APPLICATION FOR POSITION OF POLICE OFFICER INSTRUCTIONS - PLEASE READ CAREFULLY DUTIES/RESPONSIBILITIES: The police officer shall be responsible for the enforcement of the applicable laws of the State of New Hampshire and applicable ordinances of the Town of Londonderry. He/She shall patrol the Town of Londonderry by foot or cruiser, regulate traffic, investigate and report criminal acts when discovered, investigate accidents, and file appropriate reports as prescribed by Departmental Rules, Regulations, Procedures, and/or superior officers. He/She shall also be responsible for other duties as assigned. QUALIFICATIONS: Every applicant must be a citizen of the United States. Applicants must possess a high school diploma or equivalent meeting New Hampshire Standards. The applicant must be of proportionate height and weight, and shall not have any physical, mental, and/or medical impairments which would interfere with the ability to perform the essential functions of a police officer. Persons applying shall be of good moral character, shall not have a criminal record or serious motor vehicle record, and shall meet all qualifying standards as set forth by the New Hampshire Police Standards and Training Council. Applicants shall be at least 21 years of age by the date of appointment. All applicants shall pass a written examination, a physical agility test, an oral interview, extensive background investigation, psychological examination process, physical examination, a departmental interview, and any other tests deemed necessary to determine his/her fitness as a police officer. Applicant must possess a valid driver’s license. Successful applicants must graduate from the New Hampshire Police Training Academy, and serve a probationary period of one year. APPLICATION FOR POSITION OF POLICE OFFICER (continued) NOTICE Failure of the applicant to furnish all information and records requested or making or cause to be made any false statements or omissions in the application form or during any phase of the application process, or in any subsequent communications with the Londonderry Police Department relating to his/her candidacy, shall constitute cause for rejection of the application. No qualification will be waived. PROCEDURE: If you have a strong interest in a career with the Londonderry Police Department, please submit all of the following items. Any missing or incomplete items will delay the processing of your application. 1. Londonderry Police Department Application For Employment • Must be filled out completely, legibly printed, and signed • Must be submitted by Monday, May 5, 2014 to: Suzanne Hebert Londonderry Police Department 268A Mammoth Road Londonderry, NH 03053 2. Cover Letter & Resume 3. A copy of the Londonderry Police Department Waiver Of Liability. 4. A non-refundable $25.00 written test fee • Money Order or Cashier’s Check only • Made payable to the Town of Londonderry. • PERSONAL CHECKS WILL NOT BE ACCEPTED. APPLICATION FOR POSITION OF POLICE OFFICER (continued) Once all Paperwork has been turned in, your name will be added to the list for the exam. You will not receive anything in the mail reminding you of the test date. TESTING DATE & LOCATION: Saturday, May 17, 2014 at 8:00 AM promptly at: Londonderry High School 295 Mammoth Road Londonderry, NH A PHYSICAL AGILITY TEST WILL BE HELD AT THE COMPLETION OF THE WRITTEN EXAM SO PLEASE DRESS ACCORDINGLY. NEW HAMPSHIRE FULL-TIME CERTIFIED APPLICANTS: You will be required to take the physical agility ONLY (written exam is waived). PLEASE BRING A VALID LICENSE FOR IDENTIFICATION PURPOSES TO BOTH THE WRITTEN AND PHYSICAL AGILITY TESTS. LONDONDERRY POLICE DEPARTMENT WAIVER OF LIABILITY I ______________________________ do hereby certify, that I am physically fit to participate in the Londonderry Police Department’s Physical Agility Test, Entry Level Requirements for Police Officer. I further certify that a copy of the Londonderry Police Department’s Physical Agility Test, Entry Level Requirements has been provided to me in advance, that I have reviewed the Entry Level Requirements (copy attached) and there are no medical reasons that I am aware of or have made the Londonderry Police Department aware of, that would prohibit me from participating. I further understand that by participating in the Londonderry Police Department’s Physical Agility Test, and by signing this “Waiver of Liability,” I hold the Londonderry Police Department, it’s employees administering the test, and the New Hampshire Police Training Academy, “Harmless from All Civil Actions, and/or Medical Costs,” arising from injuries that might occur, during my participation in the Physical Agility Test. I further agree to indemnify the Londonderry Police Department, its employees administering the test and the New Hampshire Police Training Academy, for any and all cost incurred, including attorney’s fees, should I or anyone representing my interests, file any civil action to collect for injuries sustained during my participation in the Physical Agility Test. Date: __________________________ _______________________________________ Signature of Participant Date: __________________________ _______________________________________ Witnessed By PLEASE COMPLETE AND SUBMIT WITH APPLICATION PHYSICAL AGILITY TEST ENTRY LEVEL REQUIREMENTS 1 - REPETITIVE BENCH PRESS AGE BRACKET MALES FEMALES ENTRY ENTRY 18-29 .96 .58 30-39 .86 .52 40-49 .78 .48 50-59 .70 .43 60+ .65 .41 (MULTIPLY BY BODY WEIGHT) PUSH-UPS MALES AGE BRACKET FEMALES ENTRY ENTRY Modify Full Body 18-29 27 22 14 30-39 21 17 10 40-49 16 11 8 50-59 11 10 - 60+ 9 4 - 1.5 MILE TIMED RUN SIT-UPS MANDATORY MALES FEMALES AGE BRACKET ENTRY ENTRY 18-29 37 31 30-39 33 24 40-49 28 19 50-59 22 12 60+ 18 5 MALES FEMALES AGE BRACKET ENTRY ENTRY 18-29 12.53 15.14 30-39 13.24 15.58 40-49 14.07 16.46 50-59 15.20 18.37 60-69 17.11 20.46 70+ 19.39 22.20