Citizen Police Academy Application

Click here to find out how you can volunteer to serve your community in the Citizen Police Academy. When you're ready to apply, fill out the form below.

Fill out this form and click the Submit Application button.

* denotes a required field

Personal and Contact Information

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Postal Code:

Email Address:

Phone:

Date of Birth:

Driver's License or Kansas ID #

Sex:

Race:

Employment

Occupation:

Employer Name:

Work Address:

Work City:

Work State:

Work Postal Code:

Work Phone:

Community Involvement

Community Group Affiliation 1:

Community Group Affiliation 2:

Relations

Are you related to a police officer?

Yes

Related officer name(s):

Interest

Why do you wish to attend the Citizen Police Academy?

How did you hear about the Citizen Police Academy?

Criminal History

Have you ever been arrested for a misdemeanor or felony crime?

Yes

If so, describe the violations:

Reference 1

Reference 1 Name:

Address:

City:

State:

Postal Code:

Phone:

Reference 2

Reference 2 Name:

Address:

City:

State:

Postal Code:

Phone:

Mission: To assure quality public services that provide for the present and future well-being of the citizens of Sedgwick County.