Positive Law Enforcement Interaction Training ProgramPlease complete the application in full. Name * First Name Last Name Home Address Phone (###) ### #### Email * How did you learn about this program? * Are you a United States citizen? * Yes No What is your role in the community? * Community activist Community advocate Educator Clergy College student Other Are you a seeking a career in law enforcement? Yes No If yes, what agency? Houston Police Department Harris County Sheriff Office Federal Agencies Other Have you ever been convicted of a Class B misdemeanor or higher? * Yes No If yes, are you seeking to have your record expunged? Yes No What is your age? * 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 and over What is your race? * American Indian Alaska native Black Hispanic Pacific Islander White Middle Eastern I choose not to self identify Highest level of education completed * Some high school, no diploma High school diploma Some college, no degree Vocational training certification Associate degree Bachelor's degree Master's degree Doctorate degree Are you a TSU student? * Yes No Major/Minor Projected Graduation Date * If you are not a TSU student, would you like enrollment information? Yes No Which branch of military did you serve? Are you interested in participating in a police ride along program? Yes No Do you affirm all of your answers are true and complete to the best of my knowledge? * Any false of misleading info on this application may lead to release from the training program. Yes No Date of Birth * MM DD YYYY Thank you!
