Peace Officer Admission Application

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First Name*

Middle Name*

Last Name*

Email*

Street Address*

City*

State*

Zip Code*

Phone (with area code)*

Degree Preference*

Name used in high school or other educational records (if different from above):

First Name

Middle Name

Last Name

I understand that I must keep my addresses and phone numbers updated and certify that all the information provided is factual. I also understand that failure to maintain the requirements of the Program may cause me to be dropped from the Peace Officer Program.

Type your Full Name*

Today's Date*

Peace Officer Admission Application

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