City of
Horn Lake
Mississippi
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Police Application
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Police Officer Application
Certified
Non-Certified
If certified, date of certification, state of certification, and name of current or most recent agency worked:
*
Name
Last, First, Middle
*
Address
Number, Street, City, State, Zip
*
Date of Birth
*
Social Security Number
*
Sex
*
Race
*
Driver’s License Number
*
State Issued
Contact Numbers
Home
Cell
*
Email Address
Answer yes or no. If you answer yes, use space below or attach a separate sheet of paper with explanation:
Have you ever received a citation?
Yes
No
If yes, please explain:
Have you ever been arrested?
Yes
No
If yes, please explain:
Do you use any of the following social media:
Facebook
Twitter
Snapchat
Instagram
Other Social Media
If more than one, please list other social media below:
In order to be considered as a police officer, you must be:
- At least 21 years old
- Must possess a high school diploma or GED
- Good driving record
- No felony convictions
- Pass department administered physical fitness test
- Pass a background investigation
- Pass a drug screen & physical
*
Neck and face tattoos are NOT ALLOWED. Small hand tattoos will have to be approved
No hand tattoos
Yes, I have a small hand tattoo
Any application turned in that is incomplete, incorrect, or illegible will not be reviewed.
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