City of Norwood
State of Ohio
Application for Concealed Carry Handgun Class
This application will not be processed unless all applicable areas have been answered. The fee of $200.00 for 16 hours of training must be paid in full at the beginning of the first day of class. Cashier’s check or money order in the full amount is due on the first day of class. FEES ARE NONREFUNDABLE. Make checks payable to Treasurer City of Norwood.
Name of Applicant:
Last First Middle
Current Physical Address:
Street Address City State Zip County
Mailing Address:
(If different from above): Street Address City State Zip County
Telephone #:
Home &Work Cell
Date of Birth: Social Security #:
Email Address:
Sex of Applicant: Male Female
Race/National Origin of Applicant: White Hispanic American Indian/Alaska Native
Black Asian / Pacific Islander Other
Do you have any firearms experience?
Yes (Means you have been through a course or prior military)
No (Never fired a weapon or never had a course)
Some Experience (Fired a weapon, know safety rules and responsibilities)
How would you rate your firearms experience? (Briefly explain)
Students will need 250 rounds of ammo. Extra magazines or speed loaders are suggested for ease of course. If Questions contact Sgt. M. Rankin or Ptl. B. Ward 513-458-4521.
An applicant, who knowingly submits false information or a false document with this application, may be prosecuted for falsification to obtain a concealed handgun license, in violation of Ohio Revised Code Section 2921.13, a felony of the fourth degree.
The undersigned must attest to the following:
I have been furnished, and have read, the publication that explains the Ohio firearms laws, that provides instruction in dispute resolution, and explains the Ohio laws related to that matter, and that provides information regarding all aspects of the use of deadly force with a firearm, and I am knowledgeable of the provisions of those laws and of the information on those matters.
I desire a legal means to carry a concealed handgun for defense of myself, or a member of my family, while engaged in lawful activity and will carry the concealed handgun in a lawful manner.
I have never been convicted of or pleaded guilty to a crime of violence in the state of Ohio, or elsewhere. I am of sound mind, and I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein I am subject to penalties prescribed by law. I authorize the Norwood Police Division to inspect only those records or documents relevant to information required for this application for Concealed Carry Handgun Training at the Norwood Police Training Center.
The information contained in this application and all attached documents are true and correct to the best of my knowledge.
_______________________________ __________
Signature of Applicant Date
___________________________________ ____________
Application received by Date