Police Officer Supplemental

2. First Name

3. Last Name

5. Telephone No

7. Police / Reserve Officer Application Supplemental

   This supplemental page must be included with the City application. Failure to complete may result in candidates being disqualified.

   This supplemental page must be included with the City application. Failure to complete may result in candidates being disqualified.

9. All candidates must complete this section be selecting type of applicant.

   1. Lateral Entry Applicant / Candidate

   Lateral candidates must possess a California POST Regular Basic Certificate. Recent employment (within the past 3 years) as a California peace officer is required, or completion of a POST Certified Requalification Course is required by the date of employment.

11. 1. Pre-Service / Academy Graduate Applicant / Candidate

    Pre-service applicants may qualify by either: 1) possession of a current (within the past three years) California POST Regular Basic Course Certificate of Completion or 2) current enrollment in the Regular Basic Course with successful completion of the course by the date of employment, or 3) possession of a current Basic Course Waiver issued by the California Commission on POST.

15. All candidates must complete this section by selecting each Policy Standard listed below.

    1. Personal Appearance Standards (AGPD Policy 1042)

    By checking the box I acknowledge I have read and understand the contents of AGPD Policy 1042 (Personal Appearance Standards) which is located as an "Attached File" in the Job Details section. If appointed, I agree to comply with the standards as presented.

17. 1. Tattoos or Ornamentation (AGPD Policy 1042.3)

    By checking the box above I acknowledge I have read and understand the contents of AGPD Policy 1042.3 (Tattoos or Ornamentation) which is located as an "Attached File" in the Job Details section. Specifically, the section highlighted below regarding tattoos and ornamentation. I affirm that I am capable of complying with the standards as presented.

19. "Department members are not allowed any tattoo, brand or body art that is visible while wearing any standard authorized Department uniform. Modification of Department uniform standards in order to conceal tattoos, brands or body art is not allowed (.le. the wearing of long sleeve shirts year round). The use of concealing devices such as bandages, tapes or cosmetics is not allowed. No tattoo, brand or body art shall be visible at such a time and place that would bring discredit to the Department". (Arroyo Grande Police Department Policy 1042.3)

22. Have you ever been convicted of a felony?

    1. Yes
    2. No

    Conviction will not necessarily disqualify an applicant from employment.

24. If yes, please state date, charge and circumstances. (Send additional sheets if necessary).

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field