4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
10. Additional Details

    Help us connect you with the best recruiter by answering the questions below.

12. Date of Birth
    Date of Birth
13. Current State of Residency
    -- Select One --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPeurto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming
15. Are you currently a police officer in the State of Illinois?

    1. Yes

    1. No
16. Are you currently a police officer in another state?

    1. Yes

    1. No
18. Do you have any additional questions?
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