Form Center

Applicant Information

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, disability, creed, sexual orientation, gender identity or the presence of a non-job-related medical condition or disability.

The City of Coralville is an Equal Opportunity Employer.
Instructions
Please complete and submit the form below.
Date of Application
Date of Application
Applicant Information
Last Name*
First Name*
Middle Initial*
Current Address*
City*
State*
Zip Code*
Phone*
Email address
To facilitate reference checks, please indicate any other name(s) under which you have been employed.
This position requires a driver's license. Do you have a valid driver's license?*
1. Yes
2. No
We prefer a certified copy of your driving record be submitted with this application however if this is not possible it must be submitted prior to testing. Any application not including a copy of your driving record will not be considered.
Continue

Have you been convicted of a crime other than a simple traffic misdemeanor in the last ten (10) years?*
1. Yes
2. No
Crime: If yes, please explain and include the type of offense and the place and date of conviction.
Have you ever been the subject of any disciplinary action (oral, written or otherwise) by a current or previous employer?*
1. Yes
2. No
Disciplinary Action: If yes, explain the circumstances, including the type of discipline imposed.
Have you ever been a party to an action or appeal before a Civil Service Commission or equivalent body?*
1. Yes
2. No
Action or Appeal: If so, when and in what city, county and state?
Have you ever been named in a civil lawsuit for actions taken while performing your duties as an employee for a current or past employer?*
1. Yes
2. No
Civil lawsuit: If so, when and in what city, county, and state?
Please upload additional documents if needed
Continue |Go Back

List any non-paid law enforcement related positions you have held (i.e., reserve officer, internship, etc.)
Agency 1: Name
Street Address
City
State
Zip
Position
Start Date
End Date
Immediate Supervisor
Agency 2: Name
Street Address
City
State
Zip
Position
Start Date
End Date
Immediate Supervisor
Continue |Go Back

State any additional information you feel may be helpful to us in considering your application below:
Upload documents
If you would like to claim veteran's preference, documentation must be submitted with this application. See brochure for more information. Please do not upload any documents except those which provide verification of military duty for veteran's preference.
Continue |Go Back

The position of police officer requires the possession of a valid driver's license.
To protect sensitive information, we do not request Social Security numbers or driver’s license numbers on this online form.
A driving record may be subsequently requested and will be reviewed for insurability purposes, as well as your driving record in other states. Please complete the information below.
Full Name (as it appears on your driver's license)*
Date of Birth*
Date of Birth
States in which you have been license to drive in the past six (6) years:*
Please list all that apply
Continue |Go Back

If you have taken the Police Officer Selection Test (POST) within the past year for an Iowa municipality or agency, please complete the following information. Passing the POST is a requirement for entrance into the Iowa Law Enforcement Academy (ILEA). We will use this information to obtain your test score from Stanard & Associates to determine if you have a valid test score for entrance into the academy.
Name
Name of Municipality/Agency
Date of Test
If you do now know the exact date, please list the month/year in which you think the test was taken.
Continue |Go Back

If you are already a certified peace officer in the State of Iowa, you may be eligible for a waiver to exclude you from participation in physical fitness testing and the POST during the application process with the Coralville Police Department. To be eligible for this waiver, you must have successfully completed these standards in accordance with ILEA policy prior to certification.
I am a certified peace officer in the State of Iowa and confirm that I have previously passed physical fitness testing and the POST in accordance with ILEA standards.*
1. Yes
2. No
ILEA
1. ILEA Graduate
2. ILEA Certification through Examination
Date of Graduation
Date of Completion
Continue |Go Back