CANDIDATE INFORMATION |
|
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
Name: _____ SSN: _____ DOB: _____ |
Firearms Qualification Date: __________________ Civilian Sworn
Law |
Enforcement Officer (Y/N)? _____________ Previous deputation for
this |
purpose (Y/N)? ____ Employing Agency: _____________________ |
Location (city & state): __________________________________ |
Employing Agency have a Deadly Force Policy (Y/N)? ______________ |
_________________________________________________ |
|
Add additional sheets if necessary to list all names. |