Recruitment Interest Form

Please complete the form below and someone will reach out to you. Thank you for your interest in the Dayton Police Department.

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First Name*

Middle Name (if no middle name enter NONE)*

Last Name*

Date of Birth*

Phone Number*

Email*

Street Address*

City, State*

Zip Code*

Are you currently working as a law enforcement officer?*

Yes

No

If yes, list POST# and agency you work for

If no, list if you are POST eligible or the date you will be eligible

Are you currently in school for law enforcement?*

Yes

No