Citizens Academy Application

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The Citizens Police Academy is held as part of our community policing initiative to provide our citizens with education and information, as well as to create partnerships that benefit the community. The Academy consists of a series of classes held once a week for two hours. The goal of the Citizens Police Academy is to ensure that interested citizens possess a greater understanding of what is involved with policing in today's environment.

Please complete the form below to apply. Once you are accepted, you will receive an email with further information on academy dates.

Applicant Information

First Name:

Last Name:

Date of Birth:

Address:

City:

State:

ZIP code:

Phone Number:

Email:

Background

Please explain why you would like to attend the Citizens Police Academy.

Please list any associates, clubs or organizations you may belong to or be affiliated with.

Have you ever been arrested or convicted for an offense other than motor vehicle offenses? If yes, please explain in detail, listing appropriate dates, charges, places and action taken.

Employment Information

Present / Last Employer:

Employer Phone:

Address:

City:

State:

ZIP code:

First Name:

Last Name:

Address:

City:

State:

ZIP code:

References

Were you recommended to apply for enrollment to the program? If so, by who?

Where did you hear about this program? (Newspaper, Facebook, Twitter, Friend, etc.)

Emergency Contact Person

Human Verification

Please verify you are human. What is 5 + 2?

Address

22 Main Street

Mendon, MA 01756

Contact Us

Phone: 508-478-2737

Fax: 508-473-2741

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