Fillable Bptc-universal-registration-form BPTC Registration Form

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Bptc-universal-registration-form BPTC Registration Form

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The Bptc-universal-registration-form BPTC Registration Form form is 1 page long and contains:

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  • 16 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for Eastern Florida State College

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BPTC REGISTRATION FORM
BAT LEO COR
This is my
CSR PAA POOL
Conditional Offer
Class #
Test Date
Basic Academy
Investigator
Please enter your name as it appears on your birth certificate, or enter your full legal name as it appears on your
government issued drivers license or other government issued photo ID.
Last Name First Name M.I
SS#
U.S. Citizen?
Yes No
Class
Expiration
Year only
ST
Place of Birth:
City & State
Date of Birth
Drivers License number--Include dashes as on your license
Home Address:
Street Apt. City State Zip
Home #:
NOT your cell.
Cell #: Work #:
NOT your cell.
E mail
Highest Educational level completed:
HS / GED
AA / AS BA / BS MA / MS PhD / JD
PLEASE COMPLETE THE FOLLOWING SURVEY
EFSC Staff Member, Counselor, Advisor, Instructor
Who?
Former Academy Student.
Job Fair or Recruiting Event
Newspaper Ad.
Job Link
Station:
Internet Ad/Job listing.Brevard Police Testing Center Website.
Other Source, Radio? TV?
Which?
Law Enforcement Officer
Name / Agency
Equal Employment Opportunity
Consistent with applicable laws and regulations, employment practices and management decisions of the Brevard Police Testing Center are based solely
upon the qualifications and merit of applicants for employment. There shall be no discrimination against any applicant because of race, color, sex, religion,
national origin, or disability.
Today's Date:
Ethnicity
GENDER M F
1st Attempt
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Bptc-universal-registration-form BPTC Registration Form

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Completed 2 December 2019

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