Citizens Academy Application

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Name *

(last, first, middle)

Date of Birth

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Email *

Phone *

Address *

City *

State *

Zip *

Employer *

Position *

Your position within your employer's organization.

Employer Address *

Employer City *

Employer State *

Employer Zip *

Why do you want to participate in the Academy? *

What experience have you had with Law Enforcement? *

Have you ever been arrested, detained, or charged with a crime (including traffic citations)? *

Yes

No

If arrested, detained or charged, please explain

The Academy runs for 10 weeks, every Tuesday (6-9pm) and one Saturday (9am-5pm). Do you anticipate any conflicts? *

Authorization for Background Check *

I authorize the Great Falls Police Department to conduct the necessary background check to qualify my inclusion in the Citizens Academy, including running my criminal and driver history.”

Contact Information

EMERGENCY: 9-1-1