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NYPD Cadet Registration Form

* Fields are required

First Name*

Middle Initial

Last Name*

Date Of Birth*

Current Age


Gender*

Do you reside within New York City (5 Boroughs)?*


Street Address*

Enter "PH" for Private House or add Apartment Number:

City*

State

Zip Code*

County*

Resident Police Precinct*

Primary Phone:*

Secondary Phone:

Are you enrolled in a Bachelor's degree program?

Do you currently attend a New York City, Nassau or Westchester County accredited four (4) year college?

Orientation Date*

Are you an NYPD Explorer?

Are you an Auxillary NYPD Police Officer?

Current College Attending*

Where did you hear about the NYPD Cadet Program:*

Email Address*


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