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. NAME: FIRST: smroo.s: Last: Benjamin Andrew Raymond [STREET ADDRESSIP.0, BOX NO, ‘cmryrrown: ‘STaTEZIP: HOME TELEPHONE NUMBER (WITH AREA CODE) EMAIL ADDRESS: Es | pu meoerse cma ony ST Secs ONE OF BRT [MONTWDNTENEAR ia crn on ane SE ais €®) «no STATE: cooor: EXAMINATION FOR WHICH YOU ARE APPLYING (FILE A SEPARATE APPLICATION FOR EACH EXAMINATION) Chief of Police The Federal govemment 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 choose not to provide this information, 1m accordance with civil service law you must be @ citzen of the United States, end of lege! age. In addlion to these requirements, the local ‘uniiat fre and poe cil sevice board in each jurisdiction has adopted is own qualification roquiremens for each of ts compative classe, Therefore, you must atach the necessary documentation to verify thet you meet al the requirements of the cil service board to whi ‘applying. You muet attach e copy of the following documents: Proof that you are a ciizen of the United States (Birth Certifate, US Pesspor, or Cotiate of Naturalization) Proof that you meet the age requirement ofthe cl service board (Bith Certicte) Proof thet you mest the education requirement as posted by the cil service board to be admitted idtedd SI UH S102 Proof thet you have a valid divers cense (Kf this Is» requirement ofthe cv service board to be agimiverita tha BBM ALD Proaf that you mest all other requirements as posted by the civil service board to be admitted fo the, i TT SS you are poge 1 of 8ee es) "HAVE COMPLETED TH APPLICATION WITHTHE HNONLEDOE AO UNDERSTANONG THAT ANY ORAL TUS CONTANED HEREIN VAY BE SUBLET TO ‘vesTIAMION PRESCRIEED BY LAM, AND | CONSENT TO THE RELEASE OF INORUATIN CONCERNING HY CAPACITY AD FESS BY EMPLOYERS, EDUCATIONAL ETTUTONS, AW ENFORCEMENT AGENGIS, AND OTHER NOWDUALE AND AGENCIES, TO DULY ACCREDITED NVESTIGATORS, cL SERVICE GOARO MEMBERS AND OTHER AUTHORZED EMPLOYEES OF THE GOVERAMENT FOR THAT PURPOSE. I CERTIEY THAT THE ANSWERS HAVE GVENTO AL QUESTIONS IVTHS APPLICATION ARE TRUE TO THE BEST OF MY KNOWLEDGE. {KNOW THAT ARY ISREPRESENTATION HEREIN MAY CAUSE HY APPUCATION TO BEREJECTE, MY NAME REMOVED FROM THE ELIILELISTANIOR NAY GUBIEGT M70 = =F an be 4. WITHIN THE PAST 5 YEARS, HAVE YOU BEEN TERMINATED, OR RESIGNED IN LIEU OF TERMINATION, FROM ANY POSITION FOR REASONS OTHER. ‘THAN A REDUCTION IN FORCE? 2. HAVE YOU EVER BEEN CONVICTED OF A FELONY? aves 2. HAVE YOU BEEN CONVICTED OF A MISDEMEANOR DURING THE LAST 3 YEARS? ft ee 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 BE JUDGED ON ITS OvNtt page 2 of 8HIGH SCHOOL 1 opiow on eauVALENeYceRCATE bare cen! May 1996, tssune 0c on EQuVAEneY cERTICATE: Northwood High School 5939 Old Mooringsport Rd. Shreveport, LA 71107 ated sree | sum | seco | tena fea jBseseinehatonanataneeeeetseeeesrneceeeteetstenin eee Northeast Lousiana University ~ Monroe 996-99 | 122 Becholor of | August 14, | cus As 1999 OTHER FORMAL TRAINING voce ise [a eee |emorios ENEES, TARDE MUTA, ET, CLASES OR SEMINARS ‘ME OF NOTRUCTION OR GLASS ATEAO ADENOMA PAGES I NECESSARY) LA POST Freaims Instructor Lvingston, LA may fae [40 2016 nae Basic POST law enforcement centificate ‘Shreveport, LA. ear satasat 40 sasve0 PLEASE LIST BELOW ANY PROFESSIONAL LICENSES OR CERTIFICATIONS THAT ARE RELEVANT TO THE JOB FOR WHICH YOU ARE APPLYING. nes [oe page 4 183] LUST ANY SPECIAL COURSE WORK, TRAINING, OR EXPERIENCE WHICH MAY BE BENEFICIAL IN THE JOB FOR WHICH YOU ARE APPLYING, OR WHICH MAY SATISFY ANY SPECIAL QUALIFICATION REQUIREMENTS Chef Adminietretivs desis hot Gfasfaarr. isfiaf . t tee Subst tate f Peseitout Chief of oles hs iane- sum IF YOU HAVE COMPUTER EXPERIENCE, PLEASE LIST ANY COMPUTER PROGRAMS (SOFTWARE) WITH WHICH YOU HAVE A WORKING KNOWLEDGE: Powerpoint, Excel, Word TeING ABILITY: 95 __weMt Five-point veteranss preference is granted to veterans who receive passing scores for an entrance class and who were discharged under honorable conditions from active duty in the U.S. Armed Forces during a war, or during the period April 28, 1952, through July 1, 1955, or for more than 180 consecutive days, other than for trai 19, 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 part of which occurred during the period beginning September 11, 2001, and ending on August 31, 2010, the last day of Operation Iraqi Freedom; of 2 campaign oF expedition for which @ campaign medal has been authorized ‘Any Armed Forces Expeditionary medal or campaign badge, including El Salvador, Lebanon, Grenada, Panama, Southwest Asia, Somalia, Hall, Kosovo, Bosnia, and Herzegovina qualifies for preference. A campaign medal holder or Gulf Wer veteran who originally enlisted after September 7, 1980, (or began active duty on or after October 14, 1982, and has not previously completed 24 months of continuous active duty) must have served continuously for 24 months or the fll period called or ordered to active duty. The 24-month service requirement does not 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 of 1173, Note: If your DD-214 does not provide proof of entitlement for preference, you must obtain an amended DD-214 or other writen documentation showing award of Armed Forces Expeditionary Medel, Should you wish to recelve the veterarss preference points, check the space provided and attach @ copy of your DD-214 which verifies your qualification to receive preference. = LQUALIFY 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 If you require any special testing accommodations because of a disability which limits a major life 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 disability (check box and specify disability): page 5 of 8REQUIRED DOCUMENTATION TO ATTACH TO YOUR APPLICATION: in order for tis eivl service board to process your ADA request, you must attach written documentation of your clsabi ‘appropriate to compensate for your disability n a testing environment, prepared by @ doctor, psychologist, rehabilitation counselor, ‘occupational or physical therapist, or other professionel with knowledge of your functional limitations. , including an assessment of accommodations which might be What accommodations are you requesting? wExtra Time Reader Private Room x Scribe 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 ‘TYPE BUSINESS Shreveport Police Department 1234 Texas Ave. Shreveport, LA 71101 TELEPHONE NUMBER (WITH AREA CODE) (218) 673-6900, Law Enforcement Agency ‘TMLE OF YouR PosmTion Provisional Chief of Police DATES OF EMPLOYMENT WAS THIS FULL-TIME AVERAGE NuMBER OF | BEGINNING ENDING EMPLOYMENT? HOURS WORKED PER | SALARY SALARY Fron TO: current WEEK: $144,000 $146,000 1, ow fom | wo | on 60+ a fg |e myes wo NAME AND TITLE OF INMIEDIATE SUPERVISOR NUMBERTTTLE(S) OF EMPLOYEES YOU SUPERVISED CHO Shewicka Flld-Jones 1 Deputy Chief , 4 Assistant Chiefs of Police DESCRIBE YOUR DUTIES IV DETAL (USE SEPARATE GHEE, IF NECESSARY) Lead 2 department of 580 allocated Police Officers, 37 Jallers and 44 Police Communication Officers. | am responsible for ensuring our agency meets the needs of the citizens we serve by managing all functions, personnel and property of the Department. | establish policies, goals and objectives and ensure compliance with the same. I also perform public relations page 5 of 8duties and represent the department at a number of functions, rege 7 of 8NAME AND COMPLETE ADDRESS OF EMPLOYER ‘TYPE BUSINESS Shreveport Police Department Law Enforcement Agency 1234 Texas Ave. TITLE OF YOUR POSITION Shreveport, LA 71101 Chief Administrative Assistant ‘TELEPHONE NUMBER (WITH AREA CODE) (28) 672-8900 DATES OF EMPLOYMENT Was THIS AVERAGE NUMBER OF | sEGINNNG — | ENDING FULL-TIME EMPLOYMENT? | HOURS WORKED PER | SALARY SALARY Fron 0: a 16. oxy [em ffx | on | vm $69,000 $70,000 ‘ 60+ 09 a ji fu fas | 1s myes MNO NAME. AND TITLE OF IMMEDIATE SUPERVISOR NUMIBER/TTTLE(S) OF EMPLOYEES YOU SUPERVISED Deputy Chief Bill Goodin (retired) (2) Manogement Analyst I's, (1) Management Aralyst (1) Management Anais (1) Superitondont of Vehicle Maintenance, (1) Palce Systems Adminisvatr, (1) Offce Speciaist [DESCRIBE YOUR DUTIES IN OETA (USE SEPARATE SHEET, IF NECESSARY) | primarily oversaw the development and implementation of the police budget. | also directly supervised seven classified civiian Positions and oversaw over 110 full-time and over 100 part time civilian employees dealing with hiring, resignations and | Hours workeo ren | satany | caLany FROM: TO: WEES wo ov | wn uo, py ,® fl $58,000 $62,000 or for jis foo | ze | iz mys ano. NAME AND THLE OF WIEDIATE SUPERVISOR | HLMBENTTTLE() OF EMPLOYEES YOU SUPERVISED Lt, Jody Jones (retired) 25-40 (depending on size of Academy cadet classes) page Ber 8[DESCRISE YOUR DUTIES IN DETAL (USE SEPARATE SHEET, IF NECESSARY) ‘As an instructor et the Shreveport Police Regional Training Academy | instructed cadets in their basic POST law enforcement Curriculum and active officers for thelr annual in-service training. { have number of instructor-level certfications to include POST Firearms, NAPD Taciical Driving Instructor, FBI Instructor Development, SSGT Level 1 defensive tactics, CB Safety Officer, Glock and AR-15/M4 armorer certifications, NAPD SUV Driving Instructor, NRA Precision Rifle Instructor, Rappe! Master, and many thers. | was responsible for ensuring Academy cadets met the requirements es set forth by POST and the department. page 9 of 8pe NAME AND COMPLETE ADDRESS OF EMPLOYER Shreveport Police Department 1284 Texas Ave. Shreveport, LA 71101 ‘TELEPHONE NUMBER (WITH AREA CODE) (618) 673.7300 ‘TYPE BUSINESS TITLE OF YOUR POSITION Corporal, MLIU Law Enforcement Agenoy DATES OF EMPLOYMENT FROM: To: 09 o1 |os fos | 30 | 16 was THs: AVERAGE NUMBER OF FULL-TIME EMPLOYMENT? | HOURS WORKED PER. WEEK: yes ENO 40+ BEGINNING SALARY $38,000 ENDING SALARY $58,000 NAME ANO TITLE OF IIKEDIATE SUPERVISOR Sat. Cliton Lindsey (retired) [NUMBERTTTLE{S) OF EMPLOYEES YOU SUPERVISED NVA ‘DESCRIBE YOUR DUTIES iN DETAL (USE SEPARATE SHEET, IF NECESSARY) ‘Ag an Investigator in the Mid-Level Investigations Unit, ! worked narcotics cases involving the activities of mid-range to large-scale drug dealers in the Shreveport-Caddo Parish area, The work included undercover and piain-clothes assignments, the obtaining ‘and execution of search and arrest warrants, court testimony, ete. During this time | was also instrumental in the Special Response Team and | took the role of SRT Training Coordinator to make sure our team was fully treined and equipped to deal Shreveport Police Department 1234 Texas Ave. ‘Shreveport, LA 71101 NAME AND COMPLETE ADDRESS OF EMPLOYER TELEPHONE NUMBER (WITH AREA CODE) (18)673-7300 with a multtude of incidents requiring special weapons and tactics. TYPE ausiNess. Law Enforcement Agency ‘TILE OF YouR PosmioN Officer /Agent, Street Level interdiction Unit DATES OF EMPLOYMENT FROM: To: 05 28 joz | a1 | os was THs AVERAGE NUMBER OF FULLTINE EMPLOYMENT? — | HOURS WORKED PER week: 40+ myes MNO BEGINNING SALARY $30,000 ENDING SALARY $38,000 NAME ANO TITLE OF IMMEDIATE SUPERVISOR Sot. B.K. Hall (retired) NUMBER/TITLE(S) OF EMPLOYEES YOU SUPERVISED N/A page 10 of 8‘DESCRIBE YOUR DUTIES IV DETAIL (USE SEPARATE SHEET, F NECESSARY] As an investigator in the Street-Level interdiction Unit, | focused my investigative efforts on small-scale drug 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. poge 11 of &1234 Texas Ave. NAME AND COMPLETE ADDRESS OF EMPLOYER Shreveport Police Department ‘TYPE BUSINESS TITLE OF YOUR POSITION. Law Enforcement Agency Shreveport, LA 71101 Officer ‘TELEPHONE NUMBER (WITH AREA CODE) (318)673-7300 DATES OF EMPLOYMENT was THIS AVERAGE NuMBER OF | BEGINNING — | ENDING FULL-TIME enPLovmenT? — | HOURS WORKED PER | SALARY SALARY FROM: WEEK: wo. vay [vn ffm | ow | wm $27,000 $30,000 40 06 14 [00 Jos | 27 | 02 yes NINO ‘Sgl. Lester Robinson (retired) NAME AND TITLE OF IMMEDIATE SUPERVISOR [NUMBERMTTLE(S) OF EMPLOYEES YOU SUPERVISED ny DESCRIBE YOUR DUTIES DETAIL (USE SEPARATE SHEET, IF HECESSARY) 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 district/area to prevent crimes. 1234 Texas Ave. Shreveport, LA 71101 NAME AND COMPLETE ADDRESS OF EMPLOYER Shreveport Police Department TELEPHONE NUMBER (WITH AREA CODE) (18) 672-7300 TYPE BUSINESS Law Enforcement Agency TITLE OF YouR POSITION 1@ Recruit \ NAME AND TITLE OF MEDIAN Loi ire) ° DATES OF EMPLOYMENT was THis AVERAGE NUMBER OF secnwns | eNom — FULL-TIME Hours workeo pen ween: | sway — | saLany na ewptovitenr? $24,000 | $24,000 wo fom Jo Pool Jom | me 40 o2 | 28 |oo Jos\ 13 | 00 myes mo uPenvison | NUMBERTTLEI) OF ENPLOYEES YoU SUPERVISED DDESORIBE YOUR DUTIES IN DETAK (USE SEPARATE SHEGT, IF NECESSARY) page 12 of 8‘As 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. page 13 of 8