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Recruitment Interest Card

2. First Name*

3. Last Name*

5. Phone Number*

6. Email Address*

8. Do you hold a current Texas Peace Officer License?*

   1. Yes
   2. No

9. Personal Identification (PID) Number*

11. What position are you interested in?*
    -- Select One --DispatchPolice OfficerAnimal ControlJailOther

13. Briefly tell us about yourself. (200 character limit)*

Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field