GFPD Citizens Academy Master Course Application

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Name *

(last, first middle)

Date of Birth

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ID or Drivers License Number *

ID or DL State *

Aliases

Please list all names you have been known by.

Email *

Address *

Phone *

Employer

Position

Which GFPD Citizens Academy class did you graduate from?

Class Date

Session

Year

Class #

If you don't remember the date or class number, who was your instructor? *

Why do you want to participate in the Master Course? What do you hope to learn? *

What contact have you had with law enforcement since you graduated from the Citizens Academy? *

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

Yes

No

If yes, please explain: *

Time commitment

This course runs for 9 weeks, every Thursday (6:30-8:30 pm) and one Saturday (9am-5pm).

Do you anticipate any conflicts? *

Yes

No

If yes, please explain: *

Contact Information