Citizen Police Academy Application

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.