SOCE Registration Application
Brevard Police Testing and Selection Center
3865 North Wickham Road, Bldg. 8-108A
Melbourne, FL 32935
(321) 433-5638/5640
Email: policeinfo@easternflorida.edu
First Name Last Name Middle Name
Suffix Academy Class Graduation Date
Home Street Address
Apartment City Postal Code
State
Phone Number
Country
Salutation
Law Enforcement Corrections Corr. Probation
Mail Stop
Fax Number
Work Number Extension
BPTC USE ONLY
ATMS Verified
Date Staff Initials
Payment Received
Voucher#
Registration Date
Date
Mobile Number
Test Attempt #
SSN
INSTRUCTIONS: 1. Fill out and print this form.
2. Either mail it to our office, or drop it off in person along with a Money Order for $150 payable to "BPTC".
3. Once you have been registered, BPTC will contact you to schedule your SOCE Exam.
Agency Sponsor
Email Address
AL
AL
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