LAW ENFORCEMENT
EMPLOYMENT APPLICATION FORM
The Sheriff's Ofce is an Equal Employment Opportunity Employer. We consider applicants for all positions
without regard to race, color, national origin, sex, age, disability, marital status, religion or any other legally
protected status.
NOTICE: The following additional documents must be attached to this application:
1. A certied copy of birth certicate
2. A certied copy of high school diploma or Florida Police Standards approved G.E.D.
3. A copy of military discharge(s).
COUNTY DATE:
POSITION APPLYING FOR:
q Deputy Sheriff q Law Enforcement Related Non-Certied Positions
q Correctional Ofcer (Other positions use other application form)
q Law Enforcement Academy Sponsorship
or Internship
1. Full Name:
2. Other: List all other names you have used including circumstances and time periods you used them. (For example:
maiden name, former name(s), alias(es), or nickname(s).
Last Name First Middle Abbv.
Dates From Dates To
Name Circumstance Mo./Yr. Mo./Yr.
INSTRUCTIONS
Application must be typewritten or printed legibly in ink. All questions must be answered. Applications which are not complete
will not be considered. If space provided is not sufcient for complete answers or you wish to furnish additional information,
attach sheets of the same size as this application, and number answers to correspond with questions.
I understand that the submission of this application for sponsorship to a law enforcement academy does not constitute
an application for employment or appointment with the sponsor-law enforcement agency. Moreover, I understand this law
enforcement agency is under no obligation to sponsor me as a candidate for any law enforcement training program.
PERSONAL HISTORY
Revised 01/14
SHERIFF'S OFFICE