ACT 235 Lethal Weapons Training Statement of Interest

Complete all sections. Submission of statement of interest is no guarantee of acceptance into the program.

Personal Information

Enrollment Type

Basic Certification

Recertification

First Name

Middle Name

Last Name

Email Address

Home Phone

Cell Phone

Work Phone

Legal Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

County

Is your mailing address the same as your legal address?

Yes

Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

History

Do you have your approval letter from the Municipal Police Officers Education and Training Commission?

Yes

ATTENTION: You must complete the Initial Application for Certification before you can be accepted into the Act 235 program.

What is the expiration date?

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

Enter the captcha code from above. Letters are case sensitive.