Citizens Police Academy Form

About

The Adult Citizen Police Academy is an outreach program sponsored by the York City Police Department. This program meets twice a week for four weeks. It’s designed to give participants an inside look at police operations and how the department interacts with the community. The sessions will cover a variety of topics that pertain to law enforcement and the variety of duties that entails.

The Academy is scheduled to start Tuesday, March 26th, 2019 and will continue through Thursday, April 18th, 2019. Classes will be held on Tuesdays and Thursdays evenings. Starting time at 6 P.M. and ending by 8:30 P.M. Total of 8 sessions.

Space is limited to twenty-five applicants so please register early.
All interested are encouraged to apply.

Sessions Include

QRT/NRT
Detective Bureau
Animal Control Officer
911 Communication Center Tour
Central Booking/Judicial Center Building Tour

Quarter Master/Evidence
Patrol
Firearms Training Simulator (FATS)
The Narcotics Unit
Police Dept. Station tour

Contact Person

Jacqueline Marrero
P: (717) 849-2216

Applicant Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Secondary Phone
Email*
Birth Date
Drivers License Info*
License # Height Eye Color State Hair Color
Employment Information
Occupation*
Employer*
Employer Address
Street Address Address Line 2 City State ZIP Code
Supervisor's Name
Supervisor's Phone Number
Background Information
Have You Ever Been Arrested?
- Yes
- No
Please Explain Including When And Where The Incident Occurred*
What Past Personal Experience Have You Had Involving A Law Enforcement Officer?
- Positive
- Negative
Please Briefly Explain*
Why Are You Interested In Attending The Citizen Police Academy?*
What Do You Expect To Gain From This Program?*
Emergency Contact Information
Emergency Contact*
First Last
Relationship With Emergency Contact*
Emergency Contact Address*
Street Address Address Line 2 State
Emergency Contact Phone Number*
Consent*
By Checking this box and typing my legal name below, I hereby certify that the information above is true, and further, that the Police Department is duly authorized to make any investigation of my personal history deemed necessary for consideration in order for me to attend the Citizen Police Academy.
I agree to the privacy policy.
Name*
First Last

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Background Information

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