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The Florida 10 1777 form, commonly referred to as the Pre-Screener Application for the Seminole Police Department, serves as an essential first step for individuals aspiring to join the ranks of law enforcement in Florida. This application is meticulously designed to gather comprehensive information about potential candidates, ensuring that all relevant details are captured accurately. Applicants must be at least 19 years old and are required to provide personal information such as their name, Social Security number, contact details, and residency information. Additionally, the form prompts candidates to specify the position they are seeking—whether as a Police Officer, Dispatcher, Clerical/Administrative staff, or Community Service Aide. Notably, the application emphasizes the importance of honesty, asking about citizenship status, educational background, and any previous encounters with law enforcement. It also inquires about employment history, including specific duties performed in past roles, and seeks clarity on any criminal history, military service, and potential disciplinary actions from previous employers. By completing this form, applicants not only initiate their journey into law enforcement but also contribute to a thorough vetting process that upholds the integrity and safety of the community.

Documents used along the form

When applying for a position with the Seminole Police Department using the Florida 10 1777 form, there are several other documents and forms that may be needed to complete your application process. Each of these documents serves a specific purpose, helping to ensure that your application is comprehensive and meets all necessary requirements. Below is a list of documents often used in conjunction with the Florida 10 1777 form.

  • Background Check Authorization Form: This form allows the police department to conduct a thorough background check on the applicant, including criminal history and employment verification.
  • Medical Examination Release Form: Applicants may need to complete this form to authorize a medical examination, ensuring they meet health standards for law enforcement positions.
  • Drug Testing Consent Form: This document grants permission for drug testing, which is often a requirement for law enforcement applicants to ensure a drug-free workplace.
  • Employment Verification Form: This form is used to verify past employment, detailing job titles, dates of employment, and reasons for leaving previous positions.
  • Personal Reference Form: Applicants may be required to provide personal references who can vouch for their character and qualifications for the position.
  • Certification of Training Form: If applicable, this form documents any law enforcement training or certifications the applicant has completed, which may be relevant to the position sought.
  • Resume: A resume outlines the applicant's work history, skills, and qualifications, providing a comprehensive view of their professional background.
  • Disclosure of Criminal History Form: This form requires applicants to disclose any prior arrests or convictions, even if they have been expunged or sealed.
  • Social Media Policy Acknowledgment Form: Applicants may need to acknowledge understanding of the department's social media policy, which outlines acceptable online behavior.
  • Affidavit of Truthfulness: This document affirms that all information provided in the application is accurate and truthful, which is crucial for maintaining integrity in law enforcement.

Gathering these documents can streamline the application process and enhance your chances of being considered for a position. Each form plays a vital role in assessing your qualifications and suitability for a law enforcement role. Be sure to review each requirement carefully and provide complete information to facilitate a smooth application experience.

Similar forms

The Florida 10 1777 form is similar to the Federal Form I-9, which is used for verifying the identity and employment authorization of individuals hired for employment in the United States. Both forms require personal information such as name, address, and Social Security number. They also include questions about citizenship status, ensuring that applicants meet eligibility requirements for employment. The I-9 form must be completed by both the employee and employer, whereas the Florida 10 1777 is focused solely on the applicant's information for police department positions.

Another comparable document is the Employment Application Form commonly used by various employers. This form collects personal information, employment history, and education details from applicants. Like the Florida 10 1777, it aims to gather comprehensive data to assess candidates for job openings. Both forms require applicants to disclose any criminal history, though the Florida 10 1777 emphasizes law enforcement-specific qualifications and background checks.

The Job Application for Law Enforcement Positions is also similar. This document is tailored for candidates seeking positions within police departments and includes sections for personal information, employment history, and criminal background. The Florida 10 1777 and this application both require disclosure of any previous law enforcement experience and any disciplinary actions taken by past employers, which is crucial for assessing suitability for law enforcement roles.

Additionally, the Background Investigation Release Form is akin to the Florida 10 1777. This form is used to authorize a background check on an applicant. Both documents serve to ensure that the applicant meets the standards required for law enforcement positions. The Florida 10 1777 gathers preliminary information, while the Background Investigation Release Form is focused on obtaining permission to conduct a more thorough review of the applicant's history.

The State of Florida’s Driver License Application shares similarities with the Florida 10 1777 form. Both documents require personal identification information and inquire about any legal issues, such as traffic violations or criminal history. The Florida 10 1777, however, is specifically designed for police department applicants, while the Driver License Application is used for obtaining a state-issued license.

The Military Service Record Request Form is another document that resembles the Florida 10 1777. This form collects information about an individual’s military service, including branch, rank, and discharge type. Both forms require applicants to provide details about their background, and the Florida 10 1777 incorporates military history as part of the overall assessment for law enforcement suitability.

The Application for Federal Employment (OF-612) is similar in that it is used for federal job applications. Both forms require detailed personal information, employment history, and education records. While the OF-612 is broader in scope, the Florida 10 1777 is focused specifically on law enforcement roles, requiring specific disclosures related to criminal history and law enforcement training.

The College or University Application Form also bears resemblance to the Florida 10 1777. Both forms collect personal information and educational background. They may include questions regarding criminal history, though the Florida 10 1777 places a greater emphasis on law enforcement qualifications and the applicant's fitness for police work.

The Criminal History Record Check Form is another document that parallels the Florida 10 1777. This form is specifically used to request a review of an individual’s criminal history. Both documents require the applicant to disclose any past criminal activity. However, the Florida 10 1777 is more comprehensive, integrating employment history and personal information alongside criminal history inquiries.

Lastly, the Personal History Statement used by various law enforcement agencies is similar to the Florida 10 1777. This document is designed to collect a wide range of personal information, including employment history, education, and criminal background. Both forms are used to evaluate candidates for suitability in law enforcement positions, focusing on integrity, character, and professional qualifications.

Obtain Answers on Florida 10 1777

  1. What is the purpose of the Florida 10 1777 form?

    The Florida 10 1777 form serves as a pre-screener application for individuals seeking employment with the Seminole Police Department. It collects essential information about applicants to determine their eligibility for various positions within the department. Completing all sections of the form is crucial, as incomplete applications will be discarded.

  2. Who is eligible to apply using this form?

    Applicants must be at least 19 years old to apply. Additionally, they should be either United States citizens or registered aliens for civilian positions. The form also requires that applicants possess a high school diploma or GED. It is important to note that the department does not accept applications from non-certified police officer candidates.

  3. What happens after I submit the Florida 10 1777 form?

    If you are deemed a viable candidate and there are available positions, the processing of your application will begin. If there are no current openings, your pre-screener will be kept on file for up to one year. The department will notify you when positions become available. Do not include any additional documents, such as resumes or certifications, unless they are necessary to clarify answers on the pre-screener.

  4. What information is required in the employment history section?

    In the employment history section, applicants must provide details about their last four jobs, including military, part-time, temporary, or volunteer work. Each entry should include the employer's name, dates of employment, position(s) held, type of business, reason for leaving, and a description of duties. It is essential to account for all periods of unemployment as well.

  5. What should I disclose regarding my criminal history?

    Applicants must disclose any arrests, charges, or convictions, including felonies and misdemeanors, even if the records are sealed or expunged. This includes involvement in illegal drug sales, theft from an employer, or membership in gangs associated with criminal activity. Failing to provide this information may result in disqualification from the application process.

Document Preview

Pre-Screener Application

SEMINOLE POLICE DEPARTMENT

Human Resources Division, 3101 N State Road 7, Hollywood, Fl 33021

Tel. 954-967-5100 Fax 954-963-9134 Visit us online at www.semtribe.com

INSTRUCTIONS: The purpose of this pre-screener application is to get accurate applicant information. Please complete all portions – incomplete forms will be destroyed. Applicants MUST

be 19 years of age or older to apply.

Name:

 

 

SSN:

 

 

 

 

 

 

 

 

Phone #:

Alternate Phone #:

 

 

 

 

 

 

 

 

 

 

Address:

City:

 

State:

 

Zip:

 

 

 

 

 

 

Email Address:

Driver’s License #

-

State

 

 

 

 

 

 

 

RESERVATION:_________________________ Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce

 

-Dssolfdqwv#pxvw#olyh#zlwklq#rqh#krxuᄊv#gulyh#wlph#ri#wkhlu#SELECTED RESERVATION.

 

 

Position Sought (check one only):

We DO NOT accept Non-Certified Police Officer Applicants.

Police Officer

Dispatcher

Clerical / Administrative

Community Service Aide

 

 

 

 

 

If it is determined that you are a viable candidate and positions are available, your processing will begin. If there are no positions available, your pre-screener will be kept on file for up to one year and

you will be notified once we have openings. Do not include any documents (including certifications). resume’s, etc) unless, they are meant to explain pre-screener questions.

PERSONAL INFORMATION

Yes

No

Are you a United States Citizen? (Or registered alien for civilian position?)

 

 

 

Yes

No

Do you possess a high school diploma or GED?

 

 

 

Yes

No

Have you received 3 or more moving traffic violations within the past three years?

 

 

 

Yes

No

Have you ever been convicted of a felony?

 

 

 

Yes

No

If employed by a law enforcement or corrections agency, are you now under internal investigation?

 

 

 

Yes

No

Have you used, possessed, or cultivated an illegal controlled substance? Date last used:

 

 

 

Yes

No

Have you been cited for any drug or alcohol related charges within the past five years? When:

 

 

 

Yes

No

Have you ever been convicted of any crime involving, but not limited to: perjury, domestic violence,

sexual misconduct (of any kind) or assault/battery?

 

 

Yes

No

Have you ever worked for or applied to the Seminole Police Department before?

Position:

Date:

 

 

Yes

No

Is there any other language you can read, write or speak fluently? Specify:

Have you re

10-1777 (Revised 08/10)

EMPLOYMENT HISTORY: Describe below the last four jobs you have held (including military, part-time, temporary, or volunteer work.) Begin with your present or most recent employment. If you’ve ever worked in law enforcement or corrections, include that information. You may attach an additional information sheet if necessary. Please provide details of your job duties. You must account for all periods of unemployment.

PRESENT OR MOST RECENT

1. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

2. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

3. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

4. Employer:

 

 

Dates of Employment: From

to

Position(s) Held:

 

Type of Business:

 

Reason for Leaving:

 

 

 

Description of Duties:

 

 

 

 

Li#|rx#dqvzhu#ᄈ|hvᄡ#wr#wkh#iroorzlqj/#|rx#pxvw#dwwdfk#d#ixoo#h{sodqdwlrq#ehiruh#|rxu#dssolfdwlrq#zloo#eh#frqvlghuhg1#

Yes

No

Have you ever been disciplined by any current or past employer(s)? If military experience, list

disciplines, i.e., Article 15, etc. (List each discipline, employer, and dates.)

 

 

 

 

Yes

No

Have you ever been terminated or asked to resign from a job? (List each employer, reason and dates.)

 

 

 

 

 

EDUCATION RECORD

Do you have a college degree?

Yes

No

Type of degree:

Course of study:

 

 

If no, how many credits?

 

 

 

Course of study:

 

 

 

Have you received your Florida law enforcement certification

or are you currently attending an academy?

Yes

No

Type of academy:

 

 

 

Graduation date:

 

 

 

CRIMINAL HISTORY

NOTE – Because you are applying to a law enforcement agency, you must include information about any arrest, charge, conviction or other criminal activity, even if the records are sealed or expunged. If you answer “yes” to any of the following,

you must attach a full explanation before your application will be considered.

Yes

No

Have you ever been arrested or charged of any felony and/or misdemeanor?

Yes

No

Have you ever been convicted of any felony and/or misdemeanor?

Yes

No

Have you ever been involved in the sale of illegal drugs?

Yes

No

Have you ever taken anything from an employer without proper permission?

Yes

No

Are you now or have you been the member of a gang or any association that engages in criminal

activity?

 

 

Yes

No

Do you have regular or continuous associations or dealings with anyone under criminal investigation or

indictment, or who is involved in criminal behavior?

 

 

UNITED STATES MILITARY RECORD

Yes

No

 

Have you ever been a member of the United States Armed Forces?

 

 

 

 

 

 

 

 

 

 

 

Branch:

Highest Rank:

 

Type of Discharge:

 

 

 

Active Duty Dates from

to

Reserve Duty Dates from

to

Signature: ______________________________________________ Date: ________________

Dos and Don'ts

When filling out the Florida 10 1777 form, it is important to follow specific guidelines to ensure your application is processed smoothly. Here are six things you should and shouldn't do:

  • Do complete all sections of the form. Incomplete forms will be discarded.
  • Do provide accurate personal information, including your name, contact details, and employment history.
  • Do answer all questions honestly, especially regarding criminal history and employment background.
  • Do ensure you meet the age requirement of 19 years or older.
  • Don't submit any additional documents unless they are needed to clarify your answers on the form.
  • Don't leave any questions unanswered, as this may delay your application or lead to rejection.