Sapulpa Police Department
Rick Rumsey
Chief of Police
Phone (918) 224-3862
Mike Haefner
Deputy Chief
20 North Walnut
Sapulpa, Oklahoma 74066
www.sapulpapolice.com
Fax (918) 227-5121
Dear Applicant:
We appreciate your interest in applying for the position of Police Officer with
the City of Sapulpa. Listed below are the requirements and information
needed on the selection process:
REQUIREMENTS:




Must be at least 21 years of age and no more than 45 years of age as
of the date of the written examination.
Must be a High School graduate or have GED certificate.
Must not have been convicted in state or federal court for any felony or
crime of moral turpitude, or a crime of domestic violenc e.
Be a United States Citizen.
SELECTION PROCESS:
The selection process is quite lengthy and cannot be accomplished in a short
period of time. The process includes several steps, including:









Initial Application
Written Entrance Examination
Physical Ability Test (See attached)
Oral Review Board
Comprehensive Background Investigation
Psychological Evaluation
Polygraph Examination
Medical Examination and Drug Screen
Interview with the Chief of Police
INSTRUCTION AND DATE OF WRITTEN EXAMINATION AND PHYSICAL
FITNESS ASSESSMENT:

Complete the Application for Employment, Physical Ability Test
Release Form, and the Testing Preference Form and bring all three
documents to the office of the Chief of Police no later than
Friday September 6, 2013, at 4:00 p.m. All applications must be
received by that date.

The written examination will be given at The Sapulpa Police
Department, 20 North Walnut, Sapulpa, Oklahoma 74066. The
written examination/ physical ability test will be on Thursday
September 12, 2013 at 6:00 p.m. or Saturday September 14, 2013
at 9:00 a.m. The physical ability test will be given immediately
following the written test at an off-site location.

The written examination will be given no later than the scheduled
start times, and you should arrive at least 15 minutes before the
start of the written examination. You must be there prior to the start
time or you will not be allowed to take the test. You will be notified by
mail with the date and time you will be taking the test for the written
examination and physical ability test. Make sure to select the date
you would prefer to take the written examination on the Testing
Preference Form provided in this package and turn it back in with
your completed application and physical ability test release form.

The physical ability test will be given after the written test. You will
need to bring clothing suitable for the physical fitness test (i.e.
sweats, shorts, jogging suit, tennis shoes, etc).
It is extremely important for you to arrive at least 15 minutes before the start
of the written examination.
If you have any questions, please contact Administrative Assistant Chris
Jeffries at (918) 227-5100.
Sincerely,
Major Pete Sellers
Recruiting Unit Commander
Rick Rumsey
Chief of Police
Sapulpa Police Department
Mik e Ha efn er
Deputy Chief
20 North Walnut
Sapulpa, Oklahoma 74066
Phone (918) 224-3862 Fax (918) 227-5121
www.sapulpapolice.com
PHYSICAL ABILITY TEST RELEASE FORM
The undersigned, a candidate for the position of police officer with the Sapulpa
Police Department, understanding that it will be necessary for him/her to
satisfactorily demonstrate his/her physical ability and agility, hereby states that
he/she voluntarily offers to demonstrate his/her physical ability and agility in such
test as may be given him/her and does hereby release the City of Sapulpa, its
agents, servants, and employees for any claim for damages by reason of injuries
which may be sustained by him/her in attempting to satisfactorily complete the
test. This release shall be binding upon the undersigned, his/her representatives
and assigns. This form must be signed by a Notary Public to be valid.
DATED this __________ day of _______________________ , 2013.
________________________________
Applicant
________________________________.
Printed Name
STATE OF
COUNTY OF
)
)
)ss.
Subscribed and sworn to before me this ____ day of___________________, 2014.
My Commission Expires:
Notary Public
Testing Preference Form
The testing for the written examination and physical ability test will be held on two
separate dates. The first test will be given on Thursday, September 12, 2013 at
6:00 p.m., and the second test to be given on Saturday, September 14, 2013 at
9:00 a.m. In order to make the testing process more attainable, we are allowing
the applicants to choose the date of their choice. Please print your name in the
space provided below and select the date you would prefer. Then sign and date
the form.
I,_________________________________________ would like to take the written
examination and the physical ability test on:
❑
Thursday, September 12th, at 6:00 p.m.
❑
Saturday, September 14th at 9:00 a.m.
______________________________________.
Signature of Applicant
_____________________________________.
Printed Name
____________________.
Date
SAPULPA POLICE
DEPARTMENT
JOB- SIMULATION
PHYSICAL-ABILITY TEST
(PAT)
Important Information about the Test
The physical-abilities test consists of a series of events designed to simulate various
police related activities. The following points should help you to familiarize yourself
with what will take place on the day of the physical-ability test.

Applicant must wear a weighted vest that simulates the weight of a standard issue
duty belt. This equipment will be supplied to the applicants at the test site.
Applicants should wear athletic shoes, and it is recommended that they wear long
pants for safety.

Timing of the testing components is to begin at the starting line. All testing
components must be completed in a series. There are no breaks between timed
events. Timing ends with the final event completion (handgun dry-fire)

During the sequence of timed events, applicants will be permitted to run, walk, or
rest between testing stations if they chose to do so. The clock will continue to run
until the candidate completes the final component.

Prior to the actual examination, a test administrator will give an orientation
and walk-through, applicants will not be permitted to touch any of the
equipment. Applicants will be given a demonstration of each of the test
components. The candidates may ask questions about the administrative
guidelines governing each event.

Two test administrators will time candidates as they proceed through the
test stations, but only one administrator should follow and guide the
candidate throughout the course.

The physical ability test is timed from beginning to end and must be completed
in two minutes and forty five seconds (2:45).
Test Description
The Sapulpa Police Department Physical-Ability Test is designed to simulate various police
related activities. A series of obstacles and tasks have been assembled to create a
comprehensive assessment of the physical abilities necessary to perform various functions as a
police officer. They will consist of the following tasks:
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

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


Running
Ducking under an obstacle
Weaving around obstacles
Climbing a six-foot wooden privacy fence
Climbing a four-foot wooden fence
Dragging a 180-pound, human form dummy for a distance of 25 feet (simulates
forcibly moving a suspect)
Weapon dry-fire 6 times (simulates being able to pull the slide and fire the
department issued handgun, the Glock 22, 40 caliber, multiple times)
All pursuit and obstacle components will be timed continuously. Prior to beginning the test,
candidates will need to put on a 10-pound weighted vest/belt to simulate the weight of a
standard-issue duty belt. (i.e., the belt worn by officers to carry the handgun, handcuffs, etc.).
The test has been constructed in an indoor gymnasium. The total length of the course from
start to finish is approximately 1039 feet or 346 yards. Throughout the course candidates
will be running successive laps around the perimeter of the gymnasium. There will be tape
on the floor to help guide candidates as they work their way through the course.
Physical-Abilities test (PAT)
Start of Test
The candidate will begin the PAT from the standing position behind the start line. Upon the
signal to begin, the candidate must begin running towards the obstacle weave which will be
located directly in front of him/her.
Obstacle Weave
Next the candidate will encounter a series of orange traffic cones set up in a "weave pattern."
You will notice tape on the ground curving around the cones that will guide the candidate
through the course. The candidate must follow the range tape as he/she weaves around the
outside of five cones.
Six-Foot Fence
The candidate will continue running along the perimeter of the gym until he/she
encounters the six-foot fence. The candidate will go between the two orange cones and
scale the six-foot wooden fence located in front of him/her.
Four-foot fence
The candidate will proceed around the perimeter of the gym to the four-foot fence. The
candidate will go between the two orange cones and scale the fence located in front of
him/her.
Duck-Under Obstacle
The candidate will continue to run along the perimeter of the gym until they
encounter the Duck-Under obstacle. The obstacle consists of a wooden beam
suspended approximately two feet above the floor. The candidate must get his/her
body under the obstacle without displacing it or knocking it over.
Dummy Drag
The candidate will continue to run along the perimeter of the gym as he/she approaches the
dummy drag located between two orange cones. The Candidate must grab the dummy
and drag it for 25 feet. He/she may drag the dummy in any manner he/she sees fit except
by the legs. The dummy weighs approximately 180 pounds and must be dragged
completely across the end-line positioned 25 feet away.
Handgun Dry-fire:
The candidate will continue running until they reach the Dry-fire area. They will then pick
up the duty weapon. (The slide will be locked to the rear) They will grab the back of the
slide to release the slide forward. He/she will then dry-fire the handgun in the direction the
administrator has chosen the candidate to position the barrel. They will perform the same
function five more times for a total of six. The candidate will then place the handgun back
on the table and run across the finish line. The candidate's time will stop after they have
crossed the finish line.
City of Sapulpa
Application For
Police Officer
425 East Dewey
Sapulpa, OK 74066
We consider applicants for all positions without regard to race, color, religion, creed, gender,
national origin, age, disability, marital or veteran status, sexual orientation, or any other legally
protected status.
(Please Print)
Position Applied For
Date of Application
How Did You Learn About Us?
❑
Advertisement
❑ Friend
❑
Walk-In
❑
Employment Agency
❑ Relative
❑
Other
Last Name
Address
First Name
Number
Middle Name
City
Street
Zip Code
State
Telephone Number(s)
Social Security Number
If you are under 18 years of age, can you provide
required proof of your eligibility to work?
❑Yes
❑ No
Have you ever filed an application with us before?
If yes, give date:
❑Yes
❑ No
Have you ever been employed with us before?
If yes, give date:
❑Yes
❑ No
❑Yes
❑ No
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed n this country
Because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon
Employment.
Are you available to work:
❑ Full Time
❑Part – Time
❑ Shift Work
❑ Yes
❑ No
❑ Yes
❑ No
❑ Temporary
Are you currently on "lay-off' status and subject to recall?
❑ Yes
❑ No
Do you have a current valid driver's license?
❑ Yes
❑ No
Have you been accused of a crime within the last 7 years?
❑ Yes
❑ No
Conviction will not necessary disqualify an applicant from employment.
If yes, explain:
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
Education
Name and Address
Of School
Course of
Years
Completed
Elementary
School
High
School
Undergraduate
College
Graduate
Professional
Other
(Specify)
Specialized Skills
Check Skills/Equipment Operated

Multi-line phones ❑ PowerPoint ❑ Backhoe ❑ Paver ❑ Wastewater License

PC ❑ Excel ❑ Tractor ❑ Bobcat ❑ Water License

Calculator ❑ Access ❑ CDL"Class A" ❑ Dump Truck ❑ Utility Maintenance

Typewriter ❑ Cashier ❑ Sludge Truck ❑ Forklift ❑ CLEET

Word ❑ Dispatch ❑ Loader ❑ Street Sweeper ❑ Firefighter
Describe any specialized training, apprenticeship, skills and extra-curricular activities:
Describe any job-related training received in the United States Military:
Diploma
Degree
Study
Employment Experience
Start with your present or last job. Include any job-related military service assignments and
volunteer activities. You may exclude organizations, which indicate race, color, religion, gender,
national origin, disabilities or other protected status.
Dates Employed
From
From
To
Employer
Address
Job Title
Telephone Number
Supervisor
Reason for Leaving
Hourly
Work Performed
To
Rate/Salary
Dates Employed Employer
From
From
To
From
To
From
Telephone Number
Supervisor
Reason for Leaving
Employer
Address
Job Title
Telephone Number
Supervisor
Reason for Leaving
Hourly Work Performed
To
Rate/Sala
ry
Dates Employed
From
Job Title
Hourly Work Performed
To
Rate/Salar
y
Dates Employed
From
Address
To
Employer
Address
Job Title
Telephone Number
Supervisor
Reason for Leaving
Hourly Work Performed
To
Rate/Sala
ry
If you need additional space, please continue on a separate sheet of paper.
Additional Information
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other expertise.
Applicant's Statement
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true
and complete to the best of my knowledge. I also agree that falsified information or significant omissions
may disqualify me from further consideration for employment and may be considered justification for
dismissal if discovered at a later date.
I understand that my employment can be terminated, with or without cause, at any time at the discretion of
either the City of Sapulpa or myself. I understand that no management official has any authority to enter
into any agreement contrary to the foregoing or make any oral assurance or promise of continued
employment.
I authorize persons, schools, my current employer (if applicable), and previous employers and
organizations named in this application (and accompanying resume, if any) to provide any relevant
information that may be required to arrive at an employment decision.
Signature of Applicant
Date
NOTE TO APPLICANTS: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN
INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or
without a reasonable accommodation, the activities involved in
the job or occupation for which you have applied? A description
of the activities involved in such a job or occupation is attached.
References
Name
Telephone
Address
Name
Telephone
Address
Name
Telephone
Address
Name
Address
Telephone
❑ Yes
❑ No