IMPORTANT: Please complete this application form only if you meet the requirements of the position as described in the job announcement.Applications are subject to disqualification if not signed and completed fully.All information is subject to verification. Police Cadet Application Step 1 of 4 25% PERSONAL INFORMATIONName* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Secondary Phone*Age*Date of Birth* MM slash DD slash YYYY Hair Color*Eye Color*Gender*MaleFemalePrefer Not to AnswerSSN*Driver's License Number*Class*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificFather's Name* First Last Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mother's Name* First Last PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Guardian's Name* First Last Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Who should be notified in case of emergency?Name* First Last Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code EDUCATION INFORMATIONCurrent MajorList other schools attended (most recent and work backwards):School #1School #2School #3 Do not indicate "SEE RESUME." List all jobs in the last five years. Be specific in describing these jobs (paid or volunteer). Be sure to list each change in title or promotion separately. If qualifying experience is part-time or volunteer be sure to list the number of hours per week spent doing the work. You may use additional sheets if necessary. Begin with your present or most recent job and work backwards.Section BreakFrom MM slash DD slash YYYY To MM slash DD slash YYYY Number of Hours Per WeekEmployerPhoneTitle of PositionSupervisorDutiesReason for leaving (be specific):Section BreakFrom* MM slash DD slash YYYY To MM slash DD slash YYYY Number of Hours Per WeekEmployerPhoneTitle of PositionSupervisorDutiesReason for leaving (be specific):Section BreakFrom MM slash DD slash YYYY To MM slash DD slash YYYY Number of Hours Per WeekEmployerPhoneTitle of PositionSupervisorDutiesReason for leaving (be specific):Section BreakFrom MM slash DD slash YYYY To MM slash DD slash YYYY Number of Hours Per WeekEmployerPhoneTitle of PositionSupervisorDutiesReason for leaving (be specific): Have you ever been arrested? Yes No If yes, when, where, and provide an explanation:List three (3) personal references:Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Section BreakName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneSection BreakName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneI certify all information shown in this application is true and correct to the best of my knowledge. I agree to be fingerprinted, to submit to a reference and background check, a medical examination, a drug and alcohol screening and upon appointment to furnish such proof of age and citizenship as may be required. I understand and agree that any and all misstatements or omissions of material facts on any of the foregoing documents may herein subject me to disqualification or dismissal.Signature*Date MM slash DD slash YYYY CAPTCHA