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2. First Name
3. Last Name
5. Phone Number
6. Email Address
8. I am interested in employment as a Police Officer.

   1. Yes
   2. I am interested in another position with the Police Department.
10. Do you currently work as a Police Officer or have experience as a Police Officer?*

    1. Yes
    2. No
12. What position are you interested in?*
14. Comments
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field