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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Email Address
15. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. 4) You are agreeing to have a police recruiter contact you about possible employment. 

    1. I agree.
17. Electronic Signature
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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