EmailMe Form - Texas City Police Department Pre-Applicant

EmailMeForm

Pre-Application Form

I UNDERSTAND, AUTHORIZE AND GIVE PERMISSION for the City of Texas City Police Department to conduct an investigation of my criminal history, driving record, and other job-related investigation as necessary to determine my qualifications for employment.

Last Name *
As it appears on your identification
First Name *
As it appears on your identification
Middle Name *
As it appears on your identification
Suffix
Date of Birth *
MM / DD / YYYY
Address *

Street Address City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####
Email *

Confirm Email
Currently in Academy *
Yes
No
If checked yes provide the Academy currently attending and expected graduation date below.
Academy Name:
Expected Graduation Date:
MM / DD / YYYY
TCOLE Certified *
Yes
No
If checked yes provide graduation date and TCOLE PID#
Date:
MM / DD / YYYY
PID#
Prior Experience
Yes
Agency
Start Date:
MM / DD / YYYY
Separation Date:
MM / DD / YYYY
Military Experience
Yes
Dropdown
Authorization: *
Yes
By checking this box you agree and authorized the City of Texas City to conducted the background investigation as outlined at the top of this form.