Citizen Police Academy Application

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Thank you for your interest in the Citizen Police Academy! 

Citizen Academy Applicant Qualifications

¨ Applicant must be eighteen years of age or older

¨ Applicant must live or work in West Des Moines

¨ Applicant must have no history of criminal behavior and pass a background check

Class size is limited to 30 applicants

Citizen Academy Classes are held at the  West Des Moines Law Enforcement Center

located at250 Mills Civic Parkway

West Des Moines, IA  50265

 

Registration fee:  $30.00 (Due upon acceptance)

 

Deadline for applications

February 17, 2018

 

Citizen Academy Dates

February 27—May 22, 2018

Tuesdays  6:30-9:30 PM

 

Please complete the following application. You will be contacted if accepted into the Academy. 

Please correct the field(s) marked in red below:

1

Name:

Last, First, Middle

 *
2

Address:

Street and Apt./Unit, City, State, Zip

3
Phone Number:
4
Email Address:
 *
5

Date Of Birth (DOB): 

Month/Day/Year

 *
6
Social Security Number:
 *
7
In case of emergency please contact:
 *
In case of emergency please contact:
8
Shirt Size:
 *
Shirt Size:
9
Have you ever been arrested for any offense other than a traffic violation? 
 *
Have you ever been arrested for any offense other than a traffic violation?
10
What do you expect to gain from attending this Academy?
 *
11

By selecting "I accept":

I certify I am the person for which the information on this application describes. 

I hereby certify that the information contained in this application is true and complete to the best of my knowledge.  

I acknowledge the West Des Moines Police Department may make an investigation of my personal history as deemed necessary for consideration to attend the West Des Moines Citizen Police Academy.

 *
  1. To receive a copy of your submission, please fill out your email address below and submit.