menu Submit a Crime Tip (or call 870-658-7024) Mississippi County Sheriff's Office Arkansas Mississippi County Sheriff's Department Application for Reserve Deputy Instructions: Fill out this application completely and accurately. All information contained in this application is subject to verification. Use complete given names as it appears on your birth certificate. Name: SSN: Nicknames or Aliases: Present Physical Address: City: State: --Select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Home Phone: Cell Phone: Date of Birth: DL Number: Place of Birth: *Please provide copies of driver's license and birth certificate Upload File Optional – Attach a PDF to your application submission - copy of driver's license, birth certificate, etc. (max file size 2mb) U.S. Citizen: Yes No Have you ever been arrested for or convicted of an offense other than a traffic citation? If so, give a brief explanation. Have you ever been discharged or released from your employment? If so, give a brief explanation. Present Employer: Phone: How long employed? May we contact them? Yes No List the names of all clubs or civic organizations in which you are a member of or are associated with. Have you ever been in the Military? If so, which branch? Enlistment Date: Discharge Date: Type of Discharge: Education: High School GED Other *Please provide high school diploma or GED. Upload File Optional – Attach a PDF to your application submission - copy of diploma or GED, etc. (max file size 2mb) Do you drink intoxicating beverages? If so, how often? Seldom Socially Moderate Average List any Physical Disabilities that you may have that would keep you from performing the duties of a law enforcement officer. List the names, addresses, and phone numbers of five persons, other than relatives that can provide us with background information on your character, personality, and ability. Briefly explain your reasons for applying for this position. *Signature: Date: Submit Form Mississippi County Sheriff's Office Emergency 911 Address: 685 North County Road 599 Luxora, Arkansas 72358 24-hour Phones: 870-658-2242 or 870-762-2243 Office Hours: Monday - Friday, 8:00am - 4:00pm Mississippi County Sheriff's Office • © 2016 - 2021 Mississippi County, Arkansas Site Map • Accessibility Alerts Contact Translate