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Citizen Police Academy (CPA) Interest Form

  1. Driver's license number
  2. Social Security Number
  3. Tell us why you are interested in attending the 2015 CPA.
  4. Criminal Convictions*
    Do you have any criminal convictions?
  5. Have You Been Arrested?*
    Felony or Misdemeanor
  6. Registered Sex Offender
    Are you a registered sex offender?
  7. Leave This Blank:

  8. This field is not part of the form submission.