Police Application Form
Police Application Form
Please fill out the following information to complete your application.
Applicant Information
Name
Date of Birth
Gender
-
Male
-
Female
Social Security Number
Address
Phone number
Citizenship Information
Are you a US Citizen?
Education
High School Diploma or Equivalent
Name of High School
Graduation Year
Employment History
Employer Name
Position Title
Start Date
Duties and Responsibilities
Reason for Leaving
Background Information
Have you ever been convicted of a felony?
Have you ever been employed by a law enforcement agency before?
Do you have any pending criminal charges or investigations against you?
Are you in good physical condition to perform the duties of a police officer?
Do you have any medical conditions or disabilities that would affect your ability to perform police duties?
Affirmation and Signature
I hereby affirm that all information provided in this application is accurate and true to the best of my knowledge. I understand that any false statements may result in the rejection of my application or termination of my employment if hired.
Date:
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