Homepage Blank Florida 10 1777 Form
Outline

The Florida 10 1777 form, officially known as the Pre-Screener Application for the Seminole Police Department, serves as an essential first step for individuals aspiring to join this law enforcement agency. Designed to gather comprehensive applicant information, this form requires candidates to provide personal details such as their name, Social Security Number, and contact information. Importantly, applicants must be at least 19 years old to qualify. The form also includes a section for applicants to indicate their desired position within the department, whether as a Police Officer, Dispatcher, Clerical/Administrative staff, or Community Service Aide. Furthermore, it contains a series of yes-or-no questions aimed at assessing the applicant’s citizenship status, educational background, and criminal history. This includes inquiries about past employment, any disciplinary actions, and military service, ensuring that the department can thoroughly evaluate each candidate's suitability for a role in law enforcement. By requiring detailed employment history and education records, the form seeks to create a clear picture of the applicant's qualifications and character, which is crucial in maintaining the integrity and professionalism of the Seminole Police Department.

Sample - Florida 10 1777 Form

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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
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).
Yes
PERSONAL INFORMATION
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:
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:
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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?
NoYes
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: ________________

Form Information

Fact Name Description
Form Purpose The Florida 10-1777 form serves as a pre-screener application for the Seminole Police Department, designed to collect accurate applicant information.
Age Requirement Applicants must be at least 19 years old to apply for any position within the department.
Citizenship Verification Applicants must confirm their citizenship status, either as a U.S. citizen or a registered alien for civilian positions.
Employment History The form requires applicants to detail their last four jobs, including military and volunteer work, ensuring a comprehensive employment history.
Criminal History Disclosure Due to the nature of law enforcement work, applicants must disclose any arrests, charges, or convictions, regardless of whether records are sealed or expunged.
Education Requirements Applicants must indicate whether they possess a high school diploma or GED, and if applicable, provide information about any college degrees earned.
Drug and Alcohol Questions The form includes questions regarding drug use and alcohol-related charges, assessing the applicant's suitability for law enforcement roles.
Previous Applications Applicants must disclose if they have previously applied to or worked for the Seminole Police Department, including the position and date of application.
Reservation Selection Applicants are required to select a reservation from options such as Hollywood, Big Cypress, or Immokalee, indicating their preferred work location.
Retention of Applications If no positions are available, the pre-screener application will be kept on file for up to one year, with notifications sent when openings arise.

Detailed Guide for Filling Out Florida 10 1777

Completing the Florida 10 1777 form is an important step for those seeking a position with the Seminole Police Department. After you fill out this pre-screener application, it will be reviewed to determine your eligibility for available positions. Make sure to provide accurate and complete information, as incomplete forms will not be processed.

  1. Obtain the form: Download or print the Florida 10 1777 form from the Seminole Police Department website or visit their Human Resources Division in person.
  2. Fill in your personal information: Start by entering your full name, Social Security Number (SSN), phone numbers, address, email, and driver's license number.
  3. Select your reservation: Indicate which reservation you are applying for by checking one of the options: Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce.
  4. Choose the position sought: Check the box next to the position you are applying for, ensuring it is one of the available options (Police Officer, Dispatcher, Clerical/Administrative, Community Service Aide).
  5. Answer the personal information questions: Respond to the series of yes/no questions regarding citizenship, education, traffic violations, criminal history, and previous applications to the Seminole Police Department.
  6. Detail your employment history: List your last four jobs, including military and volunteer work. Provide details such as employer names, dates of employment, positions held, reasons for leaving, and descriptions of duties.
  7. Complete the education record section: Indicate whether you have a college degree, the type of degree, and your course of study. If applicable, mention your Florida law enforcement certification or current academy attendance.
  8. Disclose criminal history: Answer questions regarding any arrests, charges, or convictions, even if records are sealed or expunged. Attach a full explanation if you answer “yes” to any of these questions.
  9. Provide military record information: If applicable, indicate your military service, including branch, highest rank, type of discharge, and dates of active or reserve duty.
  10. Sign and date the form: Finally, ensure you sign and date the form at the bottom to certify that the information provided is accurate.

Once you have completed the form, submit it to the Seminole Police Department's Human Resources Division. They will review your application and contact you regarding the next steps in the hiring process.

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 interested in employment with the Seminole Police Department. It collects essential information about the applicant, including personal details, employment history, and educational background. Completing this form accurately is crucial, as incomplete submissions will be discarded.

  2. Who is eligible to apply using this form?

    To be eligible to apply, candidates must be at least 19 years old and a United States citizen or a registered alien for civilian positions. The form also requires applicants to possess a high school diploma or GED. It is important to note that non-certified police officer applicants are not accepted.

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

    Applicants must provide details about their last four jobs, including military, part-time, temporary, or volunteer positions. For each job, the form asks for:

    • Employer name
    • Dates of employment
    • Position(s) held
    • Type of business
    • Reason for leaving
    • Description of duties

    It is essential to account for all periods of unemployment as well.

  4. What should I do if I have a criminal history?

    When applying to a law enforcement agency, it is mandatory to disclose any criminal history, including arrests, charges, or convictions, regardless of whether the records are sealed or expunged. If you answer “yes” to any criminal history questions on the form, you must attach a full explanation for your application to be considered.

  5. How long will my pre-screener application be kept on file?

    If you are deemed a viable candidate but there are no positions available at the time of your application, your pre-screener will be kept on file for up to one year. During this time, you will be notified when openings arise.

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

    After submission, your application will be reviewed. If you meet the qualifications and there are available positions, the processing will begin. Remember, do not include any additional documents unless they are necessary to clarify answers on the form. Ensuring that all parts of the form are completed accurately is key to moving forward in the hiring process.

Common mistakes

Filling out the Florida 10 1777 form can be a straightforward process, but many applicants make common mistakes that can hinder their chances of being considered. One frequent error is leaving sections incomplete. The instructions clearly state that incomplete forms will be destroyed. Therefore, it is crucial to provide all requested information, including personal details, employment history, and educational background.

Another common mistake is failing to check the eligibility requirements. Applicants must be at least 19 years old and a U.S. citizen or a registered alien. Neglecting to verify these criteria can lead to immediate disqualification. Additionally, applicants often overlook the importance of providing accurate contact information. A missing or incorrect phone number or email address can prevent the department from reaching out for further processing.

Many applicants also forget to specify their selected reservation. The form requires you to indicate whether you are applying for positions in Hollywood, Big Cypress, Immokalee, Brighton, Tampa, or Fort Pierce. Failing to select a reservation may cause delays or confusion regarding your application. Furthermore, some individuals do not provide detailed descriptions of their job duties in the employment history section. This lack of detail can make it difficult for the hiring team to assess your qualifications accurately.

Another mistake involves the criminal history section. Applicants sometimes fail to disclose all relevant information, including arrests or convictions, even if records are sealed or expunged. Honesty is essential, as withholding this information can lead to disqualification. Additionally, some individuals neglect to attach necessary explanations when answering "yes" to any criminal history questions. This omission can result in a delay in processing your application.

Lastly, many applicants do not review their forms for errors before submission. Typos or incorrect information can raise red flags during the review process. Taking the time to proofread the form can help ensure that all information is accurate and complete. By avoiding these common mistakes, applicants can enhance their chances of successfully completing the Florida 10 1777 form.

Documents used along the form

When applying for positions within law enforcement, especially with the Seminole Police Department in Florida, several forms and documents may accompany the Florida 10-1777 form. Each of these documents serves a specific purpose, helping to ensure that applicants meet the necessary qualifications and standards. Below is a list of commonly used forms and documents that applicants might need to submit along with their pre-screener application.

  • Background Check Authorization Form: This document allows the police department to conduct a thorough background check on the applicant. It typically requires the applicant's consent to verify personal history, including criminal records and employment verification.
  • Medical Examination Form: A medical examination form is often required to assess the physical fitness of the applicant. This ensures that candidates meet the health standards necessary for law enforcement duties.
  • Drug Testing Consent Form: This form grants permission for the police department to conduct drug tests as part of the hiring process. It is crucial for maintaining a drug-free workplace within law enforcement agencies.
  • Personal Reference Form: Applicants may need to provide a list of personal references who can vouch for their character and qualifications. This form typically requires contact information and a brief description of the relationship with each reference.
  • Resume or Curriculum Vitae (CV): While not always required, a resume or CV can provide additional context about an applicant's work history, education, and relevant skills. It helps the hiring committee understand the candidate's background better.
  • Copy of Certification: If the applicant has completed any law enforcement training or holds relevant certifications, a copy of these documents may need to be submitted. This can demonstrate the applicant's qualifications and readiness for the role.
  • Release of Information Form: This form allows the police department to obtain information from previous employers, educational institutions, and other relevant sources. It is essential for verifying the applicant's history and credentials.

Each of these documents plays a vital role in the hiring process for law enforcement positions. By ensuring that all necessary paperwork is completed and submitted, applicants can help facilitate a smoother evaluation process. This not only demonstrates professionalism but also reflects the applicant's commitment to meeting the standards required in law enforcement roles.

Similar forms

The Florida 10 1777 form serves as a pre-screener application for individuals applying to the Seminole Police Department. It gathers essential information about the applicant's personal, employment, and educational background. Several other documents share similarities with this form in terms of purpose and content. Here are six documents that are comparable:

  • Job Application Form: Like the Florida 10 1777, a job application form collects personal information, work history, and qualifications. Both documents aim to assess the suitability of candidates for specific positions.
  • Background Check Authorization Form: This document requests permission to conduct a background check on the applicant. Similar to the Florida 10 1777, it seeks information regarding criminal history and other relevant details that could impact employment eligibility.
  • Employment History Form: This form focuses solely on an applicant's previous work experiences. It aligns with the employment history section of the Florida 10 1777, which requires details about past jobs and responsibilities.
  • Educational Verification Form: This document verifies an applicant's educational background. Like the education section in the Florida 10 1777, it requests information about degrees, institutions attended, and graduation dates.
  • Personal Information Sheet: Often used in various applications, this sheet gathers basic personal details such as name, address, and contact information. It serves a similar function to the personal information section of the Florida 10 1777.
  • Criminal History Disclosure Form: This form specifically asks applicants to disclose any criminal history. It parallels the criminal history section of the Florida 10 1777, which requires comprehensive details about any arrests or convictions.

Dos and Don'ts

When filling out the Florida 10 1777 form, keep the following tips in mind to ensure your application is complete and accurate.

  • Do complete all sections of the form. Incomplete forms will be discarded.
  • Do provide truthful answers. Misrepresentation can disqualify you.
  • Do ensure you meet the age requirement of at least 19 years.
  • Do double-check your contact information for accuracy.
  • Don't include unnecessary documents. Only attach items needed for clarification.
  • Don't leave any questions unanswered. If a question does not apply, indicate that clearly.

Misconceptions

When it comes to the Florida 10 1777 form, there are several misconceptions that can lead to confusion for applicants. Understanding these can help ensure a smoother application process. Here are four common misconceptions:

  • Misconception 1: Only certified police officers can apply.
  • While it is true that the Seminole Police Department does not accept applications from non-certified police officers, the form is open to other positions such as dispatchers, clerical roles, and community service aides. This means that individuals interested in these areas are encouraged to apply.

  • Misconception 2: Incomplete applications will be reviewed.
  • Many applicants believe that their incomplete forms will still be considered. However, the instructions clearly state that incomplete applications will be destroyed. It’s crucial to fill out every section of the form to avoid this issue.

  • Misconception 3: Applicants can include additional documents with the form.
  • Some people think that they can attach resumes or other documents to support their application. In reality, the form specifically instructs applicants not to include any documents unless they are meant to clarify answers on the pre-screener questions.

  • Misconception 4: Criminal history does not need to be disclosed if it was expunged.
  • Many applicants are unaware that they must disclose any arrest or conviction, even if the records have been sealed or expunged. This requirement is in place because the applicant is seeking a position within a law enforcement agency, which necessitates complete transparency regarding criminal history.

Key takeaways

When filling out the Florida 10-1777 form, which serves as a pre-screener application for the Seminole Police Department, consider the following key takeaways:

  • Complete All Sections: Ensure every part of the form is filled out. Incomplete forms will be destroyed, so take your time to provide accurate information.
  • Age Requirement: Applicants must be at least 19 years old to apply. Verify your age before submitting the application.
  • Position Selection: You can only check one position you are applying for. Options include Police Officer, Dispatcher, Clerical/Administrative, and Community Service Aide.
  • Personal Information: Be prepared to answer questions about your citizenship status, education, and any past criminal history. Honesty is crucial.
  • Employment History: List your last four jobs, including military and volunteer work. Provide details about your responsibilities and reasons for leaving each position.
  • Criminal History Disclosure: You must disclose any arrests or convictions, even if they have been sealed or expunged. Attach explanations if necessary.
  • Application Retention: If you are not selected, your application will be kept on file for up to one year. You will be notified if positions become available.

By keeping these points in mind, you can ensure that your application process goes smoothly and increases your chances of being considered for a position with the Seminole Police Department.