PHYSICAL FITNESS TESTING REQUIREMENTS CHART MALE AGE 21-29 30-39 40-45 1 min sit-ups 25 25 25 1 min push-ups 29 24 18 1 mile run 10:32 11:04 12:14 OBSTACLE COURSE 2:20 FEMALE AGE 21-29 30-39 40-45 1 min 25 25 20 1 min push-ups 15 11 9 1 mile run 10:32 11:34 12:44 OBSTACLE COURSE 2:20
Sworn Applicant City of Noble Police Department Personal History Statement Applying Position _______________ PERSONAL NAME: (Last, First, Middle) DATE OF BIRTH: Other names you have been known by: (Nicknames, maiden name, etc.) SOCIAL SECURITY NUMBER: (Disclosure is voluntary, used for background purposes) PLACE OF BIRTH: (City and State) SCARS, MARKS, TATTOOS: (Identification Purposes) HEIGHT AND WEIGHT: (Identification Purposes) HAIR AND EYE COLOR: (Identification Purposes) ADDRESSES CURRENT HOME ADDRESS CITY STATE ZIP CURRENT MAILING ADDRESS (P.O. Box if applicable) CITY STATE ZIP PREVIOUS ADDRESS CITY STATE ZIP PREVIOUS ADDRESS CITY STATE ZIP PREVIOUS ADDRESS CITY STATE ZIP PREVIOUS ADDRESS CITY STATE ZIP PHONE NUMBERS HOME PHONE: WORK/MESSAGE PHONE: (Cell phone, pager, etc.) STATUS CURRENT MARITAL STATUS: (Check One) [ ] SINGLE [ ] MARRIED [ ] DIVORCED [ ] SEPARATED [ ] WIDOWED SPOUSE NAME: ADDRESS: PHONE NUMBER: OCCUPATION: (Including Address) FORMER SPOUSE(S) NAME: ADDRESS: PHONE NUMBER: NAME: ADDRESS: PHONE NUMBER: NAME: ADDRESS: PHONE NUMBER: NAME: ADDRESS: PHONE NUMBER:
RESIDENCE(S) AND CO-HABITANT(S) (List all residences for the past 10 years) Address Co-Habitant(s) name and phone # From: To: Reason For Leaving: [ ] Own [ ] Rent Landlord: Phone #: Address Co-Habitant(s) name and phone # From: To: Reason For Leaving: [ ] Own [ ] Rent Landlord: Phone #: Address Co-Habitant(s) name and phone # From: To: Reason For Leaving: [ ] Own [ ] Rent Landlord: Phone #: Address Co-Habitant(s) name and phone # From: To: Reason For Leaving: [ ] Own [ ] Rent Landlord: Phone #: Address Co-Habitant(s) name and phone # From: To: Reason For Leaving: [ ] Own [ ] Rent Landlord: Phone #: ASSOCIATION WITH PERSONS CONVICTED/CHARGED WITH CRIMES CATEGORIZED AS A FELONY (List any family members, friends and acquaintances that you know to be a felon, ex-felon or involved in any criminal activity.) NAME ADDRESS RELATIONSHIP DATE OF LAST CONTACT NAME ADDRESS RELATIONSHIP DATE OF LAST CONTACT NAME ADDRESS RELATIONSHIP DATE OF LAST CONTACT NAME ADDRESS RELATIONSHIP DATE OF LAST CONTACT PERSONAL REFERENCES (Please list 5 references that are not relatives) NAME ADDRESS PHONE OCCUPATION NAME ADDRESS PHONE OCCUPATION NAME ADDRESS PHONE OCCUPATION
WRITTEN NARRATIVE Please complete this page in your own handwriting. Question: “What do you know about the position you are applying for and where can you make the greatest contribution?” (Limit your answers to this page only) PENALTY AND CERTIFICATION I HEREBY CERTIFY THERE ARE NOT WILLFUL MISREPRESENTATIONS, OMISSIONS, OR FALSIFICATIONS IN THE FOREGOING STATEMENTS AND ANSWERS TO THE QUESTIONS. ALL STATEMENTS AND ANSWERS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I FURTHER UNDERSTAND THAT FALSIFYING, WITHHOLDING OR FAILING TO ANSWER ANY AND ALL QUESTIONS COMPLETELY AND ACCURATELY MAY CAUSE REJECTION FROM CONSIDERATION FOR THE POSITION TO WHICH I AM APPLYING. Signature: ______________________________________________ Date: _______________________________