Forms

First Name:

Last Name:

Date of Birth:

Address:

City:

State:

ZIP code:

Phone Number:

Email:

Background

Please explain, briefly, 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 and References

Present / Last Employer:

Employer Phone:

Address:

City:

State:

ZIP code:

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.)

I hereby certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to questions. I understand that any omission or false statements on this application shall be sufficient cause for rejection for enrollment or dismissal from the Mendon Police Department Citizens Police Academy. I understand there is no charge for the academy and, if selected for enrollment, pledge the time commitment to attend 70% of the sessions. I will abide by all rules and regulations set forth by the Mendon Police Department and the Town of Mendon, and provide my own transportation. I further understand that the Mendon Police Department will be conducting a thorough background investigation that may include, but not be limited to any criminal history and employment history.

Human Verification

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

Citizens Police Academy Application

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

Contact Us

22 Main Street, Mendon, Massachusetts, 01756

Non-Emergency: 508 - 478 - 2737

Business Fax: 508 - 473 - 2741

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