Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Application for Appointment

    For diversity purposes only.

  1. For diversity purposes only.

  2. (For purposes of this question, “entity” specifically includes, but is not limited to, the City of Roanoke and any entity which receives funds from the City.)

  3. By submitting this form, you hereby certify that the criminal information is true, accurate and complete.

  4. Leave This Blank:

  5. This field is not part of the form submission.