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Personal Information

Thank you for your interest as an applicant of the Blue Earth County Sheriff’s Office non-licensed reserve unit.
Applications will be reviewed on a quarterly basis. You will be contacted when the review is complete.
Last Name*
First Name*
Middle
Address1*
Address2
City*
State*
Zip*
Phone*
Alternate Phone
Email*
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Please list any other licenses, registrations or certificates that are required, pertinent or relevant to the position for which you are applying. Please include a PDF or copy of each.
Licensing / Registration / Cert
Licensing Agency
Expiration Date
License#
Attach a PDF Copy
Licensing / Registration / Cert
Licensing Agency
Expiration Date
License#
Attach a PDF Copy
Licensing / Registration / Cert
Licensing Agency
Expiration Date
License#
Attach a PDF Copy
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Community Service Experience
Describe any community service experience relevant to the position for which you are applying (you may exclude, if you wish, information which would reveal race, sex, religion, age, disability, or other protected status).
Unpaid Experience
Describe any unpaid or volunteer experience relevant to the position for which you are applying (you may exclude, if you wish, information which would reveal race, sex, religion, age, disability, or other protected status).
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Highest Grade Completed. *
1. High School
2. College / Technical School
3. Graduate JD
Please select the highest grade completed. You will have an opportunity to list additional education details below.
High School
Name of school*
Address*
College
Name of school
Course of Study
Address
Degree
Graduate School
Name of school
Course of Study
Address
Degree
Technical/Vocational:
Name of school
Course of Study
Address
Degree
Other:
Name of school
Course of Study
Address
Degree
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List people who know you well, preferably from a work environment, and not a personal acquaintance or relative.
Name*
Telephone*
Address1*
Address2
City*
State*
Zip*
Relationship*
Name*
Telephone*
Address1*
Address2
City*
State*
Zip*
Relationship*
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Background
Notice:
• All applicants will be subject to a background check prior to becoming active and placement.
• Selected applicants will also be required to successfully complete a psychological consultation prior to placement on the Sheriff’s Office Reserve Unit.
Have you ever been have you ever been convicted or charged with a misdemeanor, gross misdemeanor or a felony?*
1. Yes
2. No
If Yes, Please Explain
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Please affirm the following*
1. By checking this box, you affirm the following statement is true.
I certify that all statements made on this application are true, complete, and correct to the best of my knowledge and belief. I understand these statements are subject to verification. I understand that falsification of this application may disqualify me from consideration or result in termination of status upon recovery. Furthermore, my agreement to this statement, provides authorization to the Blue Earth County Sheriff’s Office to conduct reference checks to determine my suitability for placement.
I understand that this application is an application for placement within the Blue Earth County Sheriff’s Office. This form in not an application for employment, nor establishes employment with Blue Earth County.

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