Online Application

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SBSO eAPPLICATION INTRODUCTION

We recommended once you start the online application be prepared to spend approximately an hour to complete it. Have the required documents ready to upload and all the address information and phone numbers needed on past employers and references.

The St. Bernard Parish Sheriff’s Office requires that you complete this application completely and accurately. Among other things, this application is used to fulfill our obligations to the citizens of St. Bernard Parish by selecting only those individuals who meet the legal qualifications for the job for which they are applying. All of the information you provide will be verified. Deliberate misstatements or omissions will disqualify the applicant. Remember, it is your responsibility to ensure the accuracy of the application.

Part of the application process includes an oral interview, getting fingerprinted, completing a background check, successful completion of a polygraph examination and some positions require a typing and spelling test and/or physical agility test.

In order to be considered for employment, certain requirements must be met. To be hired, applicants must be at least 21 years old, have a high school or equivalent diploma. Other factors that influence the employment process are previous work experience, previous law enforcement experience, educational background, driving record, no history of felony convictions and responsible credit history.

Upon completion of the application, you will be asked to upload a copy of the following documents (PDF is the preferred file type) :

1. Birth Certificate or Naturalization Certificate for naturalized citizens.

2. High school diploma or G.E.D.

(For high school diplomas and transcripts, Louisiana graduates may contact the Louisiana Department of Education at 1-877-453-2721 or at www.doe.state.la.us.)

3. College diploma and transcripts plus any other educational certificates.

4. DD-214 for each period of military service and discharge certificate.

5. Valid state driver’s license or ID with the proper address.

6. Social Security Card

If you do not wish to use the online application, you can download a physical copy and complete it. You should bring the completed downloaded application, in person, and a copy of all pertinent documents listed above (1-6) to the 2nd floor of the Sheriff’s Office located at 2 Courthouse Square, Chalmette, Louisiana 70043 and give it to the on-duty desk officer.

**There is no place to make copies, so be sure you have made all the copies needed before arrival.**

Thank you for your interest in employment with the St. Bernard Parish Sheriff’s Office.

James Pohlmann

Sheriff

If you’re ready to begin click next!

Mission Statement

“The goal of the St. Bernard Parish Sheriff’s Office is to become the finest law enforcement organization in the State of Louisiana. To accomplish this goal, we must be selective in hiring, diligent in training, and thoughtful in supervision.”- Sheriff J. Pohlmann

APPLICATION FOR EMPLOYMENT

This application will be kept on file for twelve (12) Months.

Application Date.*

Select Date ×

Note:

All applicants shall meet the following qualifications:

–

Have attained the age of 21, and reside in St. Bernard Parish.
Have graduated from an accredited high school, or possess a high school equivalency diploma recognized in the state of Louisiana
Complete necessary training after employment.

–

INSTRUCTIONS

All questions must be answered! If the question does not pertain to you put “N/A” or “None” in the space.
Applications which are not complete will not be considered!

POSITION APPLYING FOR*

Select One

Write here

PERSONAL HISTORY

Last Name

First Name

Suffix (If Any)*

Write here

Full Legal Name*

Please enter your full legal name first / middle / last / suffix.

Have You Used Any Other Name In The Past

No Yes

Other Names Used

List all other names you have used: (Maiden, former name(s), alias(s) Nicknames (s))

Write Here

Mother’s Maiden Name *

Write Here

Social Security Number*

(SSL Encryption In Use)

NUMBERS ONLY NO DASHES

Driver’s Lic. Number*

State*

Class*

Residential Address *

Address

City

State

Zip Code

Is Your Mailing Address Different Form The Address Above?

No Yes

Mailing Address

Address

City

State

Zip Code

Social Media *

User name(s)/Name(s) used for social media sites (facebook, myspace, etc.)

User name(s)/Name(s)

Primary Email Address*

Email Address

Additional Email Address Used?

No Yes

Additional Email Address Used

Primary Phone Number*

This is the number we will contact you at.

Phone

Additional Phone Numbers Used.

Home Phone

Phone

BACKGROUND INFORMATION

Date Of Birth*

Select Date ×

City Of Birth*

Write City Of Birth

State Of Birth*

Write State Of Birth

Country (If not the U.S.A)

Are you a United States citizen?

No Yes

Are you a naturalized citizen?

No Yes

If naturalized, please provide

Date Time Title

Select Date ×

Place

Write Here

Court

Write Here

Naturalization #

Write Here

Height*

Write Here

Weight*

Write Here

Eye Color*

Write here

Hair Color*

Write here

Blood Type*

Spouse Name

Write Here

Former Spouse (s) name

Write Here

Are You A Member Of Any Social, Fraternal Or Civic Organizations

(Optional)

No Yes

I am a member of

EDUCATION/ High School

High School*

High School Name

Address

City

State

Zip Code

Date Attended (From)*

Select Date ×

Date Attended (To)*

Select Date ×

Years Completed*

Did You Graduate?*

Type of Diploma*

Write here

Additional Information.

If you don't have enough space you may enter additional information here.

Write Here

College or University Education

Did you attended College or University*

Yes

College or University Information

School Name

Address line one

City

State

Zip Code

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Write here

Type of Diploma

Write here

Do you have another Collage or University to report

No Yes

College or University Information (2)

School Name

Address

City

State

Zip Code

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Type of Diploma

Write here

Do you have another Collage or University to report

No Yes

College or University Information (3)

School Name

Address line one

City

State

Zip Code

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Type of Diploma

Write here

Additional Information.

If you don't have enough space you may enter additional information here.

Write Here

Other Schools Trade, Vocational, Etc.

Any Trade or Vocational Schools

No Yes

Trade, Vocational, Etc.

School Name

Address

City

State

Zip Code

Course of Study

Write Here

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Type of Diploma

Write here

Additional Trade or Vocational Schools

No Yes

Trade, Vocational, Etc. (2)

School Name

Address

City

State

Zip Code

Course of Study

Write Here

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Type of Diploma

Write here

Additional Trade or Vocational Schools

No Yes

Trade, Vocational, Etc. (3)

School Name

Address line one

City

State

Zip Code

Course of Study

Write Here

Date Attended (From)

Select Date ×

Date Attended (To)

Select Date ×

Years Completed

Did You Graduate?

Type of Diploma

Write here

Additional Information.

If you don't have enough space you may enter additional information here.

Write Here

FINANCIAL / LEGAL

Are you involved in any litigation?

No Yes

Please Explain

Are there any outstanding judgments against you?

No Yes

Please Explain

Have you ever had any accounts charged off due to non-payment?

No Yes

Number of accounts charged off due to non-payment.

Write Here

Please Explain

Have you ever declared bankruptcy?

No Yes

Please Explain

RESIDENCES

Addresses

Current Address*

Address

City

State

Zip Code

From*

Select Date ×

To*

Select Date ×

Additional Past Address 1

No Yes

Past Address 1

Address

City

State

Zip Code

Select Date ×

From

Select Date ×

Additional Past Address 2

No Yes

Past Address 2

Address

City

State

Zip Code

Select Date ×

From

Select Date ×

Additional Past Address 3

No Yes

Past Address 3

Address

City

State

Zip Code

Select Date ×

From

Select Date ×

Employment

List beginning with last (or present) job, and working backward, including summer and part-time employment while attending school. All time must be accounted for. If unemployed for a period, set forth dates of unemployment.

Employment History

Current Employer

Employer’s Name

Address

City

State

Zip Code

Phone Number (s)

Phone

Date Employed To

Select Date ×

Job Title

Write Here

Date Employed From

Select Date ×

Supervisor’s Name

Write Here

Description of Duties

Write Here

Reason for Leaving

Write Here

Past Employment 1

No Yes

Past Employment History 1

Employer’s Name

Address

City

State

Zip Code

Phone Number (s)

Phone

Date Employed To

Select Date ×

Job Title

Write Here

Date Employed From

Select Date ×

Supervisor’s Name

Write Here

Description of Duties

Write Here

Reason for Leaving

Write Here

Additional Past Employment History 2

Off On

Past Employment History 2

Employer’s Name

Address

City

State

Zip Code

Phone Number (s)

Phone

Date Employed To

Select Date ×

Job Title

Write Here

Date Employed From

Select Date ×

Supervisor’s Name

Write Here

Description of Duties

Write Here

Reason for Leaving

Write Here

Additional Past Employment History 3

Off On

Past Employment History 3

Employer’s Name

Address

City

State

Zip Code

Phone Number (s)

Phone

Date Employed To

Select Date ×

Job Title

Write Here

Date Employed From

Select Date ×

Supervisor’s Name

Write Here

Description of Duties

Write Here

Reason for Leaving

Write Here

Have you ever resigned or left by mutual agreement following allegations of misconduct or poor job performance?

No Yes

Please explain.

Additional Information You Would Like To Add

Write Here

MILITARY SERVICE

Draft Class (If draft class is 1-Y, state reason)

Write Here

Do You Have Any Military Service

No Yes

Branch Of Service

Write Here

End Date Of Service

Select End Date ×

Start Date Of Service

Select Start Date ×

Rank at time of Discharge

Write Here

Type of Discharge

Write Here

Do You Have Any Additional Military Service

No Yes

Additional Military Branch Of Service 1

Write Here

End Date Of Service

Select End Date ×

Start Date Of Service

Select Start Date ×

Rank at time of Discharge

Write Here

Type of Discharge

Write Here

Do You Have Any Additional Military Service

No Yes

Additional Military Branch Of Service 2

Write Here

End Date Of Service

Select End Date ×

Start Date Of Service

Select Start Date ×

Rank at time of Discharge

Write Here

Type of Discharge

Write Here

Previous Law Enforcement Agencies Employed By.

Previous Law Enforcement Experience & Agencies Employed By.

No Yes

Are You P.O.S.T. Certified?

No Yes

Date Of P.O.S.T. Completion

Select Date ×

Has your P.O.S.T. Certification ever been revoked, suspended or relinquished or subject to discipline?

No Yes

If Yes Please Explain.*

Write Here

Agency (1)

Agency Name

Address

City

State

Zip Code

Date To

Select Date ×

Date From

Select Date ×

Rank /Assignment

Write Here

Supervisor’s Name

Write Here

Reason for Leaving

Write Here

Additional Agency (2)

No Yes

Agency (2)

Agency Name

Address

City

State

Zip Code

Rank /Assignment

Write Here

Supervisor’s Name

Write Here

Date To

Select Date ×

Date From

Select Date ×

Reason for Leaving

Write Here

Additional Agency (3)

Off On

Agency (3)

Agency Name

Address

City

State

Zip Code

Rank /Assignment

Write Here

Supervisor’s Name

Write Here

Date To

Select Date ×

Date From

Select Date ×

Reason for Leaving

Write Here

Other Significant Training

No Yes

List Training and Dates

Write Here

REFERENCES

List three (3) reputable citizens who have known you well during the last 5 years. DO NOT list relatives or former employers.

Reference 1

Address

City

State

Zip Code

Phone

Business

Write Here

Reference 2

Address

City

State

Zip Code

Phone

Business

Write Here

Reference 3

Address

City

State

Zip Code

Phone

Business

Write Here

RELATIVES

Relatives (Optional)

Mother

No Yes

Mother

Mother's Name

Address

City

State

Zip Code

Maiden Name

Phone Number

Employer

Father

No Yes

Father

Father's Name

Address

City

State

Zip Code

Phone Number

Employer

Brother

No Yes

Brother (1)

Brother's Name

Address

City

State

Zip Code

Phone Number

Employer

Brother (2)

No Yes

Brother (2)

Brother's Name

Address

City

State

Zip Code

Phone Number

Employer

Sister

No Yes

Sister (1)

Sister's Name

Address

City

State

Zip Code

Phone Number

Employer

Sister (2)

On Yes

Sister (2)

Sister's Name

Address

City

State

Zip Code

Phone Number

Employer

Child

No Yes

Child (1)

Child's Name

Address (If Not Same As Yours)

City

State

Zip Code

Phone Number

Employer

Child (2)

No Yes

Child (2)

Child's Name

Address (If Not Same As Yours)

City

State

Zip Code

Phone Number

Employer

Child (3)

No Yes

Child (3)

Child's Name

Address (If Not Same As Yours)

City

State

Zip Code

Phone Number

Employer

Additional Space If Needed

Write Here

CRIMINAL HISTORY

Do You Have Any Traffic Citations or Accidents

No Yes

Traffic Citations or Accidents

	Charge Explanation	Date	Disposition
	Charge Explanation	Date	Disposition
1) Traffic Citation or Accident	Charge Explanation	Date	Disposition
2) Traffic Citation or Accident	Charge Explanation	Date	Disposition
3) Traffic Citation or Accident	Charge Explanation	Date	Disposition
4) Traffic Citation or Accident	Charge Explanation	Date	Disposition
5) Traffic Citation or Accident	Charge Explanation	Date	Disposition

Do You Have Any Arrests and/or Criminal Summons and/or Expungements

No Yes

Arrests, Criminal Summons, Expungements

	Charge Explanation	Date	Disposition
	Charge Explanation	Date	Disposition
1) Arrest, Criminal Summons, Expungement	Charge Explanation	Date	Disposition
2) Arrest, Criminal Summons, Expungement	Charge Explanation	Date	Disposition
3) Arrest, Criminal Summons, Expungement	Charge Explanation	Date	Disposition
4) Arrest, Criminal Summons, Expungement	Charge Explanation	Date	Disposition
5) Arrest, Criminal Summons, Expungement	Charge Explanation	Date	Disposition

SIGNATURE PAGE

By my signature on this application, I grant my permission to the Sheriff of St. Bernard, or his designee, to interview my present or prior employers, to make inquiries into my criminal history, driving history and credit history, and/or make whatever inquiries deemed necessary to any and all person(s), agency(s), etc. in order to verify and or to confirm the information I have provided on this application as a method of qualifying and or evaluating my ability to satisfactorily function in the capacity of a Deputy Sheriff for the St. Bernard Parish Sheriff’s Office. By my signature below, I do declare and attest that the information supplied on this application is true and correct to the best of my knowledge and belief, and I understand that any misrepresentations herein shall give cause for the disqualification of and/or refusal to consider my application.

I further agree to hold harmless from any criminal or civil liabilities the St. Bernard Parish Sheriff’s Office due to the outcome of these record.

Full Name

Signature

INFORMATION RELEASE WAIVER

ST. BERNARD PARISH SHERIFF’S OFFICE

AUTHORIZATION TO RELEASE INFORMATION AND WAIVER

I voluntarily and knowingly authorize any employee, person, firm, corporation, school, government agency, its officers, employees and agents, to release any and all information concerning my former employment to any prospective employer, its officers, employees and agents, or other person or entity making a written or oral request for such information. I understand that the information disclosed may include but not necessarily be limited to:

1. Employment history, including performance evaluations, job descriptions, disciplinary reports, and any other documents contained in my personal files, including documents that may have been sealed.

2. Opinions (whether verbal or written) regarding my suitability for employment possessed by my former employer.

3. Educational or scholastic records.

4. Financial records and credit information and reports.

5. Records maintained by any law enforcement agency, including but not limited to, police reports and other records of arrest, conviction, ordinance violations, juvenile records, or those relating to traffic violations.

I understand that this information is to be used to assist the St. Bernard Parish Sheriff’s Office in determining my qualifications and fitness for the position I am seeking with the St. Bernard Parish Sheriff’s Office. I authorize the St. Bernard Parish Sheriff’s Office to obtain any information falling with the categories listed above, including any information which may be considered confidential or privileged and authorize the St. Bernard Parish Sheriff’s Office to photocopy that information if so desired.

I voluntary and knowingly fully release and discharge, absolve, indemnify and hold harmless the St. Bernard Parish Sheriff’s Office as well as any former employer, person, firm, corporation, school or government agency, its officers, employees and agents, from any and all claims, liability, demands, causes of action, damages or costs (including attorney fees), present or future, whether known or unknown, anticipated, arising from or incident to the disclosure of any facts concerning my employment and other information described above in numbers 1-5.

I further waive and release any claim whatsoever I might have for any injury occurring while competing in any portion of the examination.

Name

Applicant’s Signature

Signature Date & Time*

Select Date ×

DOCUMENT UPLOADS

Valid Driver’s License Or ID With Proper Address Upload

Drag 'n Drop files here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of file: 1 | Min number of file: 1

Select Files

Birth Certificate Upload

Drag 'n Drop file here (PDFs will not display but are uploaded)

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of file: 1 | Min number of file: 1

Select File

Social Security Card Upload

Drag 'n Drop files here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of file: 1 | Min number of file: 1

Select Files

High School Diploma or G.E.D. Upload

For copies of high school diplomas and or transcripts, Louisiana graduates may contact the Louisiana Department of Education at 1-877-453-2721 or at www.doe.state.la.us.

Drag 'n Drop file here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of file: 1 | Min number of file: 1

Select File

College Diploma Upload

Drag 'n Drop file here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of files: 3

Select File

Other Educational Certificates Upload

Drag 'n Drop file here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of files: 5

Select File

DD-214 For Each Period Of Military Service & Discharge Certificate Upload

Drag 'n Drop files here

Max file size: 4.77 MB. | Allowed file types: jpg,jpeg,png,pdf,docx,doc,bmp | Max number of files: 5

Select Files

Application successfully restored

SBSO eAPPLICATION INTRODUCTION

Mission Statement

Mission Statement

APPLICATION FOR EMPLOYMENT

Note:

INSTRUCTIONS

PERSONAL HISTORY

BACKGROUND INFORMATION

EDUCATION/ High School

College or University Education

Other Schools Trade, Vocational, Etc.

FINANCIAL / LEGAL

RESIDENCES

Addresses

Employment

Employment History

MILITARY SERVICE

Previous Law Enforcement Agencies Employed By.

Previous Law Enforcement Experience & Agencies Employed By.

REFERENCES

RELATIVES

Relatives (Optional)

CRIMINAL HISTORY

SIGNATURE PAGE

Signature

INFORMATION RELEASE WAIVER

Applicant’s Signature

DOCUMENT UPLOADS

Valid Driver’s License Or ID With Proper Address Upload

Birth Certificate Upload

Social Security Card Upload

High School Diploma or G.E.D. Upload

College Diploma Upload

Other Educational Certificates Upload

DD-214 For Each Period Of Military Service & Discharge Certificate Upload

Your Application has been submitted