Peace Officer Application and Scheduling System

Candidate Information

Office of Testing and Professional Development
Form: BCOA Rev. 09/13

Exam ID

Candidate Last Name

Feet Inches


Eye Color

Hair Color

Emergency Contact Information

Last Name

First Name

Day Phone

Evening Phone

Offsite Housing Location

Please complete if you are staying in offsite housing and not at the Academy

Street Address


Telephone Number

Cadet Vehicle Information

Complete ONLY if vehicle is on grounds

Vehicle Plate Number

Vehicle Make

Vehicle Year

Vehicle Color