Application Applications must be submitted by June 10th, 2024 at 6:00 p.m. No applications will be accepted after this time. Following the initial application (below) there will be a list of additional items needed to finalize this application process. Application Contact Information First Name * Last Name * Middle Initial Maiden Name (if applicable) Street Address City State Zip Primary Phone Number * Secondary Phone Number * E-mail Address Personal Information Height (feet/inches) * Weight (lbs) * Natural Eye Color * Age * Date of Birth * Place of Birth (City, State) * Sex (M/F) * Social Security Number * Are you a US Citizen? (Y/N) * YesNo If yes, native-born or naturalized? native-bornnaturalized Do you rent or own your home * RentOwn Do you own, or are you in the process of purchasing other real estate? * YesNo Drivers License Information Do you possess a valid driver’s license? * YesNo Has your driver’s license ever been suspended? * YesNo Issuing State Driver’s License Number Date of Expiration Medical Information Are you taking medication lawfully prescribed to you by a doctor? * YesNo If yes: List the medication(s) Do you use illegal drugs? * YesNo If yes: List the drug(s) Do you drink alcohol? * YesNo If yes: How many drinks per week? Family Information Marital Status * SingleMarriedSeperatedWidowedDivorced Are you living with your spouse? * YesNo Are you paying alimony? * YesNo Are you responsible for paying child support? * YesNo Do you have any children? * YesNo How many children do you have? (number) Are you now supporting all your children? (Y/N) YesNo Education Information Are you fluent in any other languages besides English? * YesNo What language(s)? (list language(s)) Have you graduated from High School? * YesNo Have you graduated from a business or trade school? * YesNo Have you graduated from College/University? * YesNo What is the highest level of education attained? associate’s degreebachelor’s degreemaster’s degreePhD Were you ever suspended or expelled from school? * YesNo Background Information Have you ever served in any branch of the US military? * YesNo In which branch did you serve? Air ForceArmyCoast GuardMarine CorpsNavySpace ForceNational GuardReserves What type of discharge did you receive? HonorableDishonorableOther Have you ever had disciplinary action of any kind taken against you while in the military? YesNo Have you received any traffic citations (tickets) in the past five years? * YesNo Have you ever been convicted of a misdemeanor? * YesNo Have you ever been convicted of a felony? * YesNo Have you ever been convicted of any other crime? * YesNo Have you ever been placed on probation? * YesNo Have you ever been fingerprinted? * YesNo Are there any criminal cases pending against you? * YesNo Have you ever attended a police academy in this, or any other US state? * YesNo Did you successfully complete the course of study? YesNo Please list the academy attended (Name/State) Have you ever been a sworn law enforcement officer? * YesNo Do you currently hold an Illinois law enforcement officer certification? * YesNo Have you applied for a police/patrol officer position anywhere else? * YesNo Were you ever rejected for any civil service position (including police/fire positions)? * YesNo Were you ever discharged or forced to resign because of misconduct, unsatisfactory service, or while under investigation? * YesNo Do you have any outstanding debts? * YesNo Are you currently in arrears with any of your debts? * YesNo I Certify... I hereby certify that there are no willful misrepresentations or falsifications in this questionnaire, and all my answers are true and correct to the best of my knowledge and belief. * I certify I do NOT certify Application Fee Payment * Payment Payment Payment Month 123456789101112 Payment Year 20242025202620272028202920302031203220332034 Payment Product Application Fee: $20.00 Captcha If you are human, leave this field blank. Submit
