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  2. We welcome you as an applicant for employment with the City of Rolling Meadows. In accordance with federal, state, and local laws, the City of Rolling Meadows is committed to recruit, hire, promote, train and evaluate all personnel without regard to race, color, religion, sex, age, national origin, citizenship status, sexual orientation, marital status, veteran status, disability or other protected/legal group status (except when gender, age, or physical ability is a bona fide occupational qualification).

    The City of Rolling Meadows complies with the Americans with Disabilities Act (ADA). If you are an individual with a disability and require assistance or accommodation in filling out this application, please contact the Human Resource Department at 847-394-8500 

  3. Position Applied For*

    Certified means: A police officer who does not need to enter a police academy and is already certified in the State of Illinois

  4. How did you learn of this job opportunity

  6. Have you filed a previous application*
  7. Are you related to any employee or elected official of the City of Rolling Meadows*
  8. Have you ever been employed by the City of Rolling Meadows*
  9. From

  10. To

  11. Are you legally authorized to work in the United States?*

    Proof of citizenship, immigration status or work permit will be required upon employment with the City

  12. Do you possess a valid driver's license*
  13. Have you ever plead guilty or no contest to or been convicted of a felony crime?*

    Note: Answering "yes" does not constitute an automatic bar to employment and will be considered only as it relates to the position applied for. Applicants are not obligated to disclose sealed or expunged records of conviction or arrest, or minor traffic citations and the applicant is not obligated to disclose expunged juvenile records of adjudication or arrest. This information will be used only for job related purposes and only to the extent permitted by applicable law.

  15. Degree or Diploma
  16. Did you graduate
  17. Do you have a GED
  18. Degree or Diploma
  19. Did you graduate
  20. List the name, address, years completed, course of study, degree or diploma, and if you graduated or are still attending any other colleges, Universities, Vocation or Business Schools, and any other Higher Education

  21. List any special courses, seminars, workshops, training, licenses, certificates, and/or professional memberships applicable to the position you are applying for.

    You may exclude any memberships that would reveal race, color, national origin, religion, creed, gender, sexual orientation, age. disability, marital or veteran status, or any other legally protected status.

  23. Are you a veteran of the United States Military?*
  24. Describe any job-related training you have received in the United State's Millitary


    Start with your most recent employment record in reverse order. Account for any time that you were unemployed by stating the nature of your activities. You must complete this section even if submitting a resume. Please include any special assignments & volunteer activities.

  26. Is this position
  27. May we contact this employer*
  28. If still employed here please type "DNA"

  29. Is this position
  30. May we contact this employer for a reference*
  31. Is this position
  32. May the City contact this employer for reference*
  33. Please list any other jobs not currently listed using the same format that was followed

  34. Have you ever been terminated or asked to resign from any job?*

    Please list three references that are familiar with your work history and experience. Do not list relatives, friends, or personal references.


    I certify that all answers and information given herein are true, accurate, and completed to the best of my knowledge. I understand that any omissions, misrepresentations, or false statements throughout this application or any additional documents submitted are grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I further understand that I am required to abide by all rules, policies, procedures and regulations of the City of Rolling Meadows. 

    In consideration of my application for employment I authorize the City of Rolling Meadows to investigate my references, work record, transcripts, statements and other supporting sources related to my suitability for employment. 

    I understand that for certain positions inquiries by the City of Rolling Meadows may include investigating criminal convictions and/or contacting former employers and other references listed on this application and I agree to cooperate in such investigations. 

    I hereby release the City of Rolling Meadows from any and all liability that might result from conducting a background investigation. I further release from liability anyone supplying information related to such investigation. 

    I understand that the City of Rolling Meadows is in no way obligated to provide employment and that I am in no way obligated to accept employment with the City. Nothing in this application is intended to create any contract of employment, expressed or implied, or to create any rights to the nature of a contract of employment. This application does not bind either party for a specific period of time regarding employment. I understand that no representative of the City of Rolling Meadows other than the City Manager, has the authority to make any assurances to the contrary. Any such assurances to the contrary by the City Manager must be in writing. If I am hired, nothing shall restrict my right as an employee to terminate my employment at any time, nor shall anything restrict the right of the City to terminate my employment at any time, nor shall anything restrict the right of the City to terminate my employment at any time at the option of the City. 

    I understand that neither this document, nor the City of Rolling Meadows Personnel Policy Manual, nor any offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed by the employer and employee in writing. 

    I acknowledge that I have read the above statements and grant permission to verify the information supplied on this application for employment and employment related documents I have provided. 

  37. Application Acknowledgement*

    I have read and understand the above statement. This application is complete and accurate to the best of my knowledge.

  38. Please upload any training certificates or any other documents you feel we need to see.

  39. *By checking the box above and typing your name on the signature line it acts as your signature.

  40. Leave This Blank:

  41. This field is not part of the form submission.