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You must be 21 years of age by completion of the Basic Peace Officer Training Academy.

If you have no prior college experience, you will be required to take the ACCUPLACER placement test. The ACCUPLACER placement test will assess your skill levels in reading and writing. If you test below 70 percent, you may be required to take a College Preparatory Education (CPE) course.

Completion of this form does not automatically enroll you in the Basic Peace Officer Training Academy or Clark State Community College. It is for informational purposes only. To complete enrollment, call 937.328.7960 or visit the Basic Peace Officer Training Academy office in Room 228 in the the Brinkman Educational Center, 100 South Limestone Street, Springfield, Ohio. Upon submittal of this form, you will be contacted by the Academy Commander.

By submitting this form, I certify that the statements I provide are true to the best of my knowledge. I will abide by the rules and regulations of Clark State Community College.