Apply for Citizens Police Academy
Name:
Address:
City:
State: Zip:
Phone:
Cell Phone:
E-mail:
Date of Birth:
Social Security Number:
Place of Employment:
Interested in:
Spring Class Fall Class
By submitting this electronic form I certify that I understand that an NCIC/CLEAN warrant check will be conducted to determine if there are any outstanding warrants on me and I agree to this check. I understand that false information provided in this application may preclude my participation in this program.