2. Name*
4. Date of Birth*
6. Street Address*
8. City*
9. State*
10. Zip Code*
12. E-mail Address*
14. Telephone Number*
16. Do you have prior experience as a law enforcement officer (a sworn position with authority to make full-custody arrests)?*

    1. Yes
    2. No
18. If you answered "Yes" to the previous question, list the agencies where you were employed and the dates of employment. If you answered "No" to the previous question, write "N/A.*
20. Have you reviewed the qualifications on our website, including MPCTC guidelines, PT standards, and Maryland requirements and disqualifiers found here?*

    1. Yes
    2. No
21. Code of Maryland Regulations (COMAR)
    Click here to review COMAR
23. Have you graduated from a police academy from any state? *

    1. Yes
    2. No
25. If you answered "Yes" to the previous question, give the name of the academy, graduation date, and total number of hours. If you answered "No" to the previous question, write "N/A.
27. How did you hear about us?*

    1. General internet search
    2. WDVM advertisement
    3. Police1
    4. Indeed
    5. HPD Facebook Page
    6. Instagram
    7. Recruitment Event
    8. A post on my Facebook page
    9. Digital ad or banner while visiting another website
    10. Pop-up add or banner on my phone
    11. Other
29. If Recruitment Event*
31. If Other*
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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