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2. Name*
4. Date of Birth*
6. Physical Address*
8. E-mail Address*
10. Telephone Number*
12. Do you have prior experience as a law enforcement officer?*

    1. Yes
    2. No
14. If you answered "Yes" to the previous question, what agency were you employed by? If you answered "No" to the previous question, write "N/A."*
16. Have you reviewed the qualifications on our website, including MPCTC guidelines, PT standards, and Maryland requirements and disqualifiers found here?*

    1. Yes
    2. No
17. Code of Maryland Regulations (COMAR)
    Click here to review COMAR
19. Have you graduated from a Pennsylvania Act 120 Academy?

    1. Yes
    2. No
21. If you answered “Yes” to the previous question, what was your graduation date? If you answered “No” to the previous question, write “N\A.”
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