Step 1: Tell us how to contact you. Required information is in Red.
First Name: Last Name:
Street address:
ZIP code:
Note: At least one phone number is required.
Home Phone:
Work Phone:
Cell Phone: Email:>> <<
Email addresses are important to us. Please include one if you have one.
Driver's License #: Driver's License State:
When is the best time to reach you and which phone number should we use?

Step 2: Fill out this questionnaire.
Please answer all of the following questions:
1. Are you currently TCOLE certified (not required but it reduces the classroom training to 4 weeks)? Yes No
2. Are you at least 21 years of age (19 1/2 with 60 college hours)? Yes No
3. Do you have a valid driver's license? Yes No
4. Are you a US citizen? Yes No
5. Do you have 45 hours of college or 4 years active military service? Yes No
6. Have you ever committed a felony or a class A misdemeanor? Yes No
7. Do you have a conviction for a class B misdemeanor within the last 10 years? Yes No
8. Have you been convicted for a DWI or a DUI? Yes No
9. The peace officer training (at no cost to you) will require you attend night classes and some Saturday classes for almost a year. Can you do this? Yes No
10. Have you ever bought, sold, or used any illegal drugs other than marijuana. Yes No
11. Is your vision 20/20 or correctable to 20/20 with at least 20/100 in each eye? Yes No
12. Do you have a problem with color blindness? Yes No

Please enter any comments or questions below: