2. 
3. Kennewick Police Department
   Lateral Employment Application

5. This is the first step in the lateral application process. Please fully complete this application. You must include a scanned copy of your Peace Officer Certification. After receiving this application, we will email you a personal history statement which must be completed as instructed.

7. Name*
8. Drivers License*
10. Address*
11. City*
12. State*
13. Zip*
15. Date of Birth*
16. Primary Phone*
17. Cell Phone (if not primary)
19. Email Address*
21. How Did You Hear About Us?*

    How did you first hear about the open positions at Kennewick Police Dept? Please check the box that applies and provide info regarding corresponding venue or media source. For example, if you found out about our open positions on Facebook, check Social Media and list the specific Facebook page you discovered us on.
    
    

    1. Newspaper
    2. Internet
    3. Career Fair

    1. Social Media
    2. College/University/Military Presentation
    3. Other
23. Name of Newspaper*
24. Internet Site*
25. Name of Career Fair*
26. Social Media Site*
28. College/Military Presentation*
29. Other (Explain)*
33. Employment History
    Please list your most recent employment information.
35. Agency*
36. Phone Number*
38. Address*
39. City*
40. Zip*
42. Hire Date*
43. Separation Date
47. Peace Officer Certification

    By checking YES, you hereby declare you are currently certified as a Police Officer.

    If you are no longer employed, you must be within the 24-month window from the date of separation.

49. Certification?*

    1. Yes
50. Certification Date*
    Certification Date
51. Agency Employed By When Certified*
53. Upload Copy of Peace Officer Certification*
57. Authorization
59. Electronic Signature Agreement*

    I declare under penalty and perjury of law that the information I have provided is true and correct to the best of my knowledge. By checking the "I agree" box below, you agree that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.
    
    

    1. I Agree
61. Applicant's Signature*
Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

* indicates a required field