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2. CHPD Next Hiring Database for the position of Police Officer
   Complete & submit your information and you will be notified when the hiring process resumes.
4. First Name*
5. Middle Name
6. Last name*
8. Address*
9. Others
11. City*
12. State*
13. Zip code*
15. Phone Number*
17. Email*
19. PTC Certification*

    1. Yes
    2. No
21. Your signature *
    (Print your name)
22. Date submitted*
    Date submitted
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field