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VISN 1 -- Delegated Examining Unit (DEU 05B)
Edith Nourse Rogers Memorial Veterans Hospital
200 Springs Road
Bedford, MA 01730-1198

A Member of the New England Healthcare System

VACANCY ANNOUNCEMENT

Announcement No.: 4-495-WRJ
Position Title: POLICE OFFICER
Pay Plan, Series and Grade: GS-0083-05 OR 06
Starting Salary: GS-05 = $26,699-$34,714; GS-06 = $29,761-$38,694 PER ANNUM
Opening Date: JULY 29, 2004
Closing Date: AUGUST 12, 2004
No. Of Positions: 2
Promotion Potential: GS-06
Location: VA MEDICAL CENTER, WHITE RIVER JUNCTION, VT
Hours Per Week: 40 (INCLUDING ROTATING SHIFTS, WEEKENDS, AND HOLIDAYS)
Contact for Position Information: MARY GARDNER AT 802-295-9363 X5356
Relocation Expenses Paid: NO

OPEN TO ALL US CITIZENS
EQUAL EMPLOYMENT OPPORTUNITY
Actions to fill this position will not be based on discriminatory factors that
are prohibited by law.

This announcement is for a permanent, Career or Career-Conditional, appointment.

The GS-05 is developmental and will be under close supervision and guidance until
the incumbent becomes proficient in the duties of the position. The incumbent may
be promoted to a higher-level position when all legal, regulatory, and
performance requirements are met. The duties described herein are at the full
performance level.

DESCRIPTION & DUTIES: This position is in support of the Police Section. The
incumbent of this position performs a full range of police duties to enforce
federal and state criminal codes and VA regulations including providing physical
protection of patients, employees, and visitors; and preserving the peaceful
environment requisite to the operation of medical treatment programs. Duties
include providing crowd control and defusing stress; independently conducting
foot or vehicle patrols; issuing traffic citations, responding to a wide variety
of emergencies, including bomb threats and crimes in progress, disturbances,
assaults, etc.; determining the need for and conducting searches, assessing and
controlling crime scenes and investigating crimes; interrogating suspects; taking
statements from witnesses; collecting and preserving evidence; and performing
apprehensions, restraints, and arrests. He/she also prepares reports, testifies
in federal and state court; provides assistance; and transmits messages and
instructions to officer on patrol.

CERTIFICATION/LICENSURE REQUIREMENT: Must have a full and unrestricted driver's
license.

INVESTIGATION OF FITNESS: Applicants must pass a character investigation before
appointment to a position in law enforcement. The purpose of such an
investigation is to secure evidence of the candidate's honesty, integrity,
general character, and loyalty to the US Government.

CONDITIONS OF EMPLOYMENT: 1. VA Police Officers must be able to achieve
and maintain mandatory Firearm Qualification.
2. New VA Police Officers are required to attend a 5-week course at the VA
Law Enforcement Training Center in Little Rock, Arkansas.
3. Officers must successfully complete
physical and psychological examinations prior to entering on duty and annually
thereafter as a condition of continued employment.
4. An officer who is convicted of a domestic violence
violation can no longer be authorized to own, be issued, purchase of otherwise
have possession of a handgun under the Lautenberg Amendment (P L 104-208) to the
Gun Control Act of 1968 (18 USC 922).

QUALIFICATIONS: Each Grade level requires 1 year of experience, but the scope and
depth of independence will determine the qualifying grade level. If you fail to
describe your experience so that these can be determined you may be found
ineligible or eligible only at the lower grade level.

Grade levels GS-05 and GS-06 both require 1 year of active police work that
provided knowledge of a body of basic laws and regulations, law enforcement
operations, practices and techniques and involved responsibility for maintaining
order and protecting life and property. The depth of experience and degree of
supervision determine the level of eligibility. Creditable specialized experience
may have been gained in work on a police force, through service as a military
police officer; in work providing visitor protection and law enforcement in
parks, forests, or other natural resource or recreational environments; in
performing criminal investigative duties; or in other work that provided the
required knowledge and skills. At the GS-05 level this work would have been at
the rookie level under close supervision and at the GS-06 level the work would
have been independent and under general supervision. The experience at the GS-06
level must have included REGULARLY and actually pursuing and/or independently
apprehending persons fleeing a crime scene or attempting to resist arrest,
actually subduing individuals causing disturbances, arresting violators based on
eyewitness accounts, performing control desk duties, taking charge of a crime or
accident scene and conducting long and short range investigations.. At the GS-05
level the experience would have been as assisting the officer pursuing and
apprehending persons involved in a crime scene or attempting to resist arrest. At
this level the experience would have been assisting at an accident or crime scene
rather than in taking charge and running a crime scene.

Applicants may not have a police record. SECURITY WORK, PRIVATE POLICE DUTY, AND
WORK IN CORRECTIONAL INSTITUTIONS, IS NOT QUALIFYING EXPERIENCE FOR THESE LEVELS.

Applicants must state the hours per week worked and starting and ending date
(month and year) for all qualifying experience.

You must demonstrate that you have the qualifications for the position by
describing the duties you have regularly performed and the degree of independence
you had while performing them.

If your qualifying experience is only part of your job you must show the actual
time, such as number of hours a week or percent of the position, that you spent
in doing the qualifying activities in order to receive proper credit. Credit will
be given for appropriate unpaid experience or volunteer work. Part time
experience will be prorated in calculating the amount of qualifying experience.

The required amount of experience will not in itself be accepted as proof of
qualification for this position. Your application must clearly describe and
demonstrate that you have the ability to perform the duties of the position. The
primary consideration is the scope, depth, and responsibility level of
experience.

All requirements must be met by the closing date.

SUBSTITUTION OF EDUCATION: 4 years of education, in an accredited institution,
leading to a Bachelor's Degree in Police Science or a comparable degree program
related to the work of this position can be substituted for the experience
required at the GS-05 level.

There is no substitute for education at the GS-06 level.

**To meet educational requirements, your education must be from an academic
institution accredited by an agency approved by the Council for Higher Education
Accreditations.

Education completed in foreign colleges or universities may be used to meet the
above requirements if you can show that the foreign education is comparable to
that received in an accredited educational institution in the United States.
Educational credential evaluators can be found on the National Association of
Credential Evaluation Services website, www.naces.org. It is your responsibility
to provide such evidence when applying.

If you want to use your education to qualify for this position you must submit
copies of your official transcripts, including the transcript key, so that the
type and level of course work and the relevance to the position can be
determined. If the transcript is not illustrative of a course's content also
include a copy of that portion of the course catalog showing the description of
the applicable courses. It is your responsibility to provide such evidence when
applying. Education can be combined with experience to qualify for this position,
but for GS-05 only the semester hours in excess of the first 60 semester hours
can be used in place of experience.

MEDICAL/PHYSICAL REQUIREMENTS: The candidate must be able to do the work of the
position without harm to self or others. This position requires regular and
recurring physical exertions such as long periods of standing or walking.
Incumbent engages in such exertions when responding to alarms, pursuing suspects,
or walking foot patrol in and around the facility. Other physical demands include
the apprehension and restraint of violent and/or uncooperative individuals, and
defending the incumbent or others against physical attack.

Physical fitness must be demonstrated annually

ENGLISH LANGUAGE PROFICIENCY: If you are appointed to a direct patient-care
position, you must be proficient in spoken and written English as required by 38
USC 4104(c).

VETERANS PREFERENCE: A 5-pt. preference is granted to veterans who entered the
military service prior to October 14, 1976 or who served between August 2, 1990
through January 2, 1992 or who have served in a military action for which they
received a Campaign Badge or Expeditionary Medal. Military retirees may have
other conditions. However, you may be entitled to a 10-pt veteran's preference if
you are a disabled veteran or Purple Heart recipient; or if you are the widow,
widower, or mother of a deceased veteran. You will need to submit a Standard Form
(SF) 15 and proof of your claim.

BASIS OF RATING: The information you provide on your application/resume
determines if you meet the minimum qualifications for this position. The
experience on your application/resume, and/or educational documentation, should
support the qualifying requirements of the position. If basically qualified, you
will be rated and ranked based on your answers to the questions in the
Supplemental Questionnaire. It is important that your application or resume
contains sufficient information to support the experience and education that you
claim in the Questionnaire. If you do not provide sufficient information you will
be rated ineligible.

Items found in the DEU's Supplemental Questionnaire examine the following
knowledge, skills and abilities that are required to successfully perform the
duties of the position:
1. Thorough knowledge of law enforcement principles, operations and
techniques and the skill, including arrest techniques, to carry them out.
2. Knowledge of federal, state county, and municipal laws, and ability to
learn VA rules and regulations and the application of them in support of the
mission of the VA.
3. Skill in using police equipment.
4. Skill in dealing with a variety of individuals from different
backgrounds and varying levels of understanding in hostile and unpleasant
situations both orally and in writing.

HOW TO APPLY: Applicants who meet the qualification requirements may elect to use
any written form but the form selected must contain all the information required
in OF 510, Applying for a Federal Job (included in our application package).
Incomplete applications may not be considered. Resumes not submitted with all the
information specified in the OF 510 cannot be processed and the application may
not be considered. Your options include Resume or OF 612, Optional Application
for Federal Employment. Select one method, do not use both a resume and an OF
612. Do not say, "See Resume," on your OF 612. If both OF 612 and resume are
submitted the OF 612 will be considered the application and the resume will be
destroyed.

It is the applicant's responsibility to demonstrate within their application,
that they have the applicable experience, knowledge, skills, abilities and/or
educational provisions described above.

In order to be rated and ranked with other candidates you must fully complete and
submit the following forms with your application:
1. The Supplemental Questionnaire: NOTE: The Supplemental Questionnaire is unique
to this position and to this DEU. Unlike some application processes you should
not address the knowledge, skills and abilities directly. You must use the
Supplemental Questionnaire corresponding to this announcement in order to be
ranked with other candidates.
2. OF 306, Declaration for Federal Employment which includes Certification of
Selective Service Registration (January 2001 version or later);
3. SF-15 and required documentation if claiming 10-point veterans preference,
official preference statements do NOT mention the type of disability and can be
obtained by calling 1-800-827-1000;
4. DD-214 (MUST have Member Copy #4 for July 1979 and later editions), if
claiming veterans preference;
5. Copy of your official transcripts and a transcript key, if you want to
substitute your education for the experience required for this position.

Incomplete applications packages will NOT be processed and will NOT be returned.
Do NOT attach any additional forms such as cover letters, letters of
recommendation, certificates of training, etc. Any additional material submitted
but not requested will be destroyed.

Applicants who are eligible for special priority consideration and selection
under the Agency Career Transition Assistance Program (CTAP) or the Federal
Government-Wide Interagency Career Transition Assistance Program (ICTAP) must be
well qualified for the position to receive consideration for special priority
selection. CTAP and ICTAP eligibles will be considered well qualified if they
score at least midway between basic eligibility and the highest possible score in
the application process.

Federal employees seeking CTAP/ICTAP eligibility must submit proof that they meet
the requirements of 5 CFR 330.605 (a) for CTAP and 5 CFR 330.704 for ICTAP. This
includes a copy of the agency notice, a copy of their most recent Performance
Rating and a copy of their most recent SF-50 noting current position, grade level
and duty location. Please annotate your application to reflect that you are
applying as a CTAP or ICTAP eligible.

APPLICATIONS SUBMITTED IN POSTAGE PAID GOVERNMENT ENVELOPES WILL NOT BE ACCEPTED.
This is in accordance with 18 USC 1719 and USC 3201 which state that the use of
postage paid government envelopes for filing job applications is a violation of
federal law and regulations.

HOW TO OBTAIN FORMS AND APPLICATION INFORMATION: Application packages may be
obtained by calling the individual named in the "Contact for Information" on the
first page of this announcement, or through the USA Jobs by Phone at 703-724-1850
or if you have a hearing disability, call TDD 978-461-8404. If you want material
faxed to you, or need information on the application process, call this DEU at
781-687-2339 or fax the request to us at 781-687-2335.

FILING DEADLINE: If there is an Initial Cut Off Date then complete application
packages received by the initial cut-off date will be processed and referred
first. Applications received after that date may be processed in the order of
date received or may not be processed, depending on hiring needs.

It is the applicant's responsibility to ensure that the application package is
RECEIVED in this office, by FAX or mail, no later than the closing date of this
announcement. Remember to allow time for your package to go through a mail room
before reaching this office by the closing date.

NOTE: As a condition of employment, selectee will be required to participate in
the Direct Deposit/Electronic Fund Transfer of Pay Program. Selectee's employment
may be subject to passing a physical that will be arranged and paid for by the
VA. This position may be subject to random drug testing. Applicants who refuse to
be tested will be denied employment with the VA. This agency provides reasonable
accommodations to applicants with disabilities. If you need a reasonable
accommodation for any part of the application and hiring process, please notify
the agency. The decision on granting reasonable accommodation will be made on a
case-by-case basis.

SUBMIT FORMS TO: Delegated Examining Unit (05B) or FAX to 781-687-2335
Announcement # 4-495-WRJ
200 Springs Road
Bedford, MA 01730

PLEASE RETAIN THIS ANNOUNCEMENT FOR YOUR RECORDS
WHEN MAKING INQUIRIES REFER TO THE ANNOUNCEMENT NUMBER

THIS IS A CHECKLIST - NOT AN APPLICATION

YOUR RESUME OR APPLICATION MUST CONTAIN
In addition to specific information requested in the announcement

JOB INFORMATION
Announcement number
Title
Grade(s) applying for *this is usually GS or WG, followed by level number, i.e.,
GS-05

PERSONAL INFORMATION
Full name and mailing address
Social Security Number
Day and Evening home numbers (including area codes)
Country of Citizenship
Veteran Preference with documentation
Call 1-800-827-1000 for a 10 pt letter
Highest Federal Civilian Grade Held
*Including job series and dates held

EDUCATION
High School
Name, City State and Zip Codes
Date of Diploma or GED

Colleges or Universities--Name, City, State and Zip Codes
Major(s)
Type and year of any degrees received
If no degree, show any credits earned
*label as semester or quarter hours
A copy of your transcripts and a transcript key
*if you are using your education to qualify
*or if education is a job requirement

WORK EXPERIENCE
Give the following information for your paid and non-paid work
experience related to the job you are applying for:
Job Title
Employer's name and address
Supervisor's name and phone number
Starting and ending dates
*must be the month/year to receive credit
Hours per week
Salary
Specific duties and accomplishments
*for each position used as qualifying experience
*treat promotions as new jobs

OTHER QUALIFICATIONS
List Job-related certificates and licenses
List Job-related skills
*typing speed
*languages
*computer software/hardware
*tools, etc.
List Job-related training courses (title, length, and year)
List Job-related honors
*awards, accomplishments, publications,
*memberships in professional or honor societies,
*leadership activities
*public speaking

REMEMBER TO COMPLETE THE SUPPLEMENTAL QUESTIONNAIRE

VISN 1 -- Delegated Examining Unit (DEU 05B)
Edith Nourse Rogers Memorial Veterans Hospital
200 Springs Rd.
Bedford, MA 01730-1198

A Member of the New England Healthcare System

SUPPLEMENTAL QUESTIONNAIRE

POLICE OFFICER
GS-0083

PLEASE COMPLETE AND SUBMIT WITH YOUR APPLICATION

I. A. Training: If you have completed a training program for police work beyond
high school please provide the following information (including military as well
as other formal training).
Course Topic Date of Attendance (Mo/Yr) Total Hrs School/Organization

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

B. If you have CPR certification please provide the date of CPR Certification
_____________

II. Conditions of Employment:

A. VA Police Officers must be able to achieve and maintain mandatory Firearm
Qualification. An officer who is convicted of a domestic violence violation can
no longer be authorized to own, be issued, purchase or otherwise have possession
of a handgun under the Lautenberg Amendment (P L 104-208) to the Gun Control Act
of 1968 (18 USC 922).

Do you have any impediments to this requirement?: _________YES ________ NO

B. New VA Police Officers are required to attend a 5-week course at the VA Law
Enforcement Training Center in Little Rock, Arkansas.

Do you have any impediments to this requirement?: _________YES ________ NO

C. Must have an unrestricted Driver's License. Please give the following
information on your license:

State : ______ Driver's License Number: ______________ Expiration Date: _________

D. Officers must successfully complete physical (including drug screening) and
psychological examinations prior to entering on duty and annually thereafter as a
condition of continued employment. Do you have any impediments to this
requirement?: ____YES ____ NO

E POLICE EXPERIENCE: (PLEASE NOTE THAT ANY POLICE EXPERIENCE REFERRED TO IN THESE
STATEMENTS MUST BE DESCRIBED IN DETAIL ON THE APPLICATION FORM.)

1. Do you have or have you ever had arrest authority? ______ YES ______ NO

2 Give the source of your arrest authority and date granted: ___________ DATE:
________

3. Were you a Law Enforcement Officer (DO NOT include security employment) of the
Federal, state or local government which granted you arrest authority? _____YES
_____NO

III. TRAFFIC VIOLATIONS
Supply the information requested below for each time you were given a ticket or
arrested for breaking a driving law during the past 5 years. Do not include any
record where you were found not guilty. Do not include parking tickets. If you
have more than three (3) traffic violations in the past 5 years, provide the
requested information for each on additional sheets.

A. Type of Violation: ________________ Date: ________ City/State:
______________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)

___________________________________________________________________________________

B. Type of Violation: ________________ Date: ________ City/State:
______________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)

___________________________________________________________________________________

C. Type of Violation: ________________ Date: ________ City/State:
______________________

Details of action taken (License revoked or suspended, length of suspension,
fine, amount of fine, etc.)

___________________________________________________________________________________

IV. ACCIDENT RECORD
Complete the information requested for each accident you have had during the past
5 years-whether your fault or not. If you have had more than 2 accidents in the
last 5 years provide the requested information on additional sheets.

A. Type of accident (head-on collision, rear-end, etc.)
______________________________________

Date: __________ City/State _____________________ Were judged at fault?
__________

Amount of damage--to your car ________________ to the other car
___________________

Did your insurance company make payment to the other party? ____-If so, the
amount: _____

What charges were placed against you, if any?
_____________________________________

Details of action taken (sentence, fine, license revoked, etc)
__________________________

B. Type of accident (head-on collision, rear-end, etc.)
______________________________________

Date: __________ City/State _____________________ Were judged at fault?
__________

Amount of damage--to your car ________________ to the other car
___________________

Did your insurance company make payment to the other party? ____-If so, the
amount: _____

What charges were placed against you, if any?
_____________________________________

Details of action taken (sentence, fine, license revoked, etc)
__________________________

V. EVIDENCE OF SAFE DRIVING
A. Have you ever received a safety award? Explain

___________________________________________________________________________

___________________________________________________________________________

B. Have you ever received a discount on your insurance for a good driving record?
Explain

___________________________________________________________________________

__________________________________________________________________________

VI. The information you provide in response to the following questions will be
used in conjunction with your application or resume to rate and rank your
application package. Scores of basically qualified applicants will be assigned
between 70 and 100. CTAP and ICTAP eligibles will be considered well qualified if
they score at least midway between basic eligibility and the highest possible
score in the application process. Additional points will be added if you are
entitled to veteran's preference.

IMPORTANT NOTE: Honestly answer ALL the following questions about your work
history. Be sure that you give full details on your application about any
education or experience you list on this form. Be brief but complete. We cannot
give you credit for your answers if your application does not corroborate
education and/or experience by which you would have gained the knowledge, skills
complete and abilities you claim.

1. DIRECTIONS: Next to each of the following items, indicate by circling one of
the letters which best represents your experience, on a continuing basis, as a
regular police officer.
A. Means you know little or nothing about this but are willing to learn,
B. means you have had education or training in performing this task but
have not performed it on the job after the education or training was completed,
C. means you have used your knowledge or ability on a job, after the
education or training was completed, under technical supervision,
D. means you have used your knowledge or ability on a job, after the
education or training was completed, independently,
E. means you are an expert in your field and are ROUTINELY consulted by
others in your field on the job for difficult situations, or you ROUTINELY train
others on the job in this task.

For Example: If you have no experience giving verbal directions to others you
would circle the "A" next to statement #1, but if you are routinely called upon
by others to give difficult verbal directions to others you would circle the "E".

1. Giving verbal directions to others
A B C D E

2. Stopping suspicious persons tactfully
A B C D E

3. Finding answers to questions in standardized reference material
A B C D E

4. Handling situations with irate or verbally abusive public
A B C D E

5. Giving physical assistance courteously
A B C D E

6. Responding to calls/alarms timely
A B C D E

7 . Directing traffic at accident scenes
A B C D E

8. Restricting access at crime scenes
A B C D E

9. Conducting crime scene assessments
A B C D E

10. Taking charge of accident scenes
A B C D E

11. Giving crime prevention information
A B C D E

12. Informing individuals about their rights as suspects
A B C D E

13. Obtaining search warrants
A B C D E

14. Handling correspondence with professional law enforcement agencies
A B C D E

15. Informing individuals about their rights as witnesses
A B C D E

16. Intervening to abort criminal acts
A B C D E

17. Detecting evidence of criminal acts
A B C D E

18. Protecting evidence at a crime scene
A B C D E

19. Protecting witnesses to criminal acts
A B C D E

20. Apprehending suspects resisting arrest
A B C D E

21. Using proper restraints subduing individuals
A B C D E

22. Subduing individuals using the minimum application of physical force
A B C D E

23. Using fire arms according to prescribed regulations
A B C D E

24. Conducting preliminary investigations
A B C D E

25. Having responsibility for a crime scene
A B C D E

26. Performing traffic patrol
A B C D E

27. Enforcing speed limits
A B C D E

28. Enforcing parking violations
A B C D E

29. Enforcing pedestrian right-of-way rules
A B C D E

30. Issuing Violation Notices
A B C D E

31. Responding to medical emergencies
A B C D E

32. Responding to storm emergencies
A B C D E

33. Controlling traffic during emergencies
A B C D E

34. Assisting victims during emergency situations
A B C D E

35. Explaining evacuation procedures
A B C D E

36. Performing dispatcher duties
A B C D E

37. Testifying, as the officer involved, in court
A B C D E

38. Maintaining a high degree of physical conditioning
A B C D E

39. Using General Law Enforcement techniques
A B C D E

40. Conducting searches according to police policy
A B C D E

41. Operating a two-way radio system
A B C D E

42. Operating the police emergency vehicle
A B C D E

43. Adhering to fire and safety rules
A B C D E

44. Teaching bomb threat procedures
A B C D E

45. Directing volunteers in using search organization procedures
A B C D E

46. Maintaining good Police-Community relations
A B C D E

47. Obtaining search and arrest warrants
A B C D E

48. Recognizing the difference between normal and deviant behavior
A B C D E

49. Properly classifying violations as they occur
A B C D E

50. Being understanding with emotionally disturbed individuals
A B C D E

51. Using the knowledge of CIP Weapons
A B C D E

52. Utilizing police communications systems on patrol
A B C D E

53. Using the knowledge of State and Federal laws and regulations
A B C D E

54. Investigating violations and reports of incidents
A B C D E

55. Acting as dispatcher
A B C D E

56. Interpreting Federal laws regularly
A B C D E

57. Using the PR-24 Baton effectively
A B C D E

58. Defusing crisis situations
A B C D E

59. Conducting Controlled Substance Inspections
A B C D E

60. Insuring the rights of suspects
A B C D E

61. Taking statements from witnesses
A B C D E

62. Interrogating suspects
A B C D E

63. Making arrests
A B C D E

64. Performing "booking" procedures
A B C D E

65. Issuing citations for personally observed violations of the law
A B C D E

66. Writing uniform offense reports covering incidents on your shift
A B C D E

67. Independently conducting vehicle patrol for a prescribed area of a regular
shift
A B C D E

68. Pursuing persons fleeing a crime scene
A B C D E

69. Negotiating with unstable individuals posing an imminent and direct threat to
others
A B C D E

70. Detaining suspects and witnesses
A B C D E

71. Operating surveillance and security equipment
A B C D E

72. Issuing and controlling police equipment
A B C D E

73. Coordinating with a variety of law enforcement agencies to gather evidence
A B C D E

74. Developing case information for use in pressing charges and bringing suspects
to trial
A B C D E

75. Developing informants and informant network
A B C D E

76. Collecting and preserving evidence in accordance with chain of custody
procedures
A B C D E

77. Fingerprinting a crime scene
A B C D E

78. Issuing a citation for disturbing the peace
A B C D E

79. Arresting a suspect for assault and battery
A B C D E

80. Investigating for theft or robbery
A B C D E

You may address the following on this sheet or a separate sheet of paper:

VIII. A. Describe your work experience negotiating with emotionally unstable
individuals posing an imminent and direct threat to your life, innocent victims
or bystanders. How often are you involved in this type of situation.

B. Describe police experience you have had working in a high-pressure environment
or working under stress. Include any experience at a psychiatric hospital or
public clinic; violations by VIP's such as Congressmen, elected officials,
doctors, lawyers, etc.,; or experience handling domestic disturbances.

ATTENTION--THIS STATEMENT MUST BE INITIALED AND SIGNED

Read the following paragraph carefully before signing this Statement

A false answer to the questions in this Supplement may be grounds for not
employing you, or for dismissing you after you begin work, and may be punishable
by fine or imprisonment (U.S. Code, Title 18, Sec. 1001). The statement is
subject to investigation, including a check of your fingerprints, police records,
and former employers. All the information you give will be considered in
reviewing your Statement and is subject to investigation.

YOUR APPLICATION CAN NOT BE PROCESSED UNLESS YOU COMPLETE THE FOLLOWING: You will
not be considered for any position less than you request. You may not get
consideration if your request is for a grade higher than your qualifications. WE
CANNOT CHOOSE FOR YOU SO YOU CANNOT BE REFERRED IF YOU LEAVE THESE STATEMENTS
BLANK.

**I CERTIFY that the statements made in this supplement are true, complete and
correct to the best of my knowledge and belief, and are made in good faith. I
also certify that I have thoroughly read the Vacancy Announcement and have
followed the directions for applying for this position by including in a
description of my experience the duties I regularly performed and the degree of
independence I had while performing them.

**Please initial: I do__________-----I do not___________.

I will accept full time ___, part time ___(____HRS/WK), or either full or
part-time ____ work.

The lowest grade I will accept is: ________________________.
BE SPECIFIC, do NOT say "negotiable", "open", etc. Grade information can be found
on the first page of the Announcement.

_______________________________________________________________
NAME----------------------SOCIAL SECURITY #----DATE OF BIRTH----DATE
 
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