Careers

Other names (including nicknames) you have been known by

Please list address at which you can be contacted

Please list the local telephone number(s) at which you can be contacted.

For the purpose of identification, please provide the following:

During the course of the background investigation, persons who know you will be asked to comment on your suitability for the position

Please supply the appropriate information in the spaces provided below. If a category is not applicable, write in “N.A.”, If living please list below.

Please list 2 personal references and 2 professional references

The Winnebago County Sheriff’s Office Merit Commission requires a peace officer to possess a high school diploma or its equivalent. Please indicate your current situation with regard to this requirement by checking one of the appropriate boxes.

Please indicate below all the schools you have attended, beginning with high school. During the background investigation, persons who have known you in a learning environment will be contacted. A review of your school records may be made, in conjunction with these 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 high school level.)

Individuals who have become acquainted with you by reason of your residing in different locations are often helpful in providing useful information for the background investigation.

Please list all of your residences during the past 10 years (list no information prior to your 15th birthday). Begin with your current residence

Beginning with your most current employment, please list all jobs (including part-time, temporary and voluntary positions) you have held in the past 10 years. (For the purpose of this personal history statement, voluntary work should be included as employment.) For identification and verification, please indicate the nature of the activity, i.e., full-time, part-time or voluntary. If you have had intervening periods of military service or unemployment, please list those periods in sequence in the spaces provided.

Having made application with the Winnebago County Sheriff's Department in Rockford, Illinois, and desiring that they be informed of my previous records and character, I hereby authorize an investigation into all records which may be of interest to them. This authorization includes, but is not limited to: medical, school, employment, military, attorneys and counselors, and credit records, whether privileged or not. This authorization to furnish information is executed in consideration of the Winnebago County Sheriff's Department giving my application consideration and shall serve as a release of all liability to all parties furnishing such information to the Winnebago County Sheriff's Department.

I hereby release any person or persons providing or receiving such information from any and all liability for damages of whatever kind resulting to me, my heirs or assigns.