Please fill out the application below and click the submit button. There is a downloadable version if you prefer to hand deliver the application. However, please note our hours of operation if you prefer to drop off the form. Your submitted application will be sent directly to the Chief of Police Bill Birkenhauer and processed accordingly. If you have any questions, please feel free to contact the office during regular business hours.

 

  • Education

    List all schools attended with most recent first.

  • Special Skills and Qualifications

  • Activities

  • Background

  • Are you will to submit to the following as part of your potential employment evaluation?
  • Employment Record

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employment #2

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employment #3

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employment #4

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employment #5

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Employment #6

  • List all previous employment. List the most recent or current job first. If a position was part time or seasonal, please list as such.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Personal References

    List three (3) non-work related references (may be relatives and/or friends)
  • Personal Reference 2

  • Personal Reference 3

  • Work-Related References

    List three (3) work-related references (may not be a relative)
  • Work-Related Reference 2

  • Work-Related Reference 3

  • Pertinent Facts

  • I certify that there are no misrepresentations, omissions, or falsifications in the foregoing statements and answers and that the entries made by me are true, complete and correct to the best of my knowledge and belief and are made in good faith. I further agree to consent, in advance, to be summarily discharged without cause or hearing, if any of the above information contains any misrepresentation or falsification or any material information has been omitted. In the event that I am employed by the City of Highland Heights Police Department, I agree to comply with all of its orders, rules and regulations. I hereby authorize my former employers to give any information regarding my employment with them, and in addition, to furnish any other information they may have concerning me. I hereby release any such person from any and all liability for any damage whatsoever incurred in furnishing such information.
  • Date Format: MM slash DD slash YYYY