender Registry Information, Addresses and Social Security Number Verification. I hereby release from liability and promise to hold harmless under any and all possible claims or causes of action (i) any and all persons or entities who shall furnish such information to the District, its officers, agents or employees, and (ii) the District, its officers, agents or employees for any statements, acts or omissions in the course of obtaining said information. Furthermore, I understand that this release is signed, free from duress, and with the full knowledge and understanding that any information obtained will be used in assessing my relative fitness for employment with the City of New Smyrna Beach.