2. Which position are you applying for?*

   1. Police Cadet (Officer)
   2. Police Lateral
4. Your Name:*
5. Date of Birth*
   Date of Birth
7. Drivers License #:*
8. State Issued:*
9. Expiration Date*
   Expiration Date
11. Address:*
13. City:*
14. State:*
15. Zip Code:*
17. Phone Number:*
18. E-mail Address*
22. All of the questions below must be answered or this interest form will not be processed. An application must be completed when positions become available. If you answer yes to any inquiry, you must explain on comments section.
24. U.S. Citizen:*

    1. Yes
    2. No
25. Are you at least 21 or over?*

    1. Yes
    2. No
26. High School Diploma:*

    1. Yes
    2. No
27. G.E.D.*

    1. Yes
    2. No
29. Any Felony Convictions?*

    1. Yes
    2. No
30. Any DWI Arrests in the last 3 years?*

    1. Yes
    2. No
31. Any Misdemeanor Arrests in the last 3 years?*

    1. Yes
    2. No
32. Ever convicted of Domestic Violence?*

    1. Yes
    2. No
34. Previous Application?*

    1. Yes
    2. No
35. If yes, please indicate month & year:
37. Military Service?*

    1. Yes
    2. No
38. If yes, type of discharge:
40. Date last used any illegal drug (Month/Year):*
42. Additional Comments:
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field