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Police Application


  2. new badge (2)

  3. Police Officer Application

  4. Telephone Numbers


  6. Are you at least 21 years of age?*

  7. US Citizen?*

  8. Do you have a legal right to work in the United States?*

  9. Permanent Residence?*

  10. Are you a licensed Peace Officer in the State of Texas?*

  11. Has your Texas Peace Officer license ever been suspended?

  12. Are you a commissioned/licensed Peace Officer in another state of the U.S.?*

  13. Training Academy or Department

  14. Have you applied for a position with the Town of Hickory Creek before?


  16. Date of Service

  17. Are you registered for the Selective Service?*

  18. Are you a member of the Reserves or National Guard?*

  19. If yes, give unit, location, grade, and duty assignment:



  22. Graduate?

  23. Dates of Enrollment

  24. If you did not complete high school, do you have a GED?

  25. College/University

  26. Graduate

  27. Dates of Enrollment:

  28. Graduate School:

  29. Graduate?

  30. Dates of Enrollment:

  31. Other

  32. Graduate?

  33. Dates of Enrollment:

  34. Specialized Skills and Training

  35. Do you speak another language other than English?

  36. Fluent?


  38. Do you know of any reason that you could not pass a background check?*

  39. Have you ever been fired or asked to resign from a job?*

  40. Have you ever received disciplinary action from an employer?*

  41. Have you ever been arrested?*

  42. Have you ever stolen from an employer?*

  43. Have you ever committed a crime for which you were not arrested?*

  44. Have you ever assisted someone in committing a crime?*

  45. Have you ever falsified a police report?*

  46. Have you ever accepted money not to report a crime?*

  47. Have you ever slept on the job?*

  48. Has any driver’s license issued to you ever been suspended or revoked?*

  49. Have you ever used, sold, or otherwise handled in an illegal manner any controlled substance?*

  50. Have you ever been bonded?*

  51. Have you ever been refused bond?*

  52. Do you certify that all of the information you submitted is true and correct?*

  53. 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.

  54. Leave This Blank:

  55. This field is not part of the form submission.