City of Batavia Form Center

2. POLICE DEPARTMENT PRE-APPLICATION INTEREST LIST

   Submit your information below so that we may contact you at the next employment opportunity.
   Fields marked with an * are required.

4. First Name*
5. Last Name*
7. Phone Number
8. Email*
10. Address1
12. City
13. State
14. Zip
16. Are you currently a certified police officer through the Illinois Law Enforcement Training & Standards Board?*

    1. Yes
    2. No
18. Are you interested in a police officer position or a civilian position?

    1. Police Officer
    2. Civilian
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field