Bluegrass 911 Employment Application
Applicants for the position of Dispatcher require a high school diploma or GED. Experience in Public Safety dispatching preferred, but not required. KY Public Safety Telecommunicator certification a plus. All applicants must comply with requirements of (TPS) - Telecommunicator Professional Standards Act of KY (KRS 15.530 – 15.590) requiring a criminal history check, suitability screening, polygraph examination, finger printing, and drug screening.

Full-time employees must attend and successfully complete the Kentucky Telecommunications  academy in Richmond Kentucky for a total of (160) hours (4 weeks.) Part-time employees with no experience must attend the Academy in Richmond, Kentucky. Those with experience will be reviewed on a case by case basis. All employees with no experience must successfully complete an in-house training program. Those with experience will be reviewed on a case by case basis and training levels determined by experience. Even with experience you must successfully complete the in-house training program that is assigned to you.
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Name *
Last, First, Middle Initial
Social Security Number *
Date of Application *
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Present Address *
Telephone *
Cell Phone
Position applied for? *
Best Time to Reach You: *
Are you prevented from Legally becoming employed in the United States because of visa or immigration status? *
How many hours can you work weekly? *
Can you work nights? *
Required
Employment desired *
Educational History *
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Highest Level of Education *
If you earned a college degree, please list your major?
What foreign languages do you speak fluently? Click all that apply. *
This job requires attending school in Richmond Kentucky and other parts of the state, can you travel? *
Are you currently a Kentucky Certified Telecommunicator *
Are you currently Certified in LINK/NCIC? *
List any certifications or special skills that may help you perform dispatching duties? *
Available Start Date? *
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Have you ever been convicted of any violation, misdemeanor, or felony as an adult (over the age of 18)? *
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Office Skills *
Required
References *
Do you have a driver's license? *
What is your means of transportation to work? *
Drivers license number *
State of issue *
Driving and Accident History *
Have you ever been in the Armed Forces?
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Military History?
Please list your specialty, date entered, and discharge date as appropriate.
Previous or Current Employer *
Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Previous Employer # 2 *
Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Previous Employer # 3 *
Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying.
May we contact your current employer? *
Did you complete this application yourself? *
Do you give permission to the Bluegrass 911 Center to perform an employment criminal history and drivers check? *
Do you understand by checking the yes box that you are agreeing all your answers are complete and true on this application. And, you are approving the Bluegrass 911 Center to validate all information you listed. *
Please Type Your Name in the Box Below. *
By typing your name you are digitally signing this application.
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