Citizens in Police Services Application

There are several ways you can apply for CIPS. You can fill out this application and the information will be sent to Sgt. Quinn via email, you can dowload the application by clicking HERE, or you can come to our department at 150 N. 11th Street, El Centro, CA 92243 Monday-Friday from 8 am to 4:30 om and pick up an application there. All three (3) options are the same.

Personal information
Full Name*:
Date of Birth*:
Full Address*:
Contact Phone*:
Driver's License No:
Gender:	Male Female
Hair Color:		Eye Color:
Height:		Weight:
The marked fields are mandatory to be filled in
References
Please list three (3) references not related to you.
Name:
Address:
Phone No:

Name:
Address:
Phone No:

Name:
Address:
Phone No:
Areas/Divisions you would like to work
Check all that apply:	Patrol Traffic Dispatch Administrative Investigations Training Recruitment Crime Prevention Evidence / Property Clerical Community Services Special Events Other