Alamo Area Regional Law Enforcement Academy
Regional Training Center
Pre-Enrollment/Registration and Testing Form


Please indicate which course you are enrolling in.

Name of Training Program / Course:
Basic Peace Officer Licensing Course

January May September
First Name
Last Name
Middle Initial
Date of Birth  
Social Security #
Drivers License (State/Number)
Home Address
City
State/Province
County
Zip/Postal Code
Home Phone Number
Secondary Phone Number
E-Mail Address
Have you ever served in the
United States Armed Forces?
Yes No
If yes, please list dates of service to
If yes, what branch of the
US Armed Forces did you serve?
 

Students enrolling that are currently employed by a Law Enforcement Agency, please complete section below:

Law Enforcement Agency
Agency Address
City
State/Province
County
Zip/Postal Code
Agency Phone
 

This statistical information periodically requested from TCLEOSE and the Veterans Administration. 
Please check appropriate items.

Gender Age Ethnic Background Highest Level of Education

Male
Female

20 Yr.
21-30 Yr.
31-40 Yr.
41-50 Yr.
51-60 Yr.
> 61 Yr.

White
African American
Hispanic
Asian
Indian
Other

High School Diploma or
General Education Diploma

12 College Hours
30 College Hours
60 College Hours
Associates Degree
Bachelors Degree
Masters Degree

In consideration of attending the Basic Peace Officer Licensing course with the Alamo Area Law Enforcement Academy, I am requesting to be permitted to sit for the pre-enrollment exam as indicated above.  I further understand that until the first tuition payment is made my admittance into the academy is not reserved, and should I default on the tuition my position into the class may be forfeited.