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Sunday, August 18, 2019

Citizen's Academy Application

To ensure the safety of all Academy attendees, we require a detailed application. To complete this form you will need to provide residency and employment information, your driver's license number, 2 references and emergency contact information. Please have this information on hand before starting. The form takes most people less than 15 minutes to complete. All information is private and for exclusive use of Academy enrollment and is not shared outside the Sheriff's Department. Items marked with (*) are required and the form will not proceed if they are not completed. We appreciate your time.
Please enter a date in MM/DD/YYYY format.

Please enter your name.

Please enter a date of birth in MM/DD/YYYY format.

Please enter an address.

Please enter a city.

Please enter a state.

Please enter a zip code.

Invalid email address.

Invalid drivers license number.

Please enter a drivers license state.

Please enter an occupation.

Please enter an employer.

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Please select if you will be able to attend all training sessions.

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Please select if you have ever been arrested for an offense other than traffic.

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Please select what kind of experience with law enforcement you have had.

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Please enter what you expect to gain from attending the citizens academy.

Please tell us why you are interested in participating.

List One Personal or Professional Reference:
Please enter the name of your reference.

Please enter an address for your reference.

Please enter a city for your reference.

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Please enter a zip code for your reference.

Please enter a phone number for your reference.

Please enter a relationship for your reference.

Person to Contact in Case of an Emergency:
Please enter the name of your emergency contact.

Please enter an address for your emergency contact.

Please enter a city for your emergency contact.

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Please enter a zip code for your emergency contact.

Please enter a phone number for your emergency contact.

Please enter the relationship to your emergency contact.

I hereby certify the information contained in this application is true and complete to the best of my knowledge.
Please select if you acknowledge.

Information contained in this application will be used for internal information only and will not be made public.
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