Haltom City Police Department Entrance Exam Registration

HUMAN RESOURCES
5024 Broadway Ave., Haltom City, TX 76117 (817) 222-7742

Police Officer Entrance Examination Registration

All fields must be completed. If "not applicable" applies enter NA in that field.

Name	Last	First		Middle
Address	Street	Apt. #	City	State	Zip Code
Phone	Home	Business		Mobile

Date of Birth	Social Security #	DL #	State
E-Mail	Certified: Yes No	Veteran: Yes No

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