Civilian Analyst
First Name
full first legal name
Middle Name
full middle name
Last Name
current legal last name
Date of Birth
Make sure the entry is the correct date (mm-dd-yyyy).
Sex
select one
Male
Female
Race
select one
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White or Caucasian
Operator's License #
Operator's License State
Social Security Number
Home Address
City
State
Zip
Home Phone
Cell Phone
Other Phone
Email
Must be a valid e-mail address. All information about the hiring process will be communicated through the e-mail address provided.
Foreign Languages
Enter N/A if you only speak English
Education
select one
High School Diploma/GED
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate
Initials Required
I understand as a result of submitting this interest form for pre-application I will be subject to the following: Wanted Persons Check, Local Criminal History Check (defined by IC 35-47-1-7), and Driver's License Check.
Initials Required
I certify the information contained on this form is correct to the best of my knowledge. I realize my misrepresentation of the facts or my failure to update my information contained on this form may be cause for rejection of this application.
Signature
By entering your full name here, you agree to sign this electronic document as your electronic signature.
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