Citizens' Police Academy

Please fill out and submit the form below.

Please note that these forms are not recieved immediately so the response time will vary.

*  First Name
*  Last Name
*  Date of Birth
(Must be 18 or over)
*  Drivers License Number
*  Background
(A background check will be completed to verify all information)
  I have not been convicted of a felony
  I have not been convicted of a recent misdemeanor
*  Address
*  City
*  State
*  Zip
Email
Home Phone
Work Phone
Comments
*  Please enter today's weekday name: (ex. Tuesday)

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