New LEO Officer Form

2. Agency Name*
3. If Agency is Rowan County Choose Department
   -- Select One --N/ASheriff's OfficeDetention
5. Officer Full Name
7. First Name*
8. Middle Name*
9. Last Name*
11. Employee - Department ID*

    Contact Comm Center if unsure how number is assigned.

12. Officer Radio Call Sign*
13. Employment Type*

    1. Full-Time
    2. Part-Time
15. Officer Address*
17. City*
18. State*
19. Zip Code*
21. Officer Home Phone Number*
22. Text Device Phone Number
24. Department Chief*
25. Chief Email*
27. Date Hired
    Date Hired
28. Supervisor
30. Department

    1. Administration
    2. Criminal
    3. Detention
31. Division

    1. Administration
    2. CID
    3. Civil
    4. Court
    5. Detention
    6. Patrol
    7. Reserve
    8. School Resource Officer (SRO)
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field