Municipal Police Officers' Training Academy Statement of Interest

Personal Information

Legal Address


Is your mailing address the same as your legal address?



Mailing Address

Education

Did you graduate?

When did you graduate?

Were you home schooled?

Date of Completion

Do you have a GED?

Date GED Received

Did you attend a university/college or Vo-Tech school?

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Dates Attended

TO

Employment

Are you currently employed?

Date of Hire

Are you currently employed by law enforcement agency?

Employment Status

Were you an MP in the military?

History

Have you ever been charged with or convicted of a crime?

Are you currently under a doctor's care or on any medication?

Do you suffer any physical/mental disabilities which may interfere with your police academy training?

Have you ever received counseling/treatment for drug/alcohol abuse/addiction?

Mansfield University is committed to enhancing the diversity of its employees and student body, and provides equal opportunities for employment and advancement for all individuals regardless of race, color, religion, sex, disability, ancestry, national origin, age, sexual orientation, gender identity/expression, genetic background or veteran status. As an Equal Opportunity Employer, Mansfield University is committed to providing a diverse working and learning environment and welcomes applications from all qualified candidates. AA/EOE For further information, call the Affirmative Action Officer at (570) 662-4892.

Captcha
Refresh Captcha