Waupun Citizens Mini-Police Academy Application Form

The Waupun Police Department is proud to announce its 2018 Citizens Police Mini-Academy. This program is being offered free-of-charge to all approved City of Waupun residents. Class sessions will be held on Wednesday evenings from 6:00-9:00 pm, beginning February 7th, 2018 and ending February 28th, 2018. Sessions will include opportunities to see the equipment and gear police officers wear and use, and the opportunity to meet K9 Boomer and see him in action. Participants will also have the opportunity to tour the communications center, jail, and courtroom, as well as the chance to shoot department Tasers and guns.

Application process for the 2018 academy is closed at this time. Please call with any questions about future classes.

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Name (first, middle, last) *

Address *

Home Phone

Cell Phone

Email Address *

Date of Birth (MM/DD/YYYY)

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Occupation *

Why do you wish to attend the Waupun Citizen Police Academy? *

How did you hear about the Waupun Citizens Police Academy? *

Have you ever been ticketed/arrested/convicted of a crime? If you answered yes, please provide details. *

References

Please provide the name/phone/address of two character references.

1st Reference Name *

1st Reference Phone *

1st Reference Address *

2nd Reference Name *

2nd Reference Phone *

2nd Reference Address *

Do you have any special accommodations the Waupun Police Department may need to be aware of? If yes, please list below.

Should I be selected, I am confident I can attend all/most of the sessions? *

Yes

I understand that if I am selected to participate in the Citizens Police Academy, the Waupun Police Department will conduct a criminal background check prior to the start of the program. The Waupun Police Department has the right to deny applicants based on the background check.

Requester Typed Signature *

Dated Signed

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Waupun Citizens Mini-Police Academy Application Form

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