Job Interest Form

Interested Party Name, Address, and Demographics

• Last Name: *
• Middle Name: *
• First Name: *
• Your Street Address: *
• Your City: *
• Your State: *
• Your Zipcode: *
• Your Cell Phone Number (optional):
• Your Home Phone Number (optional):
• Your Email Address (required): *
• Race:

  ==Please select==AsianBlackAmerican Indian / Alaskan NativeOtherUnknownWhite
• Gender:

  ==Please select==MaleFemaleOther

Please check all that apply

• Do you have more than 30 college credit hours with a GPA of 2.0?:: *

  Yes
  No
  
• Do you have 2 years of military experience?:: *

  Yes
  No
  
• Do you have more than 2 years service as a United States Police Officer?:: *

  Yes
  No
  
• As an adult, have you been convicted of a misdemeanor or felony?: *

  Yes
  No
  
• If so, when?:
• As an adult have you ever done community service, deferred adjudication or probation?: *

  Yes
  No
  
• Have you ever used or smoked marijuana?: *

  Yes
  No
  
• Last Date Used / Smoked:
• Have you ever illegally used any controlled substance or dangerous drug other than Marijuana?: *

  Yes
  No
  
• Have you ever resigned to avoid suspension or discharge from a Law Enforcement Organization?: *

  Yes
  No
  
• Have you ever applied with the Gainesville Police Department?: *

  Yes
  No
  
• If so, when?:
• Have you ever been fired or discharged from a Law Enforcement Agency?: *

  Yes
  No
  

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