Now Hiring Certified Police Officers

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First Name

Middle Initial

Last Name

Date of Birth

Address

Address Additional

Apt., Suite, etc.

Phone

Email Confirm

Last 4 SSN

What is the police commission over your police officer certification? (example: CLEET/POST/TCOLE, etc.)

What is your certification number?

What city/county/state do you work for?

What certifications do you hold? (example: Basic Instructor Development, Crisis Intervention Training, Drug Recognition Expert, Field Training Officer, Standardized Field Sobriety Test, etc.)

Do you hold extra assignments at your organization? If so, please describe?

Why are you considering leaving your current agency?