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Citizen's Police Academy Application

Please fill out the form below if you are interested in participating in the next academy. Fill out all form fields, or your submittal will not be accepted.

Citizens' Police Academy Application (* indicates required field)
Name (Last, First, MI)*
Street Address*
City*
State/Province*
5-Digit Zip Code*
Daytime Phone* (XXX-XXX-XXXX)
Evening Phone* (XXX-XXX-XXXX)
Email*
Place of Emlpoyment *
Formal Education (years)*
A Criminal background record check is required of all those attending the Citizens' Police Academy.
The following information is required to perform this check.
Date of Birth* (mm/dd/yyyy)
Sex* Male Female
Race*
Marital Status*
Please complete the following questionnaire:

1. Have you ever been arrested for a felony or misdemeanor? Yes No

2. If the answer to #1 is yes, provide details, if not, proceed to question #3.



3. Do you have any severe physical limitations which would prevent you from engaging in the activities associated with the Citizens' Police Academy? Yes No

4. Can you commit to attending all classes for the duration of the Academy? Yes No

(Please note that students missing more than on (1) night of instruction will be dropped from the Academy. If you have other priorities at the present time, please do not make application to attend.)

5. Why do you wish to participate in the Citizens' Police Academy?


6. Have you ever had any contact with the Tallahassee Police Department? Yes No
If so, was your experience positive or negative?


7. How did you hear about the Citizens' Police Academy?


8. If you are not selected or available to attend this session of the Academy, would you be interested in attending the next scheduled Academy? Yes No

9. Have you applied to a previous CPA and not been accepted? Yes No
If so, when?

I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the foregoing statement and answers to questions. I understand that any omission or false statement on this application shall be sufficient cause for rejection of enrollment or dismissal from the Tallahassee Police Department's Citizens' Police Academy. I understand that participation in this program is not to train citizens to be police officers. Rather, the goal and purpose of this program is to educate citizens regarding the purpose, rationale and context of police procedure.  I acknowledge that as part of acceptance to this program, I will be required to attend at least 8 of the 9 classes. Failure to attend will be cause for dismissal from graduating. I will abide by all rules and regulations set forth by the Tallahassee Police Department and the City of Tallahassee. I will provide my own transportation when required. I further understand that the Tallahassee Police Department will be conducting a thorough background investigation.

Signature* (Type name as you would sign it):
 
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