Kansas Sheriffs’ Association

Executive Director Application

 

Summary: Under the direction of the Executive Board, the executive director is responsible for overall management and operation of the Kansas Sheriffs’ Association (KSA) and oversight of the association’s financial assets while ensuring compliance with board directives and applicable federal and state requirements.

 

Total compensation package valued at:  $35,000 to $50,000 depending on experience and benefits selected.


Personal Information

Prefix:

 

 

 

Last Name:

 

 

 

First Name:

 

 

 

Middle Name:

 

 

 

List any other name(s) under which records may be obtained:

 

 

 

 

 

Contact Information 

 

 

 

 

 

Permanent Address:

 

 

 

Permanent City/ Province:

 

 

 

Permanent State:

 

 

 

Permanent Zip/ Postal Code:

 

 

 

Permanent Country:

 

 

 

 

Daytime Phone:

 

 

 

Home Phone:

 

 

 

Cell Phone:

 

 

 

Email Address:

 

 

 

 

 

 

Have you ever been dismissed, asked to resign, or resigned voluntarily to avoid potential disciplinary actions?

 

 

            YES                NO

 

If yes, please explain:

 

 

 

 

 

 

 Number of Years of Law Enforcement Experience:

 

 

 

 

 

 Number of years of Law Enforcement Management Experience:

 

 

 

 

 

 Number of Years of Experience serving as a Kansas Sheriff:

 

 

 

 

 

 What salary would you require if hired?

 

 

 

 

 If hired, will you continue to be employed or serve in any other position while you are employed as KSA Executive Director?

 

              YES               NO

 

If yes, please explain:

 

 

 

 

Do you have the capability of hosting the KSA office  and working from  your own home?

 

 

              YES               NO

 

Number of years of experience managing non-profit organizations:

      

 

 


Education and Training

Highest Level of Education Completed (Circle Appropriate):

 

 

 High School                      Bachelors Degree             Masters Degree               Doctoral Degree

 

 

 

 

Name of High School:

 

 

 

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Name of College/University or Professional School (i.e. FBI NA, LEEDS, CSLEEDS, etc.):

 

Major fields of study (if applicable):

 

Degree/Certificate awarded or hours completed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Current Work Experience

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May we contact this employer?

 

 

 

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Work History

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References

Name of Reference and Address:

 

Title:

 

Phone Number:

 

Email:

 

How do you know this reference?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Other Information

List any training, special licenses or certifications, languages, computer skills, special equipment or qualifications not previously listed:

 

 

 

 

 

 

 

 

 

 

 

Agreement

I certify that the information contained on this application/form and any submitted materials is correct to the best of my knowledge and understand that providing any false or incomplete information may result in disqualification for employment, termination or withdrawal of the job offer. I hereby authorize the Kansas Sheriffs’ Association (KSA) to confirm any details of my prior employment with former employers. I further understand that KSA may verify any or all statements in this application, and I consent to the release of information by employers, schools, law enforcement agencies and other individuals and organizations interviewed. I also understand that any offer of employment is conditional and contingent upon the satisfactory completion of a background check and that I must prove my eligibility to work in the United States of America.

 

BY SIGNING BELOW, I certify that I have read and agree with the above statements.

 

 

___________________________________          _____________________ 

Applicant's Signature                                             Date