EmailMe Form - Trading Card Program Application

Rank

Name *

First Last

Badge Number *

E-mail Address *

Date Joined PPD *

MM / DD / YYYY

Date Assigned to 7th District *

MM / DD / YYYY

Platoon *

1

2

3

5

Squad

A

B

C

Special certifications (e.g. MIRT, CIT)

Prior to working in the 7th District, what other Districts or Units did you work in? Please list in chronological order.

What type of assignments do you typically work (PSA RPC, EPW, Tactical, BD, Bike, Motorbike, Foot Beat, Special Beat, Community Policing Team, Supervisor)? *

Do you have any reason to believe that you will not continuously be assigned to the 7th District for the next year? *

Yes

No

To assist us in creating a bio for your trading card, please list any other information that you would like included on your card. This can include family information, hobbies, etc. Although information may be edited for space, you will have the opportunity to review all information and suggest changes prior to production. *

Finally, please tell us why you would like to participate in the trading card program and how you think it will help improve police-citizen relations. *