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#18-004128-0001
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 
1

Do you currently possess a police officer certification, as required by the Maryland Police and Correctional Training Commission?
Yes No
2

Do you currently possess a police officer certification as required by the Maryland Police and Correctional Training Commission?  Please upload copy of certification to application.
Yes No
3

Were you formerly certified by the Maryland Police and Correctional Training Commission as a police officer within the past three years and are you eligible for recertification?
Yes No
4

Describe your experience as a certified law enforcement officer.  Please include dates of employment and hours worked at each job.

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