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Applicant Information

This application is broken into multiple pages. All fields must be filled out completely.
In no way does the Hometown, IL Police Department guarantee employment. Applications are processed as new positions become available. At this time, we are accepting applications and may stop at any time.
First Name*
Last Name*
Street Address*
Address Line 2
City*
State*
Zip Code*
Phone*
Phone Provider*
Email*
Date Available*
Date Available
Date of Birth*
Date of Birth
Position applying for:*
1. Part Time Police Officer
2. Civilian Position (Clerk, Crossing Guard, etc.)
Are you a citizen of the United States?*
1. Yes
2. No
If no, are you authorized to work in the U.S.?*
1. Yes
2. No
Have you ever been charged or convicted of a crime?*
1. Yes
2. No
This includes felony, misdemeanor, or petty crime, expungement(s)
If yes, explain what and when?
Are you a certified Police Officer in Illinois?*
1. Yes
2. No
Type of Certification*
1. Police Officer
2. Corrections
Upload Certifications*
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Military Service
Branch
Served (To - From)
Served (To - From) Start Date
—
Served (To - From) End Date
Rank at the Time of Discharge
Upload DD214
Type of Discharge
If not honorable, please explain.
Disclaimer & Signature
By signing below, I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
eSignature
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By signing this authorization, the applicant grants permission to the Hometown Police Department and any other public or private entity to conduct a background check for the express purpose of determining whether the applicant is eligible to work for the Hometown Police Department. The background search will include, but is not limited to, arrests, criminal charges, criminal convictions, and information regarding criminal justice contacts.
I affirm that I have read and fully understand the above paragraphs and I consent to the aforementioned background check.
Position Applied For:*
Sex*
1. Male
2. Female
eSignature*
This information is confidential. Disclosure of confidential information is protected by the Federal Privacy Act. Authority: 1935 PA 59 Compliance: Voluntary
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