Toledo Police Department
 Police Officer Interest Card

 
Last Name       First Name   Middle Maiden
Address      City      State   Zip 
Highest Level of Education     Email Address  
Gender: Male

 Female

Do not care to respond
Race: White

African-American

Asian
    Hispanic

American Indian

 

  
    Other

Do not care to respond

 

  
 Age: Under 21

 

      21-30

31-34

 
Are you a disabled individual?   YES NO
Are you a veteran of the armed forces?   YES NO
If Yes, are you a disabled veteran?   YES NO
Recruitment source: (Radio, TV, Poster):

* IF YOUR MAILING ADDRESS CHANGES, PLEASE NOTIFY THE RECRUITING OFFICE.

 Comments & Questions 

 

POLICE OFFICER INTEREST CARD
THIS IS NOT A FORMAL APPLICATION

The Uniform Guidelines on Employee Selection Procedures (1978) requires employers to maintain records or other information which will disclose the impact which the employer's selection procedures have upon employment opportunities of persons of identifiable race and sex. Therefore, you are being requested to provide that information.

If you have any questions, please contact:

TOLEDO POLICE DEPARTMENT
RECRUITMENT OFFICE
525 N. ERIE STREET
TOLEDO, OHIO 43604
PHONE: 419-245-3197
City of Toledo- ICT
Copyright © 2008 Toledo Police Department. All rights reserved.
Revised: 11/17/08.