Submit a request

Please provide a very brief description of what you are requesting.

Please provide specific details for your request here. You may attach documents/files that will be helpful for us to complete your request (i.e. images, text, supporting documentation, etc.) at the bottom of this form.

You may select more than one.

Please enter your last name.

Please enter your first name.

If you are known by a nickname, please enter it here.

Please enter your home/street address - No PO Boxes please.

Please provide the city for your home/street address.

Please provide the state for your home/street address.

Please provide the zip code for your home/street address.

If you do not have a home phone number, please enter N/A.

If you do not have a cell phone number, please enter N/A.

If you do not have a work phone number, please enter N/A. Please don't forget to include your phone extension, if applicable.

Please enter your name as it appears on your driver's license or state-issued identification card.

Please choose from the drop down.

Please enter your race.

You may list more than one minority group.

Please explain your occupation for purposes of determining relevancy to membership on this board.

Please note: correctional officers are considered law enforcement officers.

Please enter the law enforcement agency or agencies you or your immediate family were employed by.

You are required to submit a resume' along with your application. Please use the attachments field at the bottom of this application to attach your resume' by clicking on "Add file" and, once attached, check this box.

Add file or drop files here