APPLICATION FOR COMPETITIVE EXAMINATION
FIRE AND POLICE CIVIL SERVICE BOARD
PLEASE PRINT OR TYPE. FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH ALL
REQUIRED DOCUMENTATION TO THIS APPLICATION MAY CAUSE YOUR APPLICATION TO BE REJECTED.
we: ns: ote: usr
Beniarin Andrew Raymond
ferRecr ADORESGIP.O. BOX WO, carvron srarezie:
HONE TELEPHONE NUMBER (TH AREA CODE) Ewa ADDRESS
ac
eu TeLenione nave chm aca cove) (ERA?
socut secu necro DATE OF RTH (MONTHORTENEAR
ane vou a omen OF THE UTED STATES? ORWERTS LUCENE Nor
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EXAMINATION FOR WHICH YOU ARE APPLYING (FILE A SEPARATE APPLICATION FOR EAGH EXAMINATION)
Chief of Pobce
‘The Federal government requires that we request the following race and sex information for statistical reporting purposes.
‘Completion of this section is voluntary, and your application will not be rejected if yau choose nat to provide this Information.
ale Block Hispanic =m Am, Indian = Asian
= Female
In accordance with ct service faw you must be 2 eizen ofthe Unied State, and of lgal ge. In eddlon to these requirments, the fea
‘municipal re and pce chil service board In each urisicvon has adopted Ws on gualieaton requirements foreach of ts competitive class
“Therefore, you must allah the necessary documentation to very tet you meet ll he requirements ofthe el service board to which you ere
anpying, You must attach scopy of the folowing documents:
Prof tat you ee a elzen of tho United States (Bish Cece, US Passport, or Centifeae ofNaturalzaton)
eo tat you mest tho oge requirement of th ei service board (ith Cerifcate)
Proof thet you meet the education requiement as posted by the el sevice board to bo admived Fohieelld, S1 UVM SIE
Proof thet you have a valld divers lcanse (this I a requirement of the cul sere board to be SgnHRg Ig MA BEBNTLAID
riGd OHV Sul,1 HAVE COMPLETED THIS APPLICATION WITH THE KNORLEOGE AND UNDERSTANDING THAT ANY OR ALL ITEMS CONTAINED HEREIN MAY BE SUBJECT TO
INVESTIGATION PRESCRIBED BY LAW, AND | CONSENT TO THE RELEASE OF INFORMATION CONCERNING MY CAPACITY AND FITUESS BY EMPLOYERS,
[EDUCATIONAL INSTITUTIONS, LAW ENFORCEMENT AGENCIGS, AND OTHER INDIVIDUALS AND AGENCIES, TO DULY ACCREDITED INVESTIGATORS, CIVIL
‘SERVICE BOARO MEMGERS AND OTHER AUTHORIZED EMPLOYEES OF THE GOVERMENT FOR THAT PURPOSE.
| CERTIFY THAT THE ANSWERS | HAVE GIVEN TO ALL QUESTIONS IN TH APPLICATION ARE TRUE TO THE BEST OF MY KNOWLEDGE, 1 KNOW THAT ANY
/MIGREPRESENTATION HEREIN NAY CAUSE MY APPLICATION TO BE REJECTED, MY HUME REHOVED FRON THE ELIGIBLE LIST ANDIOR MAY SUBJECT ME TO
DISMISSAL FROM EMPLOYMENT.
ii, ai bead
4. WITHIN THE PAST 6 YEARS, HAVE YOU DEEN TERMINATED, OR RESIGNED IN LIEU OF TERMINATION, FROM ANY FOSITION FOR REASONS OTHER
‘THAN A REDUCTION IN FORCE?
2. HAVE YOU EVER BEEN CONVICTED OF A FELONY?
nes
2. VE YOU BEN coNVeTED OF A MEEMEAGR DURE Tm LAST VANE?
wes (oe?
NOTE: |F YOU ANSWERED "YES" TO EITHER OF THE AIOVE QUESTIONS, PLEASE PROVIDE At! EXOLANATION IN THE EXPLANATION BLOCK BELOW. A
‘CONVICTION WILL NOT NECESSARILY DISQUALIFY YoU FROM THE JOB FOR WHICH YOU ARE APPLYING. A CONVICTION WILL GE JUDGED ON ITS OWN,
age 2 of &page 3 of §‘A. HIGH SCHOOL
are cena May 1998,
25
Northwood High School
5939 Old Mooringsport Rd.
Shreveport, LA 71107
ipipoiieas | oe | nou ace aon
‘Northeast Louisiana University ~ Monroe 1996-99 | 122 Bachelor of | August 4, | cus
Aas 1999.
©. OTHER FORMAL TRAINING Sia ote ti | agua to erin
{USTe86, TRADE MILITARY, ETC. CLASSES OF SEMHARS) see Plo eae
{THUS OF INSTRUCTION OR GLASS (ATTACH ADOMIHAL PAGES I NECESSARY)
LA POST Firearms Instructor Livingston, LA, May aye 40
zoe | *
Basic POST law enforcement certificate Shreveport LA, zresoo | as 40
= 6/13/00
page 4 of 8LUST ANY SPECIAL COURSE WORK, TRAINING, OR EXPERIENCE WHICH MAY BE BENEFICIAL IN THE JOR FOR WHICH YOU ARE APPLYING, OR WHICH MAY,
SATEFY ANY SPECIAL QUNLMEHHON ReaUIEHENTS Cha Adadwutcetive Hots fad V/as/sar>. fiat
Sabotrtete [ Pravistant Chref ot fol nhs (oop samen
IF YOU HAVE CONPUTER EXPERIENCE, PLEASE LIST ANY COMPUTER PROGRAMS (SOFTWARE) WITH WHICH YOU HAVE A WORKING KNOWLEDGE:
Powarpoir, Exoa, Word
Five-point veterans preference
jranted to veterans who receive passing scores for an entrance class and who were discharged
Under honorable concitions from active duty in the U.S. Armed Forces during @ war, or during the period April 28, 1952, through
July 1, 1956, oF for more than 180 consecutive days, other than for training, any part of which occurred after January 31, 1955, and
before October 18, 1976; or during the Gulf War from August 2, 1980, through January 2, 1992; of for more than 180 consecutive
days, other than for training, any part of which occurred during the period beginning September 11, 2001, and ending on August 31,
2010, the last day of Operation Iraqi Freadom; or Ina campaign oF expedition for which & campaign medal has been authorized,
Any Armed Forces Expeditionary medal or campaign badge, including EI Salvador, Lebanon, Grenada, Panama, Southwest Asta,
Somatia, Hail, Kosovo, Bosnia, and Herzegovina qualifies for preference. A ezmpaign medal holder or Gulf War veteran who
cotiginally enlisted after September 7, 1980, (or began active duty on or after October 14, 1982, and has not previously completed
24 momths of continuous active duty) must have served continuously for 24 months oF the full period called or ordered to active
duly. The 24-month service requirement does net apply to 10-point preference eligibles separated for disability incurred or
‘aggravated in the line of duty, or to veterans separated for hardship or other reasons under 10 U.S.C. 1171 or 1173. Not
1DD-214 does not provide proof of entitlement for preference, you must obtain an amended DD-214 or other written documentation
If your
showing award of Armed Foress Expaditionary Medal.
Should you wish to receive the veterans preference points, check the space provided and attach a copy of your DD-214 which
verifies your qualification to receive preference.
[QUALIFY FOR THE FIVE-POINT VETERAN'S PREFERENCE AS IDENTIFIED ABOVE, AND HAVE ATTACHED A COPY OF
MY DD-214 OR OTHER DOCUMENTATION TO THIS APPLICATION FOR VERIFICATION PURPOSES
Ifyou require any special testing accommodations because of a disablity which limits @ major Ife activity, you must complete this
section in order for your request to be considered.
‘= Iam requesting testing accommodations under the Americans With Disabilities Act for the following disablity (check box
‘and specify cisabilty):
pogo 5 ofREQUIRED DOCUMENTATION TO ATTACH TO YOUR APPLICATION: in order for this civil service board to process your ADA
Fequest, you must attach written documentation of your disabilly, Including an assessment of acconimadations which might be
‘sppropriate to compensate for your disably ina testing environment, prepared by a doctor, psychologist, rehabifttion counselor,
‘occupational or physical therapist, oF other professional with knowledge of your functional finitations.
‘What accommodations are you requesting?
‘Extra Time Reader Private Room Serbe Other:
INSTRUCTIONS FOR COMPLETING SECTION ON WORK EXPERIENCE
‘Start with your present or most recent position and work back, including any military experience. Use separate blocks
if you were promoted or your duties changed materially while working for the same employer. Treat each change as a
Separate position. For volunteer experience, use work experience blocks and disregard reference to salary. It Is to
your advantage to completely describe your duties in each position, placing particular emphasis on duties, tasks
performed, and responsibility. Attach additional pages, if necessary.
NAME AND COMPLETE ADDRESS OF EMPLOYER ‘TPE uses
‘Shreveport Police Department Law Enforcement Agency
1234 Texas Ave. ‘TILE OF YOUR PosITion.
Shreveport, LA 71101 Provisional Chief of Polos
TELEPHONE NUMBER (WITH AREA CODE) (218) 673-6000
DATES OF EVPLOYMENT was THis Fuuree — | averace numer oF | pecntene evo
EMeLoyMeNT? Hours wonken per | SALARY SALARY
From: 0: erent wees 144,000, $148,000
wm | on | = [* oor | vm 60+
it ta fae: myes ano
NOME AND TITLE OF IMMEDIATE SUPERVISOR NUMBERVTITLE(S) OF EMPLOYEES YOU SUPERVISED
‘Cho Shonika Field Jones 1 Deputy Chiet , 4 Assistant Chiets of Police
‘DESCRIBE YOUR DUTIES IN DETAIL (USE SEPARATE SHEET, IF MECESSARY)
eed a department of 580 allocated Police Officers, 37 Jaliers ard 44 Police Communication Officers. | am responsible for
‘Snouring our egency meets the needs of the chizens we serve by managing all functions, personnel and property of the
Department. | estabish policies, goals and objectives and ensure compliance with the same. 1 also perform public retaions
age 6 of 8duties end represent the depariment at a number of functions
page 7 0 8NAME AND COMPLETE ADDRESS OF EMPLOYER
Shreveport Potice Department
4234 Texas Ave.
Shreveport, LA 71101
TELEPHONE NUMBER (WITH AREA CODE) (818) 873-5900,
‘TYPE BUSINESS
Law Enforcement Agency
TITLE OF YoUR PosmoN
Chiet Administrative Assistant
DATES OF ExpLovtseNT was THs
FULLSTINE ENPLOVMENT?
FROM To:
win
%
18
myes No
rvenage nuwoer oF | seciwins — | eNOING
HOURS WORKED PER | SALARY SALARY
Weexe
$89,000 $70,000
60+
‘SAME AND TITLE OF MMEDIATE SUPERVISOR
Deputy Chief Bill Goodin (retired)
[NUMBERMMTLE{S) OF EMPLOYEES YOU SUPERVISED
(2) Monagernt Anat, (1) Management Analyst (1) Management Ants,
(1) superirenden of Voce Mainananes, (1) Pole Systems Adminswater,(f) Ofice Spelt
| primary oversaw the development and implementation of the police budget
| also directly supervised seven classified civiian
positions and oversaw over 110 fulltime and over 100 parttime civilian employees dealing wih hiring, resignations and
iscipinery matters. Addtionally, 1 performed any duties assigned to me by the Deputy Chief of Police or Chie of Police regarding
the effciont operation of the police department.
NAME AND COMPLETE ADDRESS OF EMPLOYER.
Shreveport Police Department
1234 Texas Ave.
Shreveport, LA 71104
TELEPHONE NUMBER (WITH AREA CODE) (318) 673.7170,
‘TPE ausiness
Law Enforcement Agency
‘TIE OF YOUR POSTION
‘Secgeant, Academy Instructor
(promoted to Sgt. on Aug. 8, 2017)
DATES OF EMPLOYEEENT was THis
FULL-TIME EMPLOYMENT?
FROW: 10:
or for |i foo | 24 jaz
yes KO
aversos wuveer of | seciwova — | ENDING
Hours worKeo Pek | SALARY SALARY
weexe
$58,000 | $62,000
40
[NAME AND TITLE OF IMMEDIATE SUPERVISOR
Lt. Jody Jones (retired)
NUVBERITITLE(S) OF EMPLOYEES YOU SUPERVISED
25-40 (depending on size of Academy cadet classes)
page 8 of 8DESCRIBE YOUR OUTIEG I OETAIL (UGE SEPARATE SHEET, F NEOEEEARYY
[As an instuclor at the Shreveport Police Regional Training Academy | instucted cadets in thelr besic POST law enforcement
Curriculum and ective officers for thelr annual in-service traning. Ihave a qumber of instructor-level certifications to include POST
Firearme, NAPD Tactical Brving Inetructor, FBI Instructor Development, SSGT Level 1 defensive tactics, COB Safely Officer, Giock
‘and AR-15/M4 armorer certiications, NAPD SUV Driving instructor, NRA Preck
Rifle Instructor, Rappel Master, and mary
other
1 wes responsible for ensuring Academy cadets met the requirements as set forth by POST and the department.
poge 9 ofNAME AND COMPLETE ADDRESS OF EMPLOYER
Shreveport Police Department
1234 Texas Ave.
[VPE BUSINESS
Law Enforcement Agency
{TITLE OF YOUR POSTION
Shreveport, LA TH0t Corpora, aL
“TELEPHONE NUMBER (IT AREA CODE) (918) 67-200
DATES OF EMPLOYMENT was THB "wennoe Moser oF | eeannwNe | ENON
rucrme eviower | Hours worm eee | saser | satan
FROM: To: bless
. fale ae eee $38,000 $58,000
os jor fos fos |s0 | 16
myES: NO 40+
NAME ANO TITLE OF MEDIKTE SUPERVISOR
Sat. Cllton Lindsey (retired)
NUMBERITITLE(S) OF EMPLOYEES YOU SUPERVISED
NA
DESCRIBE YOUR DUTIES IN DETAL(UCE CEPARATE SHEET, F NECESSARY)
[AS an investigator in the Mid-Level Investigations Uni, | worked narcotics cases tnvolving the sctviies of mid-range to farge-scale
rug dealers in the Shreveport-Caddo Perish area. The work included undercover and plain-clothes assignments, the obtaining
Response Team and | took the role of SRT Training Coordinator to make sure our team wes fully
‘and execution of search and arrest warrants, court testimony, etc. During this time | was elso instrumental in the Special
ned and equipped to deal
NAME AND COMPLETE ADDRESS OF EMPLOYER
Shueveport Police Department
1234 Texas Ave,
‘Shreveport, LA 71101
TELEPHONE NUMBER (WITH AREA CODE) (318/679-7500
vith a multtude of incidents requiring special weapons and tactics.
TYPE Buses
Law Enforcement Agency
“TLE OF YOUR Posrrion
Offcer/Agent, Street Level interdiction Unit
DATES OF EXPLOYMENT was TH, ‘AVERAGE NuMBER oF | eeonwWNG — | eWoING
FULLTIME EMPLOYMENT? | HOURS WORKED PER} SALARY SALARY
Rom: To: wens
ie ox ia ~ $30,000 | $38,000
™ ov | toe
05 za joz |e at | 05
wyes NO
NAME AND TITLE OF
Sgt. B.K. Hall (retked)
NUMBERTITLE(S) OF EMPLOYEES YOU SUPERVISE
N/A
page 10 of 8‘DESCRIBE YOUR CUTIES IN OETA (UBE SEPARATE SHEET, NECESSARY)
As an investigator in the Street-Level interdiction Unit, | focused my investigetive efforts on small-scale drug
J
dealers and users. Work included uniformed, proactive policing as well as undercover operations. | also
served as a member of the Special Response Team which resolved high risk incidents requiring the use
of specialized equipment and training.
page Ito 8NAME AND COMPLETE ADDRESS OF EMPLOYER
Shreveport Police Department
1234 Texas Ave,
Shreveport, LA 71104
‘TELEPHONE NUMBER (WITH AREA CODE)_(918)673-7200
‘Pe ausiNEss
"TILE OF YOUR POSITION
officer
Law Enforcement Agency
OATES OF EMPLOYMENT
FROM: 10:
os 1 [oo Jos | az
02
eas THs AVERAGE NUMBER OF
FULL-TIME EMPLOYMENT? | HOURS WORKED PER
week:
40
yes No
SINS
SALARY
$27,000
eons
SALARY
$30,000
NAME ANO TITLE OF IMMEDIATE SUPERVISOR
Sot. Lester Robinson (retired)
NUMBERITITLE(S) OF EMPLOYEES YOU SUPERVISED
a
[DESCRIBE YOUR DUTIES IN DETAIL (USE SEPARATE SHEET, F NECESSARY)
[AS an officer assigned to the Uniformed Service Division, Patrol, | worked graveyard shift. My duties included responding to
calls for service and proactively policing my distict/area to prevent crimes.
‘Shreveport Police Department
1234 Texas Ave.
Shreveport, LA 71101
NAME AND COMPLETE ADDRESS OF EMPLOYER
TYPE BUSINESS
Law Enforcement Agency
‘TITLE OF YOUR POSTON
Police Recruit
TELEPHONE NUMBER (WITH AREA CODE) (S18) 679-7300,
| oss oestrone was THis AVERAGE NUMBER OF secre | snows
2 FULLTME HOURS WORKED PER WeEK: | SALARY | SALARY
ae EMPLOYMENT? $24,000 | $24,000
we fom |e Paw | ow | om. aol
oz | 28 |oo Jos\ J 13 | oo
myss no.
NAME AND TITLE OF muteoiATE AuPERNIEOR NUMDERITITLG(S) OF EMPLOYEES YoU SUPERVISED
LE Mike Campbell
0
DBSORIBE YOUR DUTIES I DETAN (USE SEPARATE SHEET, IF NECESSARY)
age 12 of 8As a cadet, | completed the required POST basic law enforcement certification required by the State to be
@ certified law enforcement officer. | graduated as the Honor Graduate and took top honors in physical
fitness as well as academics.
psge 13 of 8APPLICATION FOR COMPETITIVE EXAMINATION
FIRE AND POLICE CIVIL SERVICE BOARD
PLEASE PRINT OR TYPE. FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH ALL
[REQUIRED DOGUMENTATION TO THIS APPLICATION MAY CAUSE YOUR APPLICATION TO BE REJEGTED.
awe: Fits ooLe: ust
denice Renes Dalley
. ‘orviroune ‘sete
HOWE TELEPHONE NUMBER (WTTH AREA CODE) SAIN | tt, ACRES
[OFFICE TELEPHONE NUMBER (WITH AREA COC) SE
eau TReMoNe HUMBER TH AREA Coe) ANA —
—— Sd
Pres LCeNSe HSA
soe,
SxeraTION CATE: UNM
EXAMINATION FOR WHIGH YOU ARE APPLYING (FILE A SEPARATE APPLICATION FOR EACH EXAMINATION)
Chet of Potce
[the Fadaral government cequires that we request the following ace end sex information for statistical reporting purposes, |
Gompetion of this section is vountary, and your applistion wil not be elected if you chaose not to provide this information
mate white Bleck = Mispanic, =e Am. Indian = Aston
classes, Therslore, you must liach the necessary documntsion to vey tal you mect all ta requirements of the chil sence boar to
unch yeu om apeylg. You must attach a copy a he folowing documents
Proof hat you ae @eltzan ofthe Uned States (Reh Cercle, US Passport oF Cricut of Notuekzston)
Proot hat yeu meet we age requloment of the cl sondca bond (Binh Cetoae)
Proof tat you moot Wo education roquiemect ae poste! by the cil sence board to be ante to the exam
Proof wat you have aval drers leer Gf thie ba requlement ofthe cil sori board to be sciived Wo the exam)
HAVE COMPLGTED THE APPLIATION WII! THE KRORLEDGE AND UNOERSTANOING THAT ARTY OM AL TEMS COHTAMED HEREH way oe |
SUBJECT TO RWVESTIGATION PRESCRIBED BY LA, AND | CONSENT TO THE RELEAGE OF INFORMATION GONDERNING MY CAPACITY AD FINES
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wwse%6o 2182/20/20 GMT[ov seeiovans, covcwnowa, mewTuTions, Cow GOROEWENT AZENORE, MNO OTVER PENIBUALS AID AGENGIED, TO BULY AeonaDITED]
NVESTIGATORS, GML SERVICE BOARD MENSERS AND OTHER AUTHORIZED EMPLOYEES OF THE GOVERNMENT FOR THAT PURPOSE.
| CERTEY THAT THE ANGERS 1 HAVE CIVEN TO ALL. QUESTIONS I THIS APPLIGATION ARE TRUE TO THE BEST OF MY KNOWLEDGE. 1 ;OW THAT
ANT MSREPRESENTATION HEREIN MAY CAUSE IY APPLICATION TO BE REJEOTED, MY NAME RENOVED FROM THE EUGIELE LST ANOIDA UAY|
SUBJECT ME To DIGHIGEAL FROM EMPLOYMENT.
4. THN THE PAST 6 YEARS, HAVE YOU BEEN TERMINATED, GR RESICNED WN LIEU OF TERMINATION, FROM ANY POSTION FOR REATONS
Yes BNo
2, HAVE VOU EVER BEEN CONVICTED OF A FELONY?
YES,
2, HAVE YOU BEER CONVICTED OF 4 MISTENEANOR OLIONG THE LAST 9 YEARS?
ves. no
NOTE: F YOU ANSWERED “YES TO EITHER OF THE ADOVE: QUESTIONS, PLEASE PAOVIDE AN EXPLANATION IY THE EXPLANATION BLOCK,
BELOW. A CONVICTION WIL. ROT NECESSARILY DISQUALIFY YOU FROM THE JOB FOR WHICH YOU ARE APPLYNIG. A COMMOTION YL BE
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SATISFY ANY SPECIN. QUALIACATION REQUIRERENTE
'e YOU HAVE COMPUTER EXPERIENCE, PLEASE LIT A COMPUTER PROGRAMS (EORTWARE) WATR WHRCH YOU HAVE A Worth YOWLEDAE:
Five-poit volorams preference fs granted to veterans who recelve passing stores for an entrance class and who were discharged
‘under honorable condions from active duly inthe U.S. Amed Forces during a war, or during the poried April 28, 1952, through
July 1, 1886, or for mere than 180 canseciive days, other than for ening, any part of which occurred ater Janay 31, 1955, and
before October 15, 1976; or during the Guif War from August 2, 1890, through January 2, 1992 oF for more than 180 carsecutve
ays, other than for training, any part of which occured during the period beginning Soptomber 11, 2001, end ening on August 3,
2010, tho fast day of Operation iraqi Freedom; or in © campaign or axpeditlen for which o eampalgn medel has been authorized.
‘Any Armed Fotces Expediionary redel'or campaign badge, including #1 Salvador, Lebenon, Grenada, Panama, Southwest Asta,
‘Somalia, Hall, Kosovo, Bosnia, and Herzegovina qualtes for preference, A campelgn modal holder or Gulf War veteran vite
‘orignal onicted afar Septomber 7, 1980, (oF Began active duty on oF afer October 14, 1982, ond hee not preMausty completed
24 months of continuous active duly) must have served continuously for 24 months or the fll period called or ordered to actve
duty, The 2-monts service requirement does not apply to 1O-polnt pratsrance elpties eaparated for esobilly Incurred or
aggravated Inthe tne of duly, orto vetrans separated for hardship or other reasons under 10 U.S.C. 1171 or 1173, Note: Ityour
'Bb.214 dose not provide proof of ontlament for preference, you must cbtain an amended DD-214 or othor vtton documentation
showing eward of Armed Forces Expedilonary Medal.
‘Shouid you wish to receive the veteranas preference polnts, check the epace provided and attach a copy of your BD-214 which
vesites your qualtication to receive preference
QUALIFY FOR THE FIVE-POINT VETERAN'S PREFERENCE AS IDENTIFIED ABOVE, AND HAVE ATTACHED A GOPY OF
MY DO-214 OR OTHER DOCUMENTATION TO THIS APPLICATION FOR VERIFICATION PURPOSES
Ber ae 7 a
FDR Tes foie ApcohmiOarions UnibeR THe ANRC WITH OSABLATICB Ac
Bee:
ou require ary spacial testing accommodations becsuse ofa uissilly wich Iits @ major Ufe eoty, you must complete ths
‘section In order for your request to be considered
[7] 11am requesting testing accommodations under the Americane With Disobiltios Act for the following dlsabilty (check
ox and spectly disabity:
REQUIRED DOCUMENTATION TO ATTACH TO YOUR APPLICATION: In order fer ths civil serve board Yo process your ADA
request, You rust attach written documentation of your dlsabllty, Including sn assessment of accommodations which might be
‘appropriate to compensate for your disablty in testing environment, propared by a dactor,psycheteglst,rehabitation counsolor,
‘occupational oF physical therapist, or other professional wth knowledge of your functional tiitatons.
L.
pave 4 067 § Se
fed sey dt Hver20 G02 AH
Wwe :60 c1ez/ea/20 | GBNTSO3What acdommndtions are you requesting?
Clowes Create Cniaeron Cece Closer
INSTRUCTIONS FOR COMPLETING SECTION ON WORK EXPERIENCE
‘Start with your present ar most recent pestion and work back, including eny military experienes. Use separate blocks
'¥y0u were promoted or your duties changed materially while working forthe same employer. Treat each change as a
‘separate postion. For volunteer expetience, use work experience blocks and disregard reference to salary. It is to
‘Your advantage to complotely describe your dutios in each postion, placing particular emphasis on duties, tacks
performed, and responsibilty. Attach additlonet pages, if necessary.
ae laren
ie No COMPLETE poonESe GF eamLoven —
| Shreveport Police Department [Police Department
Seon
SE ros ee oe
TELEPHONE NUMBER: ( __) (318)673-8900 Police Officar
wea santas Seawall ese raiees oY es ea
fc elcne Petercerine eseed ica et
PROM: To: al
Sant eg ie i
ot ke |) | Thee Che
Awe AN TMLE OF MIMEDIATE SUPERVISOR
NUNGESUTTLU) OF EMPLOYEES YoU SUPERVISED
Various
DEECARE YOUR DUTIES DEVAL UES SSPE SC, HEDESEARY
‘Beso des of a poice aficor to Incude ivostgalon of al orninal aot, wate auahes and Aalrbances. Dang Ws Uma
{tame | vas transfered to the Di enforcement url were my dls primey ncated te imestigation of alcohol related
‘offensae committed by parsons who were diving. The dutes expanded to include the on gall investigation of tat fataties and
‘mafor injury crashes in order to praserve evidence and idently at fault persons.
meter’ @
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NAME AND COMPLETE ADDRESS OF EMPLOYER ‘Tre eusiess
Shreveport Police Department
Shreveport Pl IPoice Department
Shreveport, LA 71101
TELEPHONE NUMBER: ( —) (918)673-6900
Potee Carport
aT OF ePLomeT ws avenees waxnen oF | ecaname | espace
rome ro: rucrueewtormre | yours won ren | seanr | ean
oo
09 fos faovz Jos for anos. oO ie
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Various
Sec YOUN BITES DETAR {LEE EEPHRNTE GHA FHEDESEAN)
Expand duties of pole offs: to include invesigation of al orinal and trafic olfonoos, lnvesigalion of atic Sashes,
I ties. Also responsible for acting as on scone gupervsor of url those oncasions a suserlsor was nol
eran a ne 2cige fe response of otter offcers in order to matron 6oane seculy, salely and hneaiiy. Responses ei
S210 ofthe public os well as other offcars. During this time was aso responsible ortho Wabing afew police aficers os fc
{raining offer. During this ime | was alzo assigned as an lovestigator te the eex crimes unt and wea reeponsiblo for de
investigation of al sexual ised offenses. THs nuded nial nti, low op iardowa, suapou lelewogalons and
Sollection of physical evidence and tiel testimony.
INANE AND COMPLETE ADDRESS OF EMPLOYER.
fremont Petcare ote operon
oy (eee rane rence
Sorat ek H01 coarse
TREPIONE MOUSER (ep erpeano ote Sergeant
= a omnes | wamel [ck
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B8GRIEE YOUN DUTIES OETA (IEE SEPA SHEE, NEDUSSARY
Sivertson anc drection of police officers and divilan employees ofthe palae department. Responsible for ime managemort
allocation and staffing of the unit eupervisos. Also responsible for [dent ‘and developing solulone tothe
Dba as wall as implementing those solutons. Dung ti tme I was assigned tothe Comnmuney Orantad Foley BUSA
‘there the mejriy of our foous wes on rebulcng and strengthing eeionahins within he community well a Wentang tease
‘Sees where improvernent was neaded. Worked closely with various departments withing ely goverment, including, Property
Standars, Fre Department, Sold Wests, Streets and Dralrage as wel the Metropotien Planning Commission, Cly Gouncl and
Cadio Sheif's Offce,
pune 6089 WY
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WweEt60 ctOz/e0/20 aanIa0RNAME: AND COMPLETE ADDRESS OF EMPLOYER
DSeRE YOUR num w OETA (Uk SEPAIATE HT HECEaBAN)
misconduct and policy lal
instrucion of new
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weveparPolce Deparment Potce Departnent
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ion tions. Also respensibie for the investigalion Inio allegations of misceneliet and | policy victations levies
Ponts! offoers by the administration ofthe poles dapertmantor ther polce department mombers. Also responsible for the
'y promoted sergeants in the resnonsibittes of thar cules and lealerahip functions of ther roto nthe
ious chillan groups as well as new recuils and newly promoled leulenanis On ha
Hrportnoe of intarnal Afels investigations ang acccuntabilty within he department to affoers wed otesos
NAME AND COMPLETE ADDRESS OF EMPLOYER
Ipseecsree cere sterreeremee eee eee eecee |
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hes Fo
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‘ATES OF eMPLOWUENT was soe ‘avevar wovoes or | scones | ona
Frou ro: Fousmis mwetoven | Hours wormco ren | enuny | saany
were:
WOE ANDO TMLE OF MAMEDIATEsureRVSOR
[NUNBERATTLE(S) OF ENPLOYEES You SUPERVISED
‘SOHNE YOUR Comes CEL (UGE SEPARATE BNET. IF HEDESSARY]
pene? 0
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@
vey dH bivovi2D 602 2 eM‘Steevepor Pose Deparment
1234 Texeo
Shreveport, LA 718%
TELervons nuMDER (HTH AREA CODE 910:878800
NAME AND COMPLETE ADDRESS OF EMPLOYER
‘Tre USNS
Police Department
“TILE OF YouR posiTon
Police Sergeant
DATES OF EuPLOWIENT Wass ‘vennce wuneer | aeaneine | enone
FULSTME oF HOURS WorKED | saLARY | sAtaRY
Frou: eueconwexr? PoR WEEK
wo [oa [on Po lear | vn | pres [so ©
A zoe | 2 zo
{UAW AND THLE OF HAEDIATE SUPERVISOR
eutenant Stephen Plunkere
‘NUNBERTTM=S) OF BUPLOVEES YOU SUPERVIGED
10-15 Police Officers
[ESEREE YOUN DUTIES IW DEER (LSE SEPARATE BET, HEREOARY
‘Supenision and ditecton of police patel otfeate during tei dulias on shiR. Responsible for ensuring calls for sane were
Answered prompt, safely ard spproptata action taken on the part of offcars.
‘And approval of time of
Furterresponsitie for eupervcion ofthe ofcers onthe shit to ensure thete was adequste coverage of tho atea being paved,
‘Shreveport Police Department
1238 Texas
‘Shnevepor, LA 71401
TELEPHONE NUMBER (WITH AREA COME 318.673.4900
MAME AND COMPLETE ADDRESS OF EMPLOYER
‘re uses
Poice Deparment
"TMLE OF YouR POSITION
Police Lsutonant
ATES OF EMLOYHANT
wo. foay | vn fo. | nay | vm.
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AME AND TLE OF MEDIATE SUPERVISOR
CCoptain Gayle MeFartand
UMBERITMLE(S) OF EHPLOYEES YOU SUPERMEED
Poiice Sergeants
(25% ranging fom Patce Sergeants to Police Officers. Dirslly respensble for
DESEIBE YoU BUTS PETAL (USE SEPARATE SHES, NECESCAN)
6 obed
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my dt vh20 602 «2 AM‘Supenision and drecion ofan area wan the Shreveport Police Departed. Respotabe for sched of vasalon, bang and
Cer tin ott.
Further responsible for dendying rine vends and developing plen of action to adécuss those tends.
NAME AND COMPLETE ADORESS OF EMPLOYER
Shrevepert Police Department
1284 Tova
Shroveport, LA 73101,
TELPVWE NUMMER (UT AREA Coo} 916-672-6900
‘Tre wusness
Police Dopertnent
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Captain anne Prat
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‘Superision and direction of te Youth Services Bureau of the Shrevepon Police Hépanment which includes w folowing
ie Scene, Sex Crimes, Jwenila Invesgalion and DARE/SRO offers. Response for be Gradon of each Indidval
Lait to ensure the goals end objectives of the investigations bureau, pales department and Gly qovemment ae belng mat
36 eflenty a8 passible. Ideniiving crime vends and developing talagls and plans to adds those ends as well a5
EEneuing the public remains edvested and ivommed. Scheduling vecolen, taining endl aber tine off while omalorg adequatay
siafed to meet the needs of the pub.
Gace
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oa
2192/20/20 a3ATSO3A
vey GH HVY20 6102 &2 8HFAX COVER SHEET
Date: March 22, 2019
To: Carol Bradley
Firm: Shreveport Municipal Fire and Police Civil Service Board
Fax Number: 318-628-1986
From: Lieutenant Janice R. Dailey op (h.to —
Shreveport Police Department
ee
Total Pages (including cover) ga 34
Comments: Chief of Police Application and Documents
o
1 abd
WeS€iso 2taz/ze/20 aaNTIORU
ved cH WivH20 6102 &2 eHJanice R, Dailey
‘Shreveport Police Department
Lieutenant
Training
FBI Law Enforcement Executive Development Association Trilogy Award
4. Executive Leadership Program
2. Gommand Leadership Institute
3. Supervisor Leadership Institution
FBI Instructor Development Cerification
PEER Support
Managing Police Discipline
PEER Support Tralning
Fall Leadership Training 2010
Dealing with Trauma and Stress (The Bobby Smith Story)
Active Shooter Training
Emergency Management Institute Intermediate incident Gommand
Emergency Management institute Advancad Incident Command
Deviant Sexual Behavior and Related Criminal Activily
Sex Offender Registration
Domestic Violence, Sexual Assault and Stalking Conference
Interview and interrogation
Crime Scone Investigation
Police Training Officer
Highway interdiction
IPMBA Police Cyclist
Field Training Officer
Hazardous Materials Certification
Managing the Use of Fotce by Police Officers
Standardized Field Sobriety Tests
Field Training Officer
yi
Lte/202a C3NT=O3R
June 2015
June 2015
January 2015
October 2014
April 2014
July 2014
December 2012
February 2011
November 2010
March 2008
April 2009
uly 2008
July 2008
February 2008
December 2007
April 2007
May 2007
March 2007
‘March 2006
March 2005
October 2005
September 2004
July 2000
March 1996
January 1997
March 1895
Ww
184 oH blvor20 602 €2 PHOccupant Protection Usage and Enforcement duly 1892
640 hour Basic Police Academy April — July 1982
Avards and Commendations:
Police Supervisor of the Year March 2011
Mutiple Letters of Appreciation and Commendation for acts of service throughout my career, fo include the avocessful
prosecution ofa repeat sexual offender, successful capture and prosecution of an offender wanted for several armed
Tobberes, capture of armed robbery suspects as well as demonstration of esprit de corps while working with other
agencies and dwisions,
Assignments
Youth Services Bureau Investigations Unit March 2017-Present
Responsible forthe effective and effiiont operation of te Sax Crimes Unit, Juvenile Unk, Grime Scene Unit and DARE
‘and School Resource Officer Unit Dulles include the investigation of criminal matters involving sensitive matters, wring
‘Speratonal orders to address crime tends, scheduling of days, vacations and training while maintaining appropiate
slafing. Currertly oversee approximately 31 officers, corporals, sergeants and two (2) cvitan employens.
Uniform Services Division, Patrol November 2016-March 2017
Rank- Sergeant and then Lieutenant
RResponsioe for the oupervsion of everaloicers assigned fo one area ofthe city. Duties also included writing
‘operational orders to arldress crime trends, schodullng off days, vacations and training whke maintaining appropriate
shafing. As & Sorgaent, was dect'y cesponsible for up to 18 people per shit and as a Lieutenant oversaw epproximetely
29 officers, corporals and sergeants
Intemal Affairs Bureau March 2012- November 2018
RenteSergeant
Responsible for conducting administrative investigations Into members conduct which were aleged to have vicated
policy, inluding Interviewing civilian witnesses and afhars.
‘Community Oriented Policing Bureau ‘May 2008-March 2012
Rank Sergeant
Responsible for the exacution ofthe mission to wer mare closaly with our nelghborhood partners, forming bonds with
neighborhoods and avicuas In the neighoorhoos in order hap reduce ctime and the perception of crime.
FResponsibies also included conducting surnmer camps fr the youlh of Shrevepot in order to give them postive
ineacon wh av enema Scesing oie dys nating whe atoning aes stafing fo serve,
the atizens.
Sex Crimes Investigations Unit August 2006-May 2008
Rank: Investigator Corporal
Responsible forthe Investigation and preparing for prosecution those crimes which were sexual in nature. Including
‘working closely wih the Distt Aitomeys Office, Caddo Parish Coroner and ihe Sexual Assaut Nurse Examiners.
Uniform Services Division, Patrol August 2002- August 2008
Rank-Ofcer and then Corporal
‘Responsibilities included enforcement of the laws of the United States, State of Louisiana and City of Shreveport, Aliso
responsible for developing and maintaining relationships wit the people in the neighborhoods | patrolled.
Ce
2 aed ves dy Wurh2O 6102 &Z Ht
weset6a 210z/20/e0 @3NI3054Uniformed Services Bureau, Radar Enforcement ‘May 2000- August 2002
Rank Oficer
Responsiities included enfarcoment of ne laus ofthe United States, State of Louisiana and Cty of Shreveport. Primary
resronarblly was to reduce the number of talc rashes through enforcement of trafic laws such as speeding, red ight
‘Gnd seatbel lations. Assisted withthe menegement ofthe NHTSA grant for seatbelt end DW enforcement.
Uniformed Services Bureau, DWI Unit August 1995-May 2000
RancOffcer
Responsibities included enforcement ofthe laws of the Urited Stales, Stale of Lousians and City of Shreveport Peimary
reeponeiblty was fo reduce the number of tale crashes through enforcement of DWI lavs, speeding and seatbelt avs.
Uniformed Services Bureau, Patrol August 1992-August 1995
Responsibilies included enforcement of the laws ofthe United States, State of Louisana and Cty of Shreveport. iso
responsible far ceveloping and maintaining retationhips withthe people in the neighborhoods | patrlled.
Education
67 Credit Hours at Northwestern State University 4987-1990
12 Credit Hours at LaTech Barksdale 4994-1995
Cs
e) ated wes cl WWGPZO GZ 2 WH
wee%69 21ez/20/ze GaAT=O=UAPPLICATION FOR COMPETITIVE EXAMINATION
FIRE AND POLICE CIVIL SERVICE BOARD.
PLEASE PRINT OR TYPE. FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH ALL
REQUIRED DOCUMENTATION TO THIS APPLICATION MAY CAUSE YOUR APPLICATION TO BE REJECTED.
NAME: FIRST: upoLe: ust:
‘Michael Edward Carter
enviowne STATE:
HOME TELEPHONE NUMBER (TH AREA CODE) NIA AD
a i
cau teterHone wumsen cur anes cone) ie
Soon SeCURTY CCE pare oF or
|ARE YOU A CITIZEN OF THE UNITED STATES? DRIVER'S Licexss noi
X ves 0 sai
Berarion oxre: Qa
EXAMINATION FOR WHICH YOU ARE APPLYING (FILE A SEPARATE APPLIGATION FOR EAGH EXAMINATION)
‘The Federal government requires that we request the following race and sex information for stistical reporting purposes.
Completion of this section is voluntary, and your application will not be rejected if you choose not to provide this information.
x Male x White Black Hispanic ‘Am. Indian Asian h
Female Other:
In accordance with civil service law you must be a citzon of the United States, and of legal age. In addition to these requirements, the local
‘municipal fire and police civil service boerd in each jurisdiction has adopted ts oun qualification requirements for each ofits compotiive cesses
Therefore, you must attach the necessary documentation to very that you moot altho requirements of the civil sorvie board to which you aro|
‘applying. You must attach a copy ofthe flowing documents:
Proof that you are 2 etzen of the United States (Bith Cerificate, US Passport, or Cetticate of Naturalization)
‘Proof that you mact the age requirement ofthe cil service board (Birth Cortiicate)
‘root that you meet the education requirement as posted by the civil service board to be admited to the exam
Proof that you have a valid dive's license (i this Isa requirement of the cil service board to he admitted to tha exam)
Proof that you meet all other requirements as posted by the civil service board to be admited to the exam
1 HAVE COMPLETED THIS APPLICATION WITH THE KNOWLEDGE AND UNDERSTANDING THAT ANY OR ALL ITEMS CONTAINED HEREIN MAY BE SUBJECT TO
INVESTIGATION PRESCRIBED BY LAW, AND | CONSENT TO THE RELEASE OF NFORWATION CONCERNING HY CAPACITY AND FITNESS BY EMPLOYERS,
EDUCATIONAL INSTITUTIONS, LAW ENFORCEMENT AGENCIES, AND OTHER NDNOUALS AND AGENCIES, TO BUSY. APEEEDTEN QERAENTORS, cv.
SERVICE BOARD MEMBERS AND OTHER AUTHORIZED EMPLOYEES OF THE GOVERNMENT FOR THAT PURPOSE:
— Seer reenact En
cee
WASH “AWOSIASIHS
page 1 of 8[[BisREPRaSeNTATION HEREC AY CAUSE MY APPLICATION TO BE REJECTED, MY NAIE REMOVED FROM THE ELIGELE IST AND/OR MAY SUBJECT METO
ere eee . OE *?.
1. WITHIN THE PAST 5 YEARS, HAVE YOU BEEN TERMINATED, OR RESIGNED IN LICU OF TERMINATION, FROM ANY POSITION FOR REASONS OTHER
‘THAN A REDUCTION IN FORCE?
Yes XNO
2 HAVE YOU EVER BEEN CONVICTED OF A FELONY?
Yes x No
8. HAVE YOU BEEN CONVICTED OF & MISDEMEANOR DURING THE LAST 3 YEARS?
ves XNO
NOTE: IF YOU ANSWERED "YES" TO EITHER OF THE ABOVE QUESTIONS, PLEASE PROVIDE AN EXPLANATION IN THE EXPLANATION BLOCK BELOW. A
‘CONVICTION WILL NOT NECESSARILY DISQUALIFY YOU FROM THE JOB FOR WHICH YOU ARE APPLYING. A CONVICTION WILL GE JUDGED ON ITS OWN,
MERITS WITH RESPECT TO TIME, CIRCUMSTANCES, AND SERIOUSNESS.
ago 2 of 8—— Sl
& DOLERA CR UNIMON CORTRCATE. Arkadelphia Senior High School
eo
B. SOLLEGE See eee eee cree
oa es nee lieseeor
nk Te ety sa9s
om | as | eatmins | cares | Porcony
Louisiana Tech University ‘1989
1999- 33, Masters 02/24/2001 | IndustrtaWong.
Louisiana Tech University. 2001 ee
sonatas ae ennai orm
Walien University 2018 Poyceloay
. OTHER FORMAL TRAINING eee ee et eee
eisess me wu elas ae ie
eae eee ice en
Tana oa aurea oe aes omen a ee
tenaneae,roae [tauren | “o
‘United States Air Force Security Police Academy Lackland AFB, ‘W2aNt882 | x ves 50 plus:
‘San Antonio, Texas to 316/92, "uo
‘United States Air Foree Air Base Ground Defense Fort Dix Army Post, ataie2w | x ves 50 plus
Mtoe ieee ant fe
United States Air Foree Emergency Service Team (swat) Barksdale AFB, ‘aes xv 440 plus
Bossier City, LA 1093103 se
BOING mere sleNee Cerne
age 3 of 8LIST ANY SPECIAL COURSE WORK, TRAINING, OR EXPERIENCE WHICH NAY BE BENEFIOIAL IN THE JOB FOR WHICH YOU ARE APPLYING, OR WHICH MAY
SATISFY ANY SPECIAL QUALIFICATION REQUIREMENTS
Please see attached Resume
IF YOU HAVE COMPUTER EXPERIENCE, PLEASE LIST ANY COMPUTER PROGRAMS (SOFTWARE) WITH WHICH YOU HAVE A WORKING KNOWLEDGE:
Microsoft Word, Excel, LA Crash, RMIS,
Five-point veteran=s preference is granted to veterans who recelve passing scores for an entrance class and who were discharged
under honorable conditions from active duty in the U.S. Armed Forces during @ wer, or during the period April 28, 1952, through
July 1, 1955, or for more than 180 consecutive days, other than for training, any part of which occurred after January 31, 1955, and
before October 15, 1976; or during the Gulf War from August 2, 1990, through January 2, 1992; or for more than 180 consecutive
days, other than for training, any pat of which occurred during the period beginning September 11, 2001, and ending on August 31,
2010, the last day of Operation Iraqi Freedom; or in a campatgn or expedition for which a campaign medal has been authorized.
Any Armed Forces Expeditionary medal or campaign badge, including €1 Salvador, Lebanon, Grenade, Panama, Southwest Asia,
Somalia, Hall, Kosovo, Bosnia, and Herzegovina qualifies for preference. A campaign medal holder or Guif War veteran who
originally enlisted after September 7, 1980, (or beaten active duty on or after October 14, 1982, and has not previously completed
24 months of continuous active duly) must have served continuously for 24 months or the full petiod called or ordered to active
duty. The 24-month service requitement does not apply to 10-point preference eligible separated for disabilly
‘aggravated in the fine of duty, or to veterans separated for hardship or other reasons under 10 U.S.C. 1171 oF 1173. Note: IF your
DD-214 does not provide proof of entitlement for preference, you must obtain an amended DD-214 or other written documentation
showing award of Armed Forces Expeditionary Medel,
‘Should you wish to recelve the veterans preference points, check the space provided and atlach a copy of your DD-214 which
verifies your qualification to receive preference.
X_ QUALIFY FOR THE FIVE-POINT VETERAN'S PREFERENCE AS IDENTIFIED ABOVE, AND HAVE ATTACHED A COPY OF
MY DD-214 OR OTHER DOCUMENTATION TO THIS APPLICATION FOR VERIFICATION PURPOSES.
section in order for your be considered,
1 am requesting testing accommodations under the
and specify dsabilty):
RE
request, you must attach viritten documentation of your disability, including an assessment of a
‘appropriate to compensate for your disability ina testing environment, prepared by a doctor, psychologist, rahAbilitlion counselor,
‘cccupational or physical therapist, or other professionat with knowledge of your functional imitations,
oge 4 of 8‘What accommodations are you requesting?
ura Time Reader Private Room Scribe Other:
INSTRUCTIONS FOR COMPLETING SECTION ON WORK EXPERIENCE
et ane alt git ge ee a sla baal a ed lea
‘if you were promoted or your duties changed materially while working for the same employer. Treat each change as a
‘separate position. For volunteer experience, use work experience blocks and disregard reference to salary. It is to
pa aren teoloeepeel bomen leh
po a rp Pm
NAME AND COMPLETE ADDRESS OF EMPLOYER, ‘TPE BUSINESS
Shreveport Police Department PolicenLaw Enforcement
1234 Texas Street TITLE OF VOUR POSITION
Shreveport, Louisiana 71101 Police Sergeant
‘TELEPHONE NUMBER (816) 675-7222 Previously held: Officer, Corporal, Detective
DATES OF EMPLOYMENT was THis ruLTiNe | AVERAGE NUMBER oF | BEGRING won
EUPLOYMENT? Hours worKen per | SALARY SALARY
7: Presently Bmployed wee:
24,000.00 58,000.00
wa ft fow fom 40 plus raat ‘anusy
186
Xves No
NAREE AND TITLE OF IMNEDIATE SUPERVISOR NUMBERVTITLE() OF EMPLOYEES YOU SUPERVISED
Over 100 Officer/Corporals aver a 5 plus year periad of time,
DESCRIBE YOUR DUTIES DEYAL (USE SEPARATE SHEET, IF MECEEEARY]
See Resume that is attached
pogo 8 of 8NAME AND COMPLETE ADDRESS OF EMPLOYER
United States Air Force
Barksdale Air Force Base, Louisiana
‘TELEPHONE NUMBER (WITH AREA CODE)
“TYPE BUSINESS
Active Duty Miltary
“TLE OF YOUR PosmmoN
Security Potice
DATES OF BUPLOYMENT Was THs ‘averace nowoer oF | ecomnna | eNONG
FuLLeie eurcovuere | Hours woraeD Fer | saLARY sary
rrowe 0: wee:
‘e400 soon0
wo fom fam fimo ow | soa a bi :
n 8 i991 | o6 6 1995 er ae .
yes to
NAME AND TITLE OF IMMEDIATE SUPERVISOR
Chief Chalma Lee Sexton
NUMBERITITLE(S) OF EMPLOYEES YOU SUPERVISED
Several hundred enlisted potice personnel over the course of 4 years.
[UGSCRIBE YOUR DUTIEG Mt DETAL (USE SEPARATE SHEET, NECESSARY
See Attached Resume
NAME AND COMPLETE ADDRESS OF EMPLOYER
Please see attached Resume
‘TELEPHONE NUMBER (WITH AREA CODE)
TITLE OF YOUR POSITION
OnTES OF ENPLOVnENT
eas 8
Frou: To:
WAS THs
FULL-TIME EUPLOVAEENT?
[AVERAGE NUMBER OF
HOURS WORKED PER
weet:
ves 10
eco
SALARY
ENDING
SALARY
[NAME AND TITLE OF IMMEDIATE SUPERVISOR
-NUMGERMTTLE(S) OF EMPLOYEES YOU SUPERVISED
[BESCAIBE YOUR DUTIES 0 DETAL (USE SEPARATE SHEET, NECESSARY
Please see Attached Resume
page Gof 8Michael B. Carter, Ph.D.
United States Air Force Veteran
1991-1995 Active Duty
1995-1999 In-active Ready Reserves
Experience
June 2012-Present- Police Sergeant-Uniform Services Division, Shreveport Police
Department, with experience in both East and West Side, all four areas. Supervisor of
Police Officer"s and Police Corporal’s within the USD of the Shreveport Police
Department. Responsible for the(direct supervision| review and approval of arrest
affidavits, review and approval of official police reports, quarterly and yearly employee
evaluations. Directly involved with initiating criminal tactical patrols and assignment of
Officer's for criminal suppression. Anmual and special evaluation of all employees.
2001- Present- President of the Shreveport Police Officer's Association, (SPOA-clected
18 times as President) elected by peers on a yearly basis during fill scale campaigns
within the Shreveport Police Department. Accomplishments include authoring and
passing a sales tax concept, later converted to legislation by the LA State Legislature in
regard to the % cent sales tax. The tax provided a 25% pay raise to department personnel
by a margin of 77%, and the renewal of that same tax in 2006 by a margin of 88%.
Examples of the duties include developing a general counsel, hiring and supervising a
political consultant, and hiring and supervising a media consultant. Full responsibility for
public speaking during nvattiple media campaigns, lobbying the State legislature, and
managing and maintaining a yearly budget.
(2015-Present) Chairman-Shreveport Municipal Fire and Police Civil Service Board.
Elected twice since 2015 by mandate to serve as a police representative with extensive
knowledge of Louisiana Civil Service Law. (Title 33 and 40). Duties include due process
appeals, board investigations, approval of all civil service applicants, approval of ci
service test scores, and approval of civil service eligibility lists. Elected twice to serve as
Chainnan of the Board by both elected and appointed board members,
August 2008-2012- Police Corporal-School Resource Officer/D.A.R.E, Instructor-
Assigned to Captain Shreve High School by the Shreveport Police Department's, Youth
Services Bureau. Responsible for on-sight safety and immediate police response and
investigations for the campus and surrounding areas. D.A.R.E. Instructor assigned to
Riverside Elementary and West Shreveport Elementary responsible for delivering
classroom instruction based on D.A.RE. Louisiana and D.A.R.E. America curriculum for
Caddo Parish 5" grade students.August 2004 to 2011fAcjunct Professor-Louisiana State University-Shrevepon) Working
as an adjunct professor-for the University’s College of Business, Management ahd
Marketing staff, Classes taught include Leadership, Decision Making and
Communications, Management/Marketing 490, and Organizational Behavior,
Management/Marketing 321, Human Resource Management, M/M 480.
April 2003-2008-Detective Corporal-Assigned to the juvenile and missing persons,
Youth services bureau, Investigations were all inclusive felony investigations. Other
investigations include Harassing phone calls, Stalking, Cyber stalking, simple
‘kidnapping, amber alerts, cruelty to juveniles, and juvenile delinquency.
April 2003-Present- owner of Organizational Consulting, Inc. providing full research,
rganizational development executive coaching, policy & procedure design and
implementation, organizatiohl change, organizational behavior, executive recruiting, and
‘executive management of personnel to organizations.
2001-2003- Human Resource Officer/ Advisor. Responsible for providing professional
advice in regard to Shreveport Police personnel files, fle security, hicing, retention, job
analysis, recruiting, federal govemment fair labor zeporting, statistical reporting to the
U.S. Department of justice, staffing, and monitoring employee sick leav4, Other duties
included organizational development and waiting policies and procecures|for the
organization. Member of the crisis debriefing team for the Shreveport Police Department,
Elected City wide during 2000-2003 as a member of the Shreveport Health Care Trust
Fund Board as a Trustee with fll voting authority for management of the City employee
‘Health and Dental insurance.
1999-2001-Detective-West Side Property Crimes unit, Shreveport Police. Responsible for
the interrogation of criminal suspects, interview of suspects and witnesses. Also
responsible for the surveillance of business’ and suspects for all inclusive felony
investigations. Extensive court room testimony.
1998-1999-DWI Task Force, Selective enforcement unit. Shreveport Police. Trained in
recognition of impaired individuals to include alcohol, CDS, and prescribed medication.
Served on the DWI task force selective enforcement unit working self initiated traffic
stops, alcohol related traffic wrecks, and vehicular homicides. Extensive courtroom
testimony experience.
1996-1998-Patrol Officer, Shreveport Police Department. Responsible for patrolling and
maintaining a large sector of the City of Shreveport. Various emergency and non-
‘emergency calls during both night and day shifts including shootings, rapes, homicides,
armed robberies, burglaries, and domestic violence.
1995-1996-General Manager- Stuckey’s #306, Arkadelphia, AR. Responsible for the
hiring, supervision, and day-to-day operations of all employees of a retail store,
Responsible for the yearly budget, profit margins, ordering and supplying of the store,
and all personnel and hurian resource duties involving employees.1995-1996-Asst. Security Supervisor, Isle of Capri Casino, Bossier City, Louisiana.
Responsible for the un-audited funds drop, and the safety of several thousand patrons at
any given time. Supervised shifis security personnel with a minimum of 15-25 personnel
per shift. Responsibilities also included VIP protection and staff development/training,
1991-1995-United States Air Force Security Police. Entered active duty on 11/5/91 and
served one enlistment. No current obligation to the military. Day to day obligations
consisted of providing industrial and organizational security to billions of dollars worth
of aircraft, weapons systems, and personnel. While employed at the 2" Seourity Police
Squadron, Barksdale Air Force Base, duties included patrol, elite gate guard, assistant
chief of supply and budget, and assistant chief of the police vehicle fleet. Honorable
Discharge.dueation
Walden University
‘Doctor of Philosophy — Organizational Psychology, February 11, 2018
Louisiana Tech University
‘Master of Arts - Industrial and Organizational Psychology, February 24, 2001
Bachelor's Degree-August 14, 1999
“Associates Degree-November 19, 1998
Vocational Training
D.AR.E. Instructor/SRO certification
Tntroduction to Cyber Crime Investigations
LA Post Instructor's Development Course
Protecting Children On-line Investigator’s Course
Interview and Interrogation Investigator’s Course
‘ArrCon Ground Fighting Course-SPD
Monitoring Forensic Interviews of Children
Critical Incident Stress Management-Advanced
‘Trauma to Law Enforcement
National Assoc. of Property Recovery Investigators
National Psychological Honor Society of Psi Chi
Adult Leaming Course, Police Instructors Course
LA DWI Certification Course-Chemical and Sobriety
NAPD-Tactical Police Driving
‘Shreveport Police Regional Training Academy
‘USAF -Hazardous Material Certification Course
Baker’s Professional Real Estate College-Shreveport
USAF-Police Emergency Service Team-(SWAT)
USAF-Equipment Management Training
USAF-Machine Gunner’s Course
USAF-Basic Miltary Police Academy
USAF-Basic Military Training
Arkadelphia Senior High School, graduate
8/2008
1/23/2007
10/29/2004
6/18/2004
4/23/04
19/2004
11/10/2003
8/22/2003
21572003
1/25/2000
2002
u/11/2002
1997
1996
1996
1994
1993
3/1993
W993
1992
1992,
1992
1990
All references and certificates of training will be provided upon requestAPPLICATION FOR COMPETITIVE EXAMINATION
FIRE AND POLICE CIVIL SERVICE BOARD
PLEASE PRINT OR TYPE, FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH ALL.
PO THIS APPLICATION MAY CAUSE YOUR APPLICATION
mooie
[ome reusetione NumseR (WITH Ansa CODE)
‘orrice TeLEPHOwE NUMBER (WIT AREA CODE
CHL TELEPHONE NuMBER (WITH AREA CODE
[SOCIAL SECURITY NUMBER:
[ARE YOU A CIT OF THE
a — FOR te ‘aR
olice,
‘The Feeral government requires that we request the following race and sex information for statistical reporting purposes.
Completion of this section is voluntary, and your application will note rejected if you choose not to provide this information.
Male White =O Black © Aispanie — Am.Indian Asian
OD Female O other:
eas
Im accordance with civil service Jaw you mustbe a citizen of the United States, and of legal age. In addition to these requirements, the lacal|
trunicpal rand pole cl service board ts each jtrlsdeton has doped ts oun alison requlrements for each of ts competive
‘lasse Thereore,you sas attach the necosraty dosumenation ower tat you ect al the rquirements ofthe il earice Dost a
Stich jot are spring You mustatach copy ofthe falong document
Proofthatyouarea san of the Unted Sates (th Celeste, US PasspertorCrtifeate of Naturalization)
Proof thityou meet the age raqoltementof thei servis bus (arth Certieat)
Froofthatyou meet the elation requirements posted bythe ci service board tobe adialited tothe exam
Prout hat you haves wallé driver sliense this oaregutement fhe civ serves bear tbe smied athe ex)
Proofthatyou meatal itt
fl oneal i Ce
[HAVE COMPLETED THIS APPLICATION WITHTHE SOWLEDGE AND UNDCRSTANDING THAT ANY OR ALL ITEMS CONTAIICD HEREIH MAY BE SUBJECT 70
INVESTIGATION PRESCRIBED BY LAW, ANID | CONSENT 7O THE RELEASE OF INFORMATION CONCERNING MY CAPACITY AND FITWESS BY BUPLOVERS,
EDUCATIONALINSTITUTIONS, LAW ENFORCEMENT ACENCLES, AND OTHGR INDIVIDUALS AND AGEHICIES, 0 DULY ACCREDITED INVESTICATORS, CIVIL SERVICE
[OARD MINERS AND OTHER AUTHORIZED EMPLOYEES OF THE GOVERNMENT FOR THAT PURPOSE.
1 CERTIFY THAT THE ANSWERS 1 HAVE GIVEN'TD ALL QUESTIONS IN THIS APPLICXTION ARE TRUE TO THE BEST OF HY KNOWLEDGE. 1 KNOW THAT ANY|
DISREPRESENTATION HEREIY HAY CAUSE MV APPLICATION TO UE REJECTED, MY NAME RAROVED FROM THE ELIGIBLE LIST AND/ON MAY SUBJECT ME TO
DISMISSAL FROM EMPLOYMENT.
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page 708JASONFRAZIER
‘OBJECTIVE
‘TO BE CONSIDERED ELIGIBLE FOR TAKING THE CHIEF OF POLICE COMPETITIVE CIVIL SERVICE EXAM
SUMMARY OF QUALIFICATIONS AND WORK EXPERIENCE
[03/15/27 to Present] [Shreveport Police Department]
‘Terminal Agency Coordinator/SPD Disaster Assessment Response Team Member
Conduct NCIC validations and facilitate training of Shreveport Police Department personnel pertaining to
the Louisiana Law Enforcement Telecommunications System in complianceyith federal and state
policies, procedures, and laws. Acting under the authority of the Chief of Police, the Terminal Agency
Coordinator {TAC) administers Cs systems programs within te local agg (Shreyeport Paice
Department) and oversees the agency's compliance with CiIS systemé polices. | also coordinate with
the City of Shreveport’s IT Department to ensure those personnel are trained in CllS Security Awareness
training to maintain proper compliance with CIIS Security Policy. 1am also a certified Hazardous
Materials Instructor and Hazardous Materials Technician certified in compltance with OSHA CFR
910.120 with the Shreveport Police Department's Disaster Assessment Response Team. As a DART
Team member, | supervise HazMat responses as well as become a supervisor Liaison/Consultant as it
pertains to response to HazMat responses that SPD responds to in the City of Shreveport. t have also
been tasked with training and supervising training of Sergeants and below in the incident Command
System (NIMS) during thetr annual re-trainers at the Shreveport Police Academy four days every month
which consists of incident Command Systems Refresher and conducting and supervising table
top/practical exercises. 1am currently working toward my certification as an Emergency Management
Specialist. | work 40+ hours per week.
[03/15/17 to Present] [Northwest Louisiana Baptist Association]
Bi-Vocational Pastor
am a pulpit supply minister that fulfills the needs of churches in Northwest Louisiane that are without a
pastor or their pastor has need of another minister to fl the pulpit in their absence. | fil pulpits as the
need arises in various churches in Caddo and Bossier Parishes,
[08/16/04 to 08/16/09 and 11/04/16 to 03/15/2017] [shreveport Police Department}
Patrol Corporal/initial Investigator
| was a frst responder to calls by citizens for civil disobedience and unrest. 1 wasa first line investigator
for criminal acts committed by social deviants, | received multiple letters of commendation by
supervisors and the administration of the Shreveport Police Department for exemplary service.
Numerous arrasts made for criminal acts. Thoroughness is my key to success. | worked 40-50 houts perweek. Louisiana POST Certified Police Officer. 1 was also certified as a Police Training Officer during my
firsttenure as a patrol officer in which I supervised and trained new officers during thelr Field Train
‘In the Patrol Division who had completed their training at the Shreveport Police Academy.
{01/05/16 to 11/04/16] [internal Affairs] [Shreveport Police Department]
Internal Affairs investigator
Asa Police Corporal, ! was the first and onty Corporal assigned to the Internal Affairs Division of the
Shreveport Police Department since the year 2006. The position had regularly been to Sergeants only. |
\was appointed by the Shreveport Police Chief to investigate violations /alleged violations of Shreveport
Police Departmental policy. | was responsible for placing officers on departmental leave pursuant to a
complete and thorough administrative investigation into allegations of policy violations. | acted under
the authority ofthe Chief of Police. In November of 2016, | was unexpectedly transferred back to the
patrol division of the Shreveport Police Department. 1 worked 40 hours per week, Louisiana POST
Certified Police Officer.
[08/15/09 to 01/05/16] [Cacido-Shreveport Financial Crimes Task Force] [Shreveport, LA]
Financial Crimes Investigator
Unvestigated financial crimes that occurred in the city of Shreveport and Caddo Parish which include
embezzlement, identity theft, credit car fraud, forgery, bank fraud, and some computer tampering
cases. Iwasa dually commissioned police officer/Sherif’s deputy through the Shreveport Police
Department and the Caddo Parish Sheriff's Office. 1was also certified as a law enforcement instructor
trained to FBI standard during this time, | worked 40-50 hours per week. Loulslana POST Certified
Police Officer.
[08/03/14 to 01/01/17] [Woodland Hills Baptist Church] [Shreveport, LA]
Bi-Vocational Pastor
| was the lead pastor for this small congregation conducting pastoral duties such as preaching sermons,
teaching Bible studies, coordinating community outreach, planning community events and cooperating
with other congregations during various other community events, approving budgets and expenditures,
determining feasibility of facility upgrades and maintenance schedules, and conducting certain pastoral
Counseling sessions. | had to resign this position due to being transferred back to the patrol division of
the Shreveport Police Department on evening shift with days off that did not coincide with being able to
effectively pastor this church. 1am a licensed and ordained minister. | worked 20+ hours per week.
{3/2002-8/2002] [Simpson Construction Col [Benton, LA}
Laborer/Carpenter
worked independently on construction sites to complete construction on homes. Iwas held
‘accountable for labor involved in dirt work and finishing of internal details of home construction.
[8/2001-12/2001} {Conveyor Services West] (Delta, CO}Conveyor Belt Technician
| worked on tears in area coal mines and other types of underground mining operations to instal,
replace, and repair conveyor belts used by the mining companies to transport the material mined to the
surface for transport by rail. | worked in teams to install new conveyor belt rollers on conveyor systems.
[4/1996-7/2001] [United states Postal Service] [Bossier City, LA]
US Mail Carrier
‘worked with minimal supervision in delivery of letter, flat, and parcel mai to citizens of Bossier City, LA.
[either did park and loop delivery or curb tine delivery of mail. | walked numerous miles delivering mail
service to citizens of Bossier City, LA. It was my responsiblity to ensure timely and efficient delivery of
mall. | worked 40+ hours per week
{8/1995-11/1995] [tack Wynne Construction} [Shreveport, LA]
laborer
J operated small heavy equipment vehicles such as backhoes and front-end loaders at tt
needed to do so. | was responsible for manual construction labor. | worked with minimal supervision,
for 35-50 hours per week.
es when
{7/1992-2/1995] [United States Army] [Ft Carson, CO]
Terrain Analyst
| was an £-4/Specialist promotable to E-5/Sergeant. | studied maps of areas of operations and
determined if terrain was trafficable based on surface materials, | also worked in hydrology to
determine crossing sites over waterways. | created overlays of mapped areas to present to
commanders of units working in the areas of operations during movements and exercises conducted by
military units, twas also the Administrator for the 4" Engineer Brigade’s Map Room and Map Custodian
for the ath Engineer Brigade of the 4th Mechanized Infantry Division. I was honorably discharged from
active duty service on February 15, 1995. | worked 40-80 hours per week.
EDUCATION
{8/1988-5/1992] [North Caddo High School} _[Vivian, LA]
High School Diploma Obtained
[8/2002- 5/2008] [Louisiana State University-Shreveport] (Shreveport, LA]
Bachelors of Arts in Sociology
[1/2012-5/2013] [Liberty University, Liberty Baptist Theol
I Seminary] [Lynchburg, VA]
Master of Arts in Theological Studies.EXTRACURRICULAR ACTIVITIES
{find extreme joy in spending time with my family as well as hunting big game and sport fishing.
REFERENCES:
Dr. Chuck Pourciau Shreveport, LA (318) 426-1330
Senior Pastor Broadmoor Baptist Church
Dr.Tom Harrison Shreveport,LA (318) 469-4181.
Executive Pastor Broadmoor Baptist Church
Rev Frank Gunn Shreveport, LA (318) 347-777
Family Pastor Broadmoor Baptist Church
Or. Herb Armentrout Shreveport, LA (318) 617-7766
‘Musie Minister Broadmoor Baptist Church i
Capt. Bobby Herring Shreveport, LA (318) 617-9697
Caddo Parish Sheriff's Deputy
Set. Robert Eliott Shreveport, LA (318) 518-6354
Communications Bureau XO, Shreveport Police Dept.
Ut Brian Wheeler Bossier City, LA (318) 560-0389
‘Communications Bureau Commander, Shreveport Police Dept.
Rev Lane Moore Shreveport, LA (318) 773-1225
Director of Missions Northwest LA Baptist AssociationAPPLICATION FOR COMPETITIVE EXAMINATION
FIRE AND POLICE CIVIL SERVICE BOARD
PLEASE PRINT OR TYPE. FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH ALI
REQUIRED DOCUMENTATION TO THIS APPLICATION. MAY CAUSE YOUR APPLICATION TO BE REJECTED.
NAME: FIRST: moc: wast
Kevin Shane Strickland
[STREET ADORESSIP.O. BOX NO, ‘orreown sTATEIZ:
sDoRESS:
OFFICE TELEPHONE NUMBER (WITH AREA CODE) Gene
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HOME TELEPHONE NUMBER (WITH AREA CODE) {__)
EXAMINATION FOR WHIGH YOU ARE APPLYING (FILE A SEPARATE APPLICATION FOR EACH EXAMINATION)
Chief of Police
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‘H,BruoN NUDBER RTH AEA CODE) rebomt Chek at Palice
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pare sofAPPLICATION FOR COMPETITIVE EXAMINATION v
FIRE AND POLICE CIVIL SERVICE BOARD
PLEASE PRINT OR TYPE. FAILURE TO ANSWER ALL THE QUESTIONS IN THIS APPLICATION AND FAILURE TO ATTACH AL
REQUIRED DOCUMENTATION TO THIS APPLICATION MAY CAUSE YOUR APPLICATION TO BE REJECTED.
Name: FIRST: ote: sr;
Tedris T. Smith
[STREET ADORESSIP.O. BOX NO, cerrvrrowne ‘STATE:
owe TELEPHONE NUMBER (WITH AREA CODE) oo i — i
OFFICE TELEPHONE NUMBER (WITH AREA CODE}
SOCK SECURITY NUMBER le DATE OF BIRTH (MONTHOATENEAR) March 9,196
Yes state oom
exPRAMON OATE —_
EXAMINATION FOR WHICH YOU ARE APPLYING (FILE A SEPARATE APPLICATION FOR EACH EXAMINATION)
Chief of Police
| RACE/SEX INFORMATION
The Federal government requires that we request the following race and sex Information for statistical reporting purposes.
Completion of this section is voluntary, and your application will not be rejected if you chaase nat to provide this information.
G Male G White G Black © G_Hispanie = «Gm. Indian Asian
G Female G Other:
SPECIAL INSTRUCTIONS FOR DOCUMENTATION YOU MUST ATTACH
Pl yu ea her ena as mn ye i een tate soma oy eR TL
AUTHORITY FOR RELEASE OF INFORMATION
SOAS Peet Comp[ie Soars asco on aoa S WRTTNONG HOTA Ge RT CO SRN SET,
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1. WITHIN THE PAST S YEARS, HAVE YOU BEEN TERMINATED, OR RESIGNED IN LIEU OF TERMINATION, FROM ANY POSITION FOR REASONS OTHER
THAN A REDUCTION iN FORCE?
NO
12. HAVE VOU EVER BEEN CONVICTED OF A FELONY?
No
3. HAVE YOU BEEN CONVICTED OF A MISDEHEANOR DURING THE LAST 3 YEARS?
NO
NOTE: IF YOU ANSWERED "YES" TO EITHER OF THE ABOVE QUESTIONS, PLEASE PROVIDE AN EXPLANATION I THE EXPLANATION BLOCK BELOW. A
CONVICTION WALL NOT NECESSARILY OISQUALIFY YOU FROM THE JOB FOR WHICH YOU ARE APPLYING. A CONVICTION WIL. BE JUDGED ON TS OW
[MERITS WITH RESPECT TO TINE, CIRCUMSTANCES, AND SERIOUSNESS.
pane 2 of 8page 3 of 8Green Oaks High Schoo!
moun on covantsiorcennneate
wre neceven:_May 1982,
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Northwestern Siate Universiy of Lousiana
(©. OTHER FORMAL TRAINING ‘ee ease eet near
(5UonE5, TE. Tay, Te, LASS On SER)
‘LE oF msMUGTN CUS (rae ODNAL PAGES HEBER
Law Enforcement Senior Leaders Course ~ Wititary Fort Leonard Wood, | May fe 40
tissour 2008
Antiterrorism Officer Advanced — Military Fort Leonard Wood, | June tr 40
twasourt 2010
Antiterrorism Officer Baste ~ Military Fort Leonard Wood, | June = 40
Missour 2010
United States Army Wer College — Military Carlisle Barracks, PA | Nov batt 40,
Defense Strategy Course
2004
onsen or eprrsane aaa
age 4 of‘LUST ANY SPECIAL COURSE WORK, TRAINING, OR EXPERIENCE WHICH WAY BE SENEFICIAL IN THE JOB FOR WHICH YOU ARE APPLYING, OR WHICH RAY
SATISFY ANY SPECIAL QUALIFICATION REQUIREMENTS
I YOU HAVE COMPUTER EXPERIENCE, PLEASE LIST ANY COMPUTER PROGRAMS (SOFTWARE) WITH WHICH YOU HAVE A WORKING KNOWLEDGE:
TYPING ABiLITY: ew
Five-point veterans preference Is granted to veterans who receive passing scores for an entrance class and who were discharged
Under honorable conditions fram active duty in the U.S. Armed Forces during a war, or during the period April 28, 1952, through
July 1, 1956, oF for more than 180 consecutive days, other then for training, any part of which occurred after January 31, 1955, and
before October 15, 1976; or during the Gulf Wer from August 2, 1990, through January 2, 1992; or for more then 180 consecutive
days, other than for training, any part of which occurred during the period beginning September 11, 2001, and ending on August 31,
2010, the last day of Operation Iraqi Freedom; or in a campaign or expedition for which a campaign medal has been authorized.
‘Any Armed Forces Expeditionary medal or campaign badge, including Fl Salvador, Lebanon, Grenada, Panama, Southwest Asia,
‘Somalia, Haiti, Kosovo, Bosnia, and Herzegovina quolifies for preference. A campaign medal holder or Gulf War veteran who
originally enlisted after September 7, 1880, (or began active duty on or after October 14, 1982, and has not previously completed
24 months of continucus active duty) must have served continuously for 24 months or the full period called or ordered to aative
duty. The 24-month sarvice requirement does not apply to 10-point preference eligibles separated for disabilty incurred or
qgravated in the line of duty, or to veterans separated for hardship or other reesons under 10 U.S.©. 117% or 1178. Note: If your
0-214 does not provide proaf of entitlement for preference, you must obtaln an amended DD-214 or other writen documentation
showing award of Armed Forces Expeditionary Medal.
‘Should you wish to receive the veteran=s preference points, check the space provided and attach a copy of your DD-214 vihich
verifies your qualification to receive preference.
© I QUALIFY FOR THE FIVE-POINT VETERAN'S PREFERENCE AS IDENTIFIED ABOVE, AND HAVE ATTACHED A COPY OF
MY DD-214 OR OTHER DOCUMENTATION TO THIS APPLICATION FOR VERIFICATION PURPOSES
sme
It you require any specie Wstng-accommosatons because of a leality which tne @ major ie atv, you must cormplete tis
section in order for your request to be considered ae
and specify disability): ——
atiONS ENDER THE AMERICAN:
page 5 of &REQUIRED DOCUMENTATION TO ATTACH TO YOUR APPLICATION: in order for this civil service boerd to process your ADA
request, you must atc Witten, docameniaion of your dsablty, ncuting an assessment of seeormodatons which might be
propriate to compensste for your aisabilty na festing envicnment, prepared by a doctor, psychologist rehebitaton counselr,
occupational or physical therapist, or other profesional With knowledge of your functional tations
What accommodations are you requesting?
Extra Time Reader Private Room ——Serbe Other: 7
INSTRUCTIONS FOR COMPLETING SECTION ON WORK EXPERIENCE
Start with your present or most recent position and work back, including any military experience. Use separate blocks
if you were promoted or your duties changed materially while working for the same employer. Treat each change as a
separate position. For voluntear experience, use work experience blocks and disregard reference to salary. itis to
your advantage to completely describe your duties in each position, placing particular emphasis on duties, tasks
performed, and responsibility. Attach additional pages, if necessary.
NAME AND COMPLETE ADDRESS OF EMPLOYER ‘TPS BUSINESS
City of Shreveport Law Enforcement
1234 Texas TLE OF YouR POSITION
‘Shreveport, Louisiana 71141 ‘Academy Director
TELEPHONE NULER (WITH AREA CODE) 2486737470
DATES OF EMPLOYNENT was THs rutnime — | average xumeen or | eaitne exons.
EMPLommENT? HOURS WORKED PER | SALARY SALARY
oul waek:
May | 10 ves
[NAME ANO TITLE OF IRIMEDIATE SUPERVISOR NUMBERMTLE(S} OF EMPLOYEES YOU SUPERVISED
Brian Strange, Captain ‘Seven Officers and One Civilian, (5 Sergeants), (2 Corporal), (1 Administrative
Assistant)
DESCAIME YOUR CUTIES Mi OGTAL (URE SEPARATE SHEET, IF NECESSARY)
See euur ga Ne ervilen . bres Sérerogt fe ndem wt DLE pom ye
Academy Director responsible for developing traning for in-service Law Enforcement Officers and Law Enforcement Cadets. |
S$ oferwen,
Sergeans Pahl responsible For :
Sergemt EXCPC OBL ay beg eonsile Car 4 Pre»
page 6 of &
“5 Chabon, wv)TELEPHONE NUMBER (WITH AREA CODE)
NAME AND COMPLETE ADDRESS OF EMPLOYER
‘TYPE ausmess
{TLE OF YouR PostrION.
DATES OF EMPLOYMENT
was THs
FULL-TINE EMPLOYMENT?
AVERAGE NUMBER OF
HOURS WORKED PER
wee
yes No
‘SALARY
SALARY
NAME ANO TITLE OF IMMEDIATE SUPEAVIEOR
NUMBERMTTLE(S) OF ENPLOYEES YOU SUPERVISED
DESCRIGE YOUR UTI IN OETA (USS SEPARATE SHEET. WF NECESSARY)
TELEPHONE NUMBER (IIT AREA CODE)
NAME AND COMPLETE ADDRESS OF EMPLOYER
‘TVPE ousINESS
‘TLE OF YouR Poston
DATES OF EMPLOYIENT
Row: 10:
was THIS
FULL-TIME EMPLOVIaCHT?
AVERAGE NUMBER OF
HOURS WORKED PER
Week:
ves No
BENNING
SALARY
NOG,
saLany
[NAME AND TITLE OF WMMEDIATE SUPERVISOR
[NUMBERMITLE(S) OF ENPLOYEES YOU SUPERVISED
pope 8 of 8