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

I :=barw,n MIDDLE

STREET ADDRESS/P.O. BOX NO. I

-

'\

LAST

STATE/ZIP

I -I.-.> l .,

-- -HOME TELEPHONE NUMBEA IWITH AREA CODE) OFFICE TELEPHONE NU~. . ... .. _,. • 0 "'" <..u..,L,

-- --------CELL TELEPHONE NUMBER (WITH AREA CODE) E-MAIL ADDRESS

( ' SOCIAL .c:i:r1 IQITV ,u ,.,ct=c DATE OF BIRTH: MONTH/DATE/YEAR: Q

08 - )'+ --190 0 ARE YOU A CITIZEN OF THE UNITED STATES?

YEs[2i NoO DRIVER'S LICENSE NO: _

EXPIRATION DATE: - oB -, i+ - d-o, 1

" .. . ,

' ::; .. . .. . .

RACE/SEX laNFORMATibN •.' • ,' •• • • • ·'• •' ,',•• ' : • I .. ·'

The Federal government 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 .

~Male Dwhite ~lack 0 Hi~panic 0Am. Indian D Asian

D Female D01her:

. ... . . SPEciAL.1Nsi'R"U.cr10N:s FOR E><J.CUM:ENTATION. yoU ·Mu~r Ait.i\cij :· . . . .· . . ... . . : . ,. . .' ,• ... . · .... ,.,, . .

In accordance with civil service law you must be a citizen of the United States, and of legal age. In addition to these requirements, the local

municipal fire and police civil service board In each jurisdiction has adopted its own qualification requirements for each of its competitive classes.

Therefore, you must attach the necessary documentation to verify that you meet all the requirements of the civil service board to which you are '

applying. You must attach a copy of the following documents:

Proof that you are a citizen of the United States (Birth Certificate, US Passport, or Certificate of Naturalization)

Proof that you meet the age requirement of the civil service board (Birth Certificate)

Proof that you meet the education requirement as posted by the civil service board to be admitted to the exam

Proof that you have a valid driver's license (ii this is a requirement of the civil service board to be admitted to the exam)

Proof that you meet all other requirements as posted by the civil service board to be admitted to the exam

- -l8Yv'-( )

page I of 7 l

li"Jl """'~ IT·~ rt /jf-• ~ ~<='--') :,~ ... ,., ( • J; ~ j I,, ) '.

1., •.• J/ -- · .... , --~

.. ·Ci ty c:r -~ · rr :-·,,~ih j·· -~·;-i"

Ci·.J;i S0 :·· .. ,:~:. '.~ .... :-.:·J

. AlJTHORITY. FOR RELEASE OF INFO~MATION.

I HAVE COMPLETED THIS APPLICATION WITH THE KNOWLEDGE AND UNDERSTANDING THAT ANY OR ALL ITEMS CONTAINED HEREIN MAY BE SUBJECT TO

INVESTIGATION PRESCRIBED BY LAW, AND I CONSENT TO THE RELEASE OF INFORMATION CONCERNING MY CAPACITY AND FITNESS BY EMPLOYERS.

EDUCATIONAL INSTITUTIONS, LAW ENFORCEMENT AGENCIES, AND OTHER INDIVIDUALS AND AGENCIES, TO DULY ACCREDITED INVESTIGATORS, CIVIL

SERVICE BOARD MEMBERS AND OTHER AUTHORIZED EMPLOYEES OF THE GOVERNMENT FOR THAT PURPOSE.

I CERTIFY THAT THE ANSWERS I HAVE GIVEN TO ALL QUESTIONS IN THIS APPLICATION ARE TRUE TO THE BEST OF MY KNOWLEDGE. I KNOW THAT ANY

MISREPRESENTATION HEREIN MAY CAUSE MY APPLICATION TO BE REJECTED, MY NAME REMOVED FROM THE ELIGIBLE LIST ANO/OR MAY SUBJECT ME TO

DISMISSAL FROM EMPLOYMENT.

D~-s - lo SIGNATURE OF APPLICANT

FOR uie· oF c1v,~ sERvice ~oARo oNL v . VERlfiCATl<:>N r~AT .i~r-~_,cA~r. Mp~+~ ri:te _sciARD'~-"-~etj_l,J1~$rv1'.~_NT$:_: ·.

G U.S. Citizen G ·:_: 'rid~cati~n . . •,' :•· .. ' . G tiiive?s :: Llc~hse ... : ...... ;

~-V~ieran · Pref. · · ·

• I cir '.' re,qu!r~rrie_rit)

\ , • I "• ,•' ~ . , '

. ,.

Leh .airman 4'.· . 5 • . ·.

1. 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 FORGE-?-

vesO NOm.1

2. HAVE YOU EVER BEEN CONVICTED OF A FELONY?

YEsO NO~

3. HAVE YOU BEEN CONVICTED OF A MISDEMEANOR DURING THE LAST 3 YEARS?

YEsO NO~

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 APPL YING. A CONVICTION WILL BE JUDGED ON ITS OWN

MERITS WITH RESPECT TO TIME, CIRCUMSTANCES, AND SERIOUSNESS. -

EXPLANATION. PLEAS!= USE THE S~ACE ~ROVIOED BELOW TO EXP.LAIN ANY ")'.ES" AN.SWEA$ TO THE ,O.SOVE THREE ClUESTIONS. ATTACH

ADDITIQNAI,. PAGES IF NECESSARY.

page 2 of 7

I TRAININGIEDUCATIC>N . .

A. HIGH SCHOOL

~~•AA 00 ,oo,.~o, °'~'~" '3 DATE RECEIVED:___ _ 5. - 5 - c.o

B. COLLEGE

W:\t'AJ lo\\eCJxR-u

l)('\;Je_r; ~ ()~ -Pht&\\ ~ J

C. OTHER FORMAL TRAINING (BUSINESS, TRADE, MILITARY, ETC., CLASSES OR SEMINARS)

NAME Al'ID ADDRESS OF HIGH SCHOOL ISSUING DIPLOMA OR OF STA'TE DEPARIMF.N'T OF EDUCATION

ISSUING GED OR EOUIVALENCY CERTIFICATE:

cux,c\_\4wf\ L-l;~~ SJ,,~\ '"l 3 i+o l,,.J,1~, ~ ~ &\ vc\

YEARS

ATTENDED

d--.

;l._

.c:::..'oo r ~ . ·,uoto I

CREDIT

HOURS

EARNED

LOCATION

DEGREE(S)

RECEIVED

BI\.

('(\As~rs

DATES

ATTENDED

DATE OF

DEGREE

5 )9 /01

J..);;_~ )i I

DID YOU

GRADUATE?

MAJOR

C,_%~M\ -i::::::. 'CJZ..

A:\Mi/\· :$)$\r~ 5e~/1J .

NO. OF HOURS

PER WEEK

-,wre OF INSTRUCTION OR CLASif(ATTACH ADDITIONAL PAGE:!;° IF N'itcesSARY)

?D\5 CfES

ITo

PLEASE LIST BELOW ANY PROFESSIONAL LICENSES OR CERTIFICATIONS THAT ARE RELEVANT TO THE JOB FOR WHICH YOU ARE APPL YING.

(ATTACH ADDITIONAL PAGES IF NECESSARY)

NAMe oF UCEl!ISE: OF l'yi>i:: QF cE.ITTIFtc;.1:,iQN

NAME t\NO llOMPI.ETE AOO!!ESS ,Of A(1E~C'.f D.R

. lNS;1i'rU,Tl.ON ISS!JIN~.UC~NSE OR. ceit,:I FIChllON

oi\ie LICENSE en 'cieimFIOATION ~COUl,RED

· ~P1i¼-~1~f./ ~~re. tF AiiPL16AeLe ·'·.

No.-1·· · . NO, 3 · . ·. :

page 3 of 7

I

' . LIST 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

IF YOU HAVE COMPUTER EXPERIENCE, PLEASE LIST ANY COMPUTER PROGRAMS (SOFTWARE) WITH WHICH YOU HAVE A WORKING KNOWLEDGE:

TYPING ABILITY: ____ WPM

VETERAN'S PREFERENCE

Five-point veteran's 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 in a peacetime campaign or expedition for

which a campaign badge has been authorized, including the following wartime periods: 06/27/50 - 01/31/55 (Korean Conflict); during

the period of more than 180 consecutive days, any part of which occurred between 01/31/55 and 10/15/76 (including the Vietnam ·

era), not including active duty for training in Reserves or National Guard; and from 08/02/90 - 01/02/92 (Gulf War). If your service

began after October 15, 1976, you must have received a Campaign Badge, or Expeditionary Medal. Campaigns or expeditions for

which such medals have been authorized include El Salvador, Lebanon, Granada, Panama, Southwest Asia, Somalia, Haiti, Kosovo,

Bosnia and Herzegovina. Medal holders and Gulf War veterans who originally enlisted after September 7, 1980, (or began active

duty on or after October 14, 1982, and have not previously completed 24 months of continuous active duty) must have served

continuously for 24 months or the full period called or ordered to active duty. Note: If your DD-214 does not provide proof of

entitlement for preference, you must obtain an amended DD-214 or other written documentation showing award of Armed Forces

Expeditionary Medal.

Should you wish to receive the veteran=s preference points, check the space provided and attach a copy of your DD-214 which

verifies your qualification to receive preference. ·

1@1 QUALIFY 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

REQUEST FOR ~ES'flNG:' Accor~MooATIONS UNDER THE A~ERIQANS: W!TH oi$A~iuti~s Act ' ' • • : I : •' ' ,, ' ,• • ' • ' • • • ' • '• '

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.

D I am requesting testing accommodations under the Americans With Disabilities Act for the following disability (check

box and specify disability): _____________________ _

REQUIRED DOCUMENTATION TO ATTACH TO YOUR APPLICATION: in order for this civil service board to process your ADA

request, you must attach written documentation of your disability, including an assessment of accommodations which might be

appropriate to compensate for your disability In a testing environment, prepared by a doctor, psychologist, rehcibilltation counselor,

occupational or physical therapist, or other professional with knowledge of your functional limitations.

page 4 of 7

,·• . What accommodations are you requesting?

0 Extra Time D Reader D Private Room I I Scribe D01her: ___________ _

. . .. ...

WORk EXPERIENC~ · . . .

. . ..

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 exl:)erience 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 BUSIL.A-w 13n ~ Ca.Mo f?o.r\s"' S~e.ri ~5 o%-~~ 5.P 5 Trevis Si . '1~ ~lcJO, TITLE OF YOUR POSITION Sh~fi&c~ lA. 1\,0\

~~'"' TELEPHON NUM ER: (b\~) b ~5 -;;}..,rio . DATES OF EMPLOYMENT WAS THIS FULL-TIME AVERAGE NUMBER OF BEGINNING ENDING

EMPLOYMENT? HOURS WORKED PER SALARY SALARY

FROM·: . ·---·-. TO: Pre-~ ----- --WEEK: ...... .. ·----

MO. MO.

4-D+ lt.t sio. i) -z. #7:J 'l(o 2~5 ll DAY YR. DAY YA.

®Yes ONo

)

' l 3 '\ \ NAME AND TITLE OF IMMEDIATE SUPERVISOR NUMBrfl"ITLE(S) OF EMrOYEES YOU SUPERVISED

Q_,\,e>t ~~~I ~ LcN\~ r,M Jll)i~~l"f ( l9 QI~ 1f uc\0~~ ' ~ . ~ ~· DESCRIBE YOUR DUTIES I DETAIL (USE SEPARATE SHEET, IF NECESSARY)

A~ ~o .

··-=·· ..... tr'tttCI'-- -

page S of 7

NAME AND COMPLETE ADDRESS OF EMPLOYER

l0 t\~ U)\\-c.~ 'l\\ ~,~Ne fY\t11..r ~c,.\\ e1-"-S

TELEPHON~ NUMBE : ( ) C\03 -q d' 1- 330 C,

DATES OF EMPLOYMENT

FROM:

MO. DAY YR.

\ l3 MO. DAY

NAME AND TITLE OF IMMEDIATE SUPERVISOR

br. ·1r,l W-vs

WAS THIS

FULL-TIME EMPLOYMENT?

YR.

DYES ~No

DESCRIBE YOUR DUTIES IN DETAIL (USE SEPARATE SHEET, IF NECESSARY)

NAME AND COMPLETE ADDRESS OF EMPLOYER .. l . \

I 11 -•

TELEPHONE NUMBER: 1

~ ~ -DA TES OF EMPLOYMENT WAS THIS

FROM: TO: FULL-TIME EMPLOYMENT?

MO. DAY YR. MO. DAY YR.

g ob Lt l l @ D YES ..... , NO

AVERAGE NUMBER OF

HOURS WORKED PER

WEEK:

\5

TYPE BUSINESS ·

TITLE OF YOUR POSITION

S:ro.· AVERAGE NUMBER OF

HOURS WORKED PER

WEEK:

3()J-

NAME AND TITLE OF IMMEDIATE SUPERVISOR NUMBERrrtTLE(S) OF EMPLOYEES YOU SUPERVISED

()f\)}f

DESCRIBE YOUR DUTIES ·IN DETAIL (USE SEPARATE SHEET, IF NECESSARY)

SALARY

BEGINNING

SALARY

"'k

ENDING

SALARY

"Ct) r ENDING

SALARY

)JJp-

""=----·--------~---------·"""""-----~-------===-=·----------~ page 6 of 7

~

.,...;._. .. _, ----·---------------------------------------' NAME AND COMPLETE ADDRESS OF EMPLOYER

~~S, N\..J~c.. Si. v:.s ~, ~o ~ "-'C\.S~ ~ S' p,-1).n ... , \, ot.o

TELEPHONE NUMBER: Gtg) (cl?,~1-3',Co \

DATES OF EMPLOYMENT

FROM: TO:

MO. DAY YR. MO. DAY YR.

l

WAS THIS

FULL-TIME EMPLOYMENT?

TYPE BUSINESS C-- I _ lC-~

TITLE OF YOUR POSITION

/v'vf\o AVERAGE NUMBER OF

HOURS WORKED PER

WEEK:

Lfo+

BEGINNING

D TITLE OF IMMEDIATE SUPERVISOR NUMBER/TITLE(S) OF EMPLOYEES YOU SUPERVISED

- ~(MS

DESCRIBE YOUR DUTIES IN DETAIL (USE SEPARATE SHEET, IF NECESSARY)

NAME AND COMPLETE ADORE~~ OF EMPLOYER

Ul~ ~~s ··JV\M'J-tL G!x-fs

G-)45\..~~k \ ~ · C.

DA TES OF EMPLOYMENT WAS THIS

FROM : TO: FULL-TIME EMPLOYMENT?

MO DAY YR. MO. DAY YR.

q I I ~YES ONO

'+- .

TYPE BUSINESS

TITLE OF YOUR POSITION

E' AVERAGE NUMBER OF

HOURS WORKED PER

WEEK:

'-fo +-NAME AND TITLE OF IMMEDIATE SUPERVISOR NUMB!:RrrlTLE(S) OF EMPLOYEES YOU SUPERVISED ,~ DESCRIBE YOUR DUTIES IN DETAIL (USE SEPARATE SHEET, IF NECESSARY)

BEGINNING

SALARY

ENDING

SALARY

ENDING

SALARY

_,_,,__,._,,, _________________ ....,. ___ ~-~-- ..... ~IW1~""-..-.~-""""'----=-~---·---· -·--------page 7 or 7

CERTIFICATE OF LIVE BIRTH

1A CHILD'S LAST NAME

JONES 18 FIRST NAME

DARWIN 2A BIRTH DATE

AUGUST 14 , 1968 28 TIME OF BIRTH

12:35 PM 6A PLACE OF BIRTH (CITY, TOWN, OR LOCATION)

SHREVEPORT 68 PARISH OF BIRTH

CADDO 6C NAME OF HOSPITAL OR INSTITUTION

T . E: SCHUMPERT HOSPITAL 7A RESIDENCE OF MOTHER (CITY, TOWN, OR LOCATION)

78 PARISH ____________ _._17r qATF

7E STREET ADDRESS OF RESIDENCE

BA rAI Htl<"S LAST NAME

JONES BB FIRST NAME

B BD CITY AND STATE OF BIRTH I.IF NOT U.S., NAME OF COUNTRY)

LOUISIANA BE 1\GE AT THIS BIRTH

36 9A MOTHER'S MAIDEN NAME

WALKER 98 FIRST NAME

·rHELMA 9D CITY AND STATE OF BIRTH !IF NOT U.S., NAME OF COUNTRY)

LOUISIANA .

3 SEX

MALE

BIRTH NO .

lC SECOND NAME

LYNN 4 NUMBER BORN

SINGLE

I BC S~COND NAME

I 9C SECOND NAME LEE

S BIRTH ORDER

17D ZIP CODE

9E AGE AT THIS BIRTH ---------------------------------------

36 FILE DA TE DATE ISSUED

SEPTEMBER 9 . 1968 APRIL 21 .. 2006

A REPRODUCTION OF THIS DOCUMENT . IS VOID AND INVALID . DO NOT ACCEPT COPIES .

ISSU BD BY: B . WARREN

THE ABOVE IS A TRUE CERTIFICATION OF NAME AND BIRTH FACTS ON FILE IN THE VITAL RECORDS REGISTRY OF THE STATE OF LOUISIA NA. PURSUANT TO LSA - R.S. 40:.l2. ET SEQ.

PERSONAL DRIVER'S LICENSE LICENSES NO £LASS EXPIRATION DATE

11-14-2017

.JONE~.DARWIN LYN

I· '

\ - --------- ----- ------- ---- --~ -~

DARWIN LYNN JONES

qas sa±isfactnril~ cnntplctca tqc rei1uirco units nf ~i,gq ~cqnol funrk assi,gneo from tqc ~±ate ~iz1l1 ~rqnnl @nurse of ~tuo~ prcscriheo h~ tqc Ifiouisiaua ~±ate ~oaro nf IJilementar~ ano ~ecnnoar~ IJioucatinn_ f\S euiocnce nf scl70-Iastit attainnt£nis fue ±qcrefnre · afuaro tqis oiplnnta as a testimonial nf ,grao-uatinn from tqe WOODLAWN

~igq ~cqnol, a ~±a±e-J\pprn'.l1eo ~enior ~iglr ~cqonl nf 1flouisiaua_

• %iuett ±qis 25TH oa~ of MAY J\-~-19~

i\pproueb

~tate §uperintenbent of t)uhlir 1Eburation ~

.;§ 11pcri11fmi)cut of ffe,rlym,ls

quz fronorahl1J rnmpfotrn tfr.e z±ttnfoz az pr.ezrrih.en h~ tfriz inztihrlinn ,ntn za±izfadorilg pazz:en iq£ r.xammafionz r:equir:en for ±fr:e nt£t:e.e of

~ar4rlor of J\r±z in filrimiual Wustirt dtriminal mu~tkt ~bministrafiott <rrottttnfraiion

attn is 4:er.eh1J tonf.err.en fnifq all flr.e ttgfriz1 qonorz attn prtiltfo£EZ tlr.er.efn ttpperhtttttttg.

Jlf{a~ 91 znng _7 -

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~ if Jcte/ZC(1/ .A/1/niairtratiMv if folle(:/ aad J ~

toil£ a/? //2e, 1i!7hlJ'', h.O-/lO-/',f, a1ldp1 ·~'oi/ec!7eJ> t/2e1•er.mto- aj-;Jel'lat/lifl:f!',

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•

CAUTION: NOT TO BE USED FOR IDENTIFICATION PURPOSES

THIS IS AN IMPORTANT RECORD. SAFEGUARD IT.

ANY ALTERATIONS IN SHADED AREAS RENDER FORM VOID

CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY 1. NAME (Last, First, Middle)

JQHF.S,.. !lar·:Jin Lynn j 4.a . GRADE, RATE OR RANK 4.b . PAY GRADE

2. DEPARTMENT, COMP8$ r~~: if° BRANCH r ==-1~· -=9

:::IRIT~ Npcaau

5. DATE OF BIRTH ('r'"r'MM DD) 5. RESERVE OBLIG . TERM . DATE

: f.P! E-4 68(1814 . Ye~='.·\!'.;~ th t~~ ::IT.' . . 7.a . PLACE OF ENTRY INTO ACTIVE DUTY . :'. b . HOME OF RECORD Al TIME OF rnTRY (City and state , or complete

;arlrlrP« if knnwnl

Shreveport, LA ; 8 .a. LAST DUTY ASSIG~JMENT AND MAJOR COMMAND 8.b . STATION WHERE SEPARATED

!lOCtl 9tM,'.}\R 3d?olJUW!V FNF FPO SFran Ci %150? S£P5f.O HQSPTBN nr:e CM9 8-l Cf\ :1205!:i-5011 j 9. COMMAND TO WHICH TRANSFERRED 10. SGLI COVERAGE

! ~··arfoe r,irr., ;{,;,5::,rve SUO.".lOrt ren ·t-er (;VPl"l ann P;;rk_, KS ~f?l 1 Am ount·$ 5C, D0,; ,,~11. P~R~c7ALT~·(zist n~--;;b;,., .title an~ ~e;~s a~d mo,~ths in - 12~ RECORD OF S·E-RVICE -~~-=-;,;---=· -=

specialty. List additional specialty numbers and titles involving!""" __ D_t_E_t -d- ~-D-T'- ,-. -P--d---l---...:...:---l---'-'-+-periods of one or more years) !!-- _a __ a_e __ n_e_r_e _- __ n_,_, _e r_10 __ ,f-_.....:.....::....__-1- _ _..c..._---+_ ! _ ,, , . b . Separation Date This ?er io d

Yea r(s) i\Jionth(s)

B6 09

ll '.;b 31 .. .10 t Or \I eh l C 1 e O Pl?. tat or 11--c-. _N_e_t_A_c-ti-ve-S-er_v_1c_e_T_h_1s_P_e_r_1o_d __ -"'"'---l---"""'----I,-

! (oi YPar~ · 06 Months'1 qr: og n., 1n

P · - · - - > '· d. Total Prior Active Service I'\,~, ~r'i .~. e. Total Prior Inactive Service 00 .. f) l

f . Foreign Service '.111 11 g . Sea Service (!f\ 01 h. Effective Date of Pay Grade C? 08

13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (All periods of service)

Rifie Expert Bc1de1e{2fld ~/;.mrd}~ God Conduct :~edal) Sea Service Deve1opement Ribbon, ~eritorioos Mast~

14. MILITARY EDUCATION (Course title, number of weeks, and month and year completed)

l-~oto r Vehicfo !)perators Course (13, Ff.187)

None

21 rsr _,.. f '\

l!,i

15.a . MEMBER CONTRIBUTED TO POST-VIETNAM ERA I Yes I r<o I 1s.b . HIGH SCHOOL GRADUAfE OR I 'fes I ,~o 16. DAYS ACCRUED LEAVE' PAID

VETERANS'EDUCATIONAL ASSISTANCE PROGRAM j j vJ EQUIVALENT j yyl D! .f.L2ii..5 ,c,i_ p (l() , 1

17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION I I Yes ! \'.~ 18. REMARKS

119.a MAILING ADDRESS AFTER SEPARATION (lnd,de z;p Code) 19.b NEARE5' RECATIVE (Name and odd,eo- lnd,de Z(p Code) Thel ma L. ,Jones Sam~

20. ME~~BER REQUESTS COPY 6 BE srnno __, S DIR OF ver AFFAIRS ['L~Yesl I N0 22. OFFICIAL AUTHORIZED .to ~ (Typed name, grade, til'le and ; 21 . Sl~NATURE OF MEIVIBER BEING'r{PARATED '" \ .. ~.__.,--i signature) __ ..,.,.-;,;/:r,;/ ~---/_..,.;?..--____ '

·· " T ~11v·,n~,,..v r,~PT i:-r:r,..:1 !:a"""""'""'"'"""""'""' \""""""'"""""""'"'"""""'""""==="""""".,.._=====-==-""""=======b.,..b,..,,.,=---=-==~-·"""""""'. ,..',a',.' .. ..,f,=<\r'i~~~.~~ it,.;:;.::;.;;~

SPECIAL ADDITIONAL INFORMATION (For use by authorized agencies only)

23. TYPE OF SEPARATION

~FS flVl='

24. CHARACTER OF SERVICE (Include upgrades)

HONOR BE 26. SEPARATION CODE

-~,)?£~E;~'U:.Wl1-LM20------------_,'JE ~.: .. 28. NARRATIVE REASON FOR SEPARATION

rm ll..Ollfil 2f n11 HUJL~C I,LV r- C;f_PJ!.Jl'L( RFTII l5N_ EHW~ ov EE srn $.,JH IH 29. DATES OF TIME LOST DURING THIS PERIOD .

27. REENTRY CODE

J~F-

MEMBER 4

SHERIFFS OF

CADDO P ARJSH

ALEXANDER BOYD STERRETT 1838-1840

MATTHEW WATSON 1840-1857

THOMAS R. SIMPSON 1857-1858 1865-1868

HENRY JOHN GREY BATTLE 1859-1860

NATHAN HASS 1860-1862

ISRAEL W. PICKENS 1862-1865

JOHN J. HOPE 1868

JOHN J. O'CONNOR 1868-1869

MICHAEL A. WALSH 1869-1875

JAMES W. WILSON 1875-1876

WILLIAM HEFFNER 1876-1877

ALONZO FLOURNOY 1877-1878

J.0 . CAWTHONE 1879

JOHN LAKE 1879-1892

JOHNS. YOUNG 1892-1900

SAMUEL]. WARD 1900-1906

J.P. "PAT" FLOURNOY 1906-1916

THOMAS ROLAND HUGHES 1916-1940

J. HOWELL FLOURNOY 1940-1966

JAMES M . GOSLIN 1966-1976

HAROLD TERRY 1976-1980

DONALD E. HATHAWAY 1980-2000

STEVE PRATOR 2000-

I

j

V

SHERIFF STEVE PRATOR

July 28, 2016

Dear Sir or Madam,

This letter is to confirm employment on Captain Darwin L. Jones with the Caddo Parish Sheriffs Office (CPSO). As of the date on this letter, Capt. Jones is an active employee of CPSO overseeing the Court Liaison/Judicial Services Division and since 2010, commanding the SRT unit. With a hire date ofJanuary 3, 1991; and 25 ½ years tenure, Capt. Jones can humbly boast experience/training in the following areas:

• Correctional Officer • Background Investigator • Criminal Investigator • Patrol • Academy Instructor • Special Teams (ERT, SRT, SWAT, & CISM)

Capt. Jones has also acted as an FTO in our Detention and Patrol divisions and commanded the Patrol South Sector, Special Operations, ERT, SRT and/or SWAT.

If you have any additional questions regarding this letter or its data, please don't hesitate to contact me at (318) 681-0837 or ada.nelson@caddosheriff.org.

j Sincerely,

.law~ J Ada Nelson j Personnel Clerk

SHERIFF AND EX-0Ff'ICI0 TAX COLLECTOR

50 I TEXAS STREET• ROOM IO I • SHREVEPORT, LOUISIANA Tl 10 I (318) 681-0837 •WEBSITE: WWW.CADDOSHERIFF.ORG

Captain Darwin Jones currently supervises the following entities:

District Attorney Liaison:

Works directly with the District Attorney and his assistants, assisting them in any way

necessary to insure the prosecution and conviction of persons arrested in Caddo Parish. Acts as a spokesperson for the Sheriff and works with the District Attorney

and judges in the creation and implementation of programs and classes for alcohol abuse, impaired driving, drivers education classes and drug programs for people arrested on those charges.

Civil:

Supervise the Civil Department who carries out all orders directed to the Sheriff by

the courts, serve legal papers, conduct seizures of movable and real prop~rty, and other mandates to him by the District Court, Court of Appeals, Supreme Court,

Juvenile Court and all other courts.

Fines and Bonds:

Supervise the director and clerks in this department as they process and maintain all bonds made in Caddo Parish. The department provides notice of comt dates to defendants, bondsman, sureties and work with the D.A. on bond forfeitures, collect and disburse money collected for fines, court costs, traffic tickets, probation fees and

restitution to victims. Department works directly with the D.A., judges, and Clerk of

Court to insure that all persons charged with a crime, or ticketed for any offense,

receive proper notice and credit for fine paid or time served.

Probation Division:

Department supervises people who are placed on misdemeanor probation by First Judicial District Court for Caddo Parish. They are responsible for the supervision of an average of more than 850 people on probation at any one time including assigned

community service and court assigned classes.

Warrants:

CPSO department that works to apprehend and extradite fugitives locally and from

throughout the United States to Caddo Parish. Maintain an inventory of over 8500 warrants from various agencies.

Courthouse Security:

Responsible for various levels of security provided to Government Plaza, Caddo

Parish Courthouse, the Bickham Building, and Caddo Juvenile Court and their

annex. Train employees from various agencies on emergency actions plans to

include fire and active shooter drills.

SRT (Special Response Team):

Jones is the SR'T Commander, he is responsible for planning and supervising

Special Operations, High Risk SWAT Operations, Street Level Interdiction,

Directed Patrol Operations, Knock and Talk Operations, Raid Planning and

Execution, Tactical Planning, SRT Training, Mass arrest Situations, Riot and Civil

Unrest Situations, VIP Protection, and supervising SWAT personnel.

DAR WIN L. JONES

Summary of qualifications: See Attached

Education:

252nd Session of the FBI National Academy Quantico, Va. 2013

P.O. Box 17502 Shreveport, La. 71138

(318) 423-4563 djones@caddosheriff.org

Master of Science University of Phoenix Administration of Justice and Security 2011

Bachelor of Arts Degree Criminal Justice Administration Wiley College 2009

Bossier Parish Community College Criminal Justice Institute Class #42 1991

Professional Experience: See Attached

Professional Memberships: Southern Law Enforcement Foundation (SLEF) Louisiana Tactical Police Officers Association (L TPOA)

National Tactical Police Officers Association (NTOA)

Louisiana Sheriffs Association

National Sheriffs Association

Magnolia Peace Officers Association

Fraternal Order of Police EG Huckabay Lodge #3

Eta Theta Chapter of Alpha Phi Sigma, National Criminal Justice Honor Society (UOP)

FBI Law Enforcement Executive Development Association (LEED A)

FBI National Academy Association, Inc. (FBINAA)

References: Available upon request.

Hobbies: Running, Bicycling, Traveling, Gun Collecting, and Target Shooting

Volunteer Experience: Youth Camp Counselor (PRMBC)

Church Youth Camp Director

Young Adult/ Boys to MENistry Mentor

Men's Discipleship (PRMBC)

Community Outreach

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Awards and Recognitions:

• Dr. Martin Luther King, Jr. Civil Servant Award 2016

• United States Marshals Service, Western District of La. Certificate of Appreciation 2016

• Outstanding Wiley College Criminal Justice Alumni Award 2014

• FBI LEEDA Leadership Trilogy Award 2012

• Shreveport Difference Maker's Award Law Enforcement 2011

• Wiley College Law Enforcement Recognition Award 2011

• Numerous other awards and letters of appreciation

Personal:

• Member of Executive Committee and Deacon at Peaceful Rest Missionary Baptist Church

• Committee Member - Cedar Grove Community Development Corporation (CDC), Inc.

Work History:

Job

Adjunct Professor CJ

Deputy Sheriff

Courtesy Officer

Store Manager

U.S. Marine

Company

Wiley College Marshall, Texas

Caddo Parish Sheriff's Office Shreveport, Caddo Parish, Louisiana

Hillside Apartments Shreveport, La.

Jones Music Sales 7720 Shreveport, La.

United Sates Marine Corps

Date

Fall 2013 - Present

Jan. 1991-Present

Aug. 2006- Nov 2009

Sept.1990-Jan. 1991

Sept. 1986- Sept. 1990

USMC- Served as a Non-Commissioned Officer, Basic Infantryman, Squad Leader, and Motor transport Operator responsible for transporting troops, equipment, and explosives.

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Jones Music Sales- Jones was employed as store manager and was responsible for sales, inventory retention, theft prevention, bank deposits, and scheduling employees for work.

Hillside Apartments (Fairfield Property Management) Shreveport- Courtesy Officer, responsible for maintaining peace and security for gated apartment homes.

Caddo Parish Sheriffs Office- Served as Correctional Officer, Facility Training Officer, Emergency Response Team (ERT), Background Investigator, Patrol Sergeant, Special Operations Supervisor, Special Response Team (SRT), SRT Team Leader, Patrol Lieutenant, Command Staff, and Jones currently serves as a Captain. As a Captain with CPSO, Jones is assigned as supervisor of Judicial Services which includes the Civil, Fines and Bonds, Warrants, District Attorney Liaison, and Courthouse Security divisions. He continues as the Commander of the SRT team.

Wiley College - Serves as an Adjunct Professor in Criminal Justice at the Historical Wiley College in Marshall Texas . . As adjunct professor, Jones provides professional college instruction in selected topics in criminal justice such as introduction to criminal justice, criminology, corrections, investigations, and ethics.

CAPT. DARWIN JONES

Capt. Jones is a Rappel Master Instructor and an Advanced Taser and Air Taser

(M-26) Instructor. He is also a CTS Chemical Munitions, Less-lethal, and Flash Bang

Certified Instructor. Prior to joining the Caddo Parish Sheriffs Office, Jones served in

the U. S. Marine Corps as a Non-Commissioned Officer. Capt. Jones has served on the

Special Response Team (SRT-SWAT) since 1994. His duties include planning and

supervising Special Operations, High Risk SWAT Operations, Street Level Interdiction,

Directed Patrol Operations, Knock and Talk Operations, Raid Planning and Execution,

Tactical Planning, SRT Training, Mass Arrest Situations, Riot and Civil Unrest

Situations, VIP Protection, and supervising SW AT personnel.

Capt. Jones has participated in countless high-risk situations. Capt. Jones has

assisted and worked with numerous other agencies including the FBI, DEA, ATF, U.S.

Marshall Service, U.S. Air Force, U.S. Navy, U.S. Army Special Forces, and the U.S.

Secret Service with various operations in Louisiana, Arkansas, and Texas. Jones is a past

team leader and is currently the team commander for Caddo Parish Sheriffs Office SRT.

Capt. Jones has more than twenty-five years of law enforcement knowledge with twenty-

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two years of operations experience including patrol, patrol field training officer, judicial

services, investigations, special operations, and narcotics. Jones has received numerous

awards and letters of appreciation.

Capt. Jones has attended, completed, and is certified in the following:

• U.S. Army Counterdrug Commanders Course

• U.S. Army Counterdrug Investigations Course

• DEA Basic Narcotic and Dangerous Drug investigators Course

• NTOA SWAT Supervisors Management Course

• Basic and Advanced SW AT Schools

• U.S. Army Counterdrug SWAT Course

• Weapons of Mass Destruction Incident Command Course (COBRA) DOJ

• WMD Tactical Commander Course Performance Level (USDOHLS-LSU)

• U.S. Army Narco-Terrorism Personnel Protection Course

• CTS Chemical Munitions, Less-Lethal, and Flash Bang Certified Instructor

• Edged Weapons Defense school

• NICO Pyrotechnik: Certified

• Explosive Entry and Tactics (T.E.E.S.)

• Explosives Handlers Technician Course (T.E.E.S.)

• Explosives and Hazardous Devices School (LSU_LEIAA)

• RCTA-Counterdrug Thermal Imagery Systems Operator

• Incident Response to Terrorist Bombings-New Mexico Tech

• Critical Incident Stress Management (CISM) and Mass Disaster Management

• Emergency First Responder

• ICS-100 Intro to Incident Command Systems-FEMA

• ICS-200 Single Resources and Initial Action Incidents FEMA (USDOHLS United

States Department of Homeland Security)

• ICS-300 Intermediate JCS for Expanding Incidents-FEMA (USDOHLS United

States Department of Homeland Security)

• ICS-400 Advance Incident Command System-FEMA (USDOHLS United States

Department of Homeland Security)

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• IS-00800.A National response Plan (NRP), an Introduction Emergency

Management Institute-FEMA (USDOHLS)

• Advanced Rappel Master Instructor Certified

• FBI Instructor Development Certified

• FBI Law Enforcement Executive Development Association (LEEDA) Supervisor

Leadership Institute.

• FBI Law Enforcement Executive Development Association (LEEDA) Command

Institute for Law Enforcement Executives

On October 18, 2010, Caddo Parish Sheriff Steve Prator promoted Darwin L.

Jones to the rank of Captain. Jones graduated Magna Cum Laude with a Bachelor of Arts

degree in Criminal Justice Administration from Wiley College in May of 2009. Most

recently, he was inducted into the Eta Theta Chapter of Alpha Phi Sigma, a National

Criminal Justice Honor Society at the University of Phoenix.

Jones graduated from the University of Phoenix February 2011 with a Master of

Science Degree in Administration of Justice and Security (3.85 GPA). He is Deacon and

Sunday School Teacher at the Peaceful Rest Missionary Church, under the leadership of

his brother, Rev. Dr. R. Timothy Jones. Darwin is happily married to local Attorney Ree

J. Casey-Jones and has two sons, DeMarcus and Dawson Jones. His parents are Ennis

and Thelma Jones of Shreveport, La.

Jones is attended and graduated the 252nd session of the FBI National Academy in

Quantico, Virginia in January of 2013. Captain Jones currently serves as a Criminal

Justice Adjunct Professor at the Historic Wiley College in Marshall, Texas.

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