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2024 Citizens Academy Application
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This form has been modified since it was saved. Please review all fields before submitting.
First Name:
*
Middle Initial:
*
Last Name:
*
Date of Birth (MM/DD/YYYY):
*
Date of Birth (MM/DD/YYYY):
Email:
*
Phone Number
*
Address: Street/Apartment Number
*
City
*
State
*
Zip Code
*
Emergency Contact
*
Emergency Contact Phone Number
*
Drivers License Number
*
State
*
Expiration Date
*
Expiration Date
Is your driver's license valid?
*
Yes
No
Have you ever been arrested for anything other than a traffic offense?
*
Yes
No
If you have been arrested for anything other than a traffic offense, explain where, when, and disposition.
Place of Employment
*
Ocupation
*
Are you willing to commit to attending 10 Tuesday evenings in a row from 6:00 p.m. - 9:00 p.m. beginning February 27th, 2024?
*
Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
Do you see law enforcement in a positive, negative, or neutral perspective? In your opinion, what needs to change to strengthen that relationship?
*
By typing my name in this box, I certify that all statements made on this application are true and complete. I agree and understand that any deliberate misstatement or omission of material facts may disqualify me to attend the Citizens' Police Academy. I understand that this will serve as my electronic signature.
*
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