Police Reserve Unit

Police Reserve Unit
Please note: If you are unable to fill out this form, please email web-Info@fridleymn.gov and the City of Fridley will provide assistance.
First Name*
Middle Name
Last Name*
Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Phone Number*
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Email*
example@example.com

Highest Level of Education*

High school graduate/GEDSome college, but no degreeAssociates degreeBachelor's degreeMaster's degreeProfessional degreeDoctorate
Additional and relevant training experiences
Professional licenses or certifications
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Currently Employed*

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If currently employed, provide employer's name, address, job title, dates employed and supervisor's name, title and contact information.