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If you are interested in becoming a police officer with the City of Belen complete the online interest form below and submit it.

This is not an application for employment, but instead it is a pre-application of intent. A formal application will be mailed to you upon acceptance of this application. Recruitment  of police officers for the City of Belen is an ongoing process and never closed. These pre-applications remain on file for six months. You may complete this form again in six months. Before submitting information on this form, please read and understand the disclaimer on the "About the Website" page of this site.

*Application of Intent Date: 
*Applicant First, Middle and Last Name: 
*Applicant Mailing Address: 
*City: 
*State: 
*Zip code: 
*Best Phone Number to Reach You At: 
*Email address:  
Check the boxes below for all that apply:







Please indicate the date of that application:
Any military service?
Type of discharge:
Last date illegal drugs were used (m/y):
Additional comments:
*I certify that to my knowledge all of the information above is correct. 
Image Verification: