University of Texas System Police Cadet/New Appointment Index
Form DP-52
Applicant Name:
1
TCOLE Form C-1 PID Assignment – if PID is needed
2
TCOLE Form L-1 Appointment Application
3
TCOLE Form L-2 Licensee Medical Condition Declaration
Physician’s Medical Report
Drug Screening Report (must be a10-Panel Drug Screen)
4
TCOLE L-3 Licensee Psychological and Emotional Health Declarations
Physician’s Psychological Report
5
Copy of Current, valid driver’s license (picture must be discernible)
Copy of Proof of Current Insurance
CCH Return (TCIC/NCIC)
Driver’s License Return (10-27)
6
TCOLE Form F-7 (College Education Request)
7
8
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Already on file (printout from TCLEDDS)
Certified copies of college transcripts
Not Applicable
Copy of
Transcript or
High School Diploma or
DL Expiration Date:
Copy of Selective Service registration verification
GED Certificate
Not Applicable
Copy of military discharge papers
Not Applicable
DD-214 (member 4 page, showing reenlistment code)
Not Applicable
Verified by:
on / /
Fingerprint Applicant Services of Texas (FAST) Receipt (Serves as Affidavit prior to receipt of returns)
Affidavit – Hiring institution must still run fingerprints through FAST.
OR
ODOP will print the FAST fingerprint returns showing record checks through FBI and DPS (from FACT Clearinghouse)
9
Certified documents from the appropriate authority showing the final disposition of each arrest, probation,
community supervision, conviction or other criminal history or certified letter of non-prosecution.
Not Applicable if none of the above
Original or certified copy of Birth Certificate (Copy must also be signed and dated by person verifying it.)
Verified by:
on / /
Copy of Social Security Card
Certified copy of U.S. Citizenship Papers
Not Applicable
10
DP-38 Authorization for Release of Personal Information
11
DP-06 Evidence Organizer and Report of Background Investigation
12
DP-01 Personal History Statement
13
DP-45 Entrance Exam Scores
14
DP-36 Assumption of Risks, Covenant Not to Sue
DP-37 Physical Agility Test
15
DP-12 Interview Board Results
16
DP-05 Polygraph Authorization
DP-04 Pre-Employment Polygraph Questionnaire
Polygraph Report
17
DP-02 Conditional Offer of Employment
18
Credit Report with Credit Score
PREPARED BY:
DATE:
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