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2. THIS FORM MUST BE COMPLETED IN ITS ENTIRETY IN ORDER FOR YOUR APPLICATION TO BE CONSIDERED
6. First Name
7. Last Name
9. State
10. Zip
12. Last Four Of Your Social Security Number
14. Will you be at least 21 years of age at the time of exam?

    1. Yes
    2. No
16. Are you a US citizen or lawful permanent resident?

    1. Yes
    2. No
18. Do you have or are you able to obtain a valid Washington Drivers License?

    1. Yes
    2. No (Disqualifies)
20. Are you willing to submit to a thorough background investigation, polygraph, psychological, and medical examination?

    1. Yes
    2. No (Disqualifies)
22. Are you willing to sumbit to a pre-employment drug and alcohol screening?

    1. Yes
    2. No (Disqualifies)
24. Have you ever been convicted of domestic violence?

    1. Yes (Disqualifies)
    2. No
26. Have you ever been convicted of a felony crime?

    1. Yes (Disqualifies)
    2. No
28. Have you completed 90 quarter hours or 60 semester hours from an accredited college or university?

    1. Yes
    2. No (Disqualifies)
30. Are you currently employed as a Peace Officer in Washington State?

    1. Yes
    2. No
32. Do you possess a current, valid Peace Officer Certification issued through the Washington State Criminal Justice Training Commission?*

    1. Yes
    2. No
36. I understand the above questions are provided to determine if I am eligible to proceed with the examination process and incomplete or untruthful responses will eliminate me from further consideration.

    1. Yes
38. LAST FOUR digits of your social security number.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field