COPS Application Form

COPS | brought to you by the Colorado Association of Chiefs of Police

Please fill in the information below. When you click the "submit" button, a partially filled out application form will be shown for you to print. You should print the application, read and complete it and send it in along with your other required paperwork and fee.

Please note that in order to protect your private information, CACP does NOT store your Social Security Number or Driver's License Number in an electronic form.

Social Security Number:
First Name:
Last Name:
Middle Initial:

Address:
Street:
City: State: Zip Code:
Home Phone: Business Phone: Cell Phone:
Email Address:

Are you a U.S. Citizen? Yes: No:
Are you a legal resident of Colorado? Yes: No:
Date you are available to begin work: Month: Day: Year:
Do you possess a valid driver's license: Yes No
If yes, Drivers License Number: Expiration Date: Day: Year: State of Issue:

Highest Level of Education Attained?
Are you currently certified as a police officer? Yes No
If Yes, Certificate Number: Year of issue: State of Issue: