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Police Citizen Academy Application

Fill out the form then click the submit button.

Please note that some fields are marked as "required".

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Name:
Home Number:
 
Work Phone:
 
Home Address:
Employer:
Occupation:
Work Address:
Driver's License Number:
Date of Birth:
Pick date
U.S. Citizen:
YesNo
Shirt Size:
SmallMediumLargeX-LargeXX-Large
 

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