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Citizens' Police Academy Application

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Interested community members can apply for a future Citizens' Police Academy using the form below.

 

ELEGIBILITY FOR ATTENDANCE IS AT THE SOLE DISCRETION OF THE POLICE DEPARTMENT.

 

PERSONAL INFORMATION
Legal First Name
 *
Optional: Preferred First Name for class materials (e.g., "Tim" instead of "Timothy")
Legal Last Name
 *
Optional: Preferred Last Name for class materials
Cell Phone
 *
Home Street Address
 *
Home City, State, Zip
 *
Email Address
 *

CURRENT EMPLOYMENT INFORMATION

(If retired, check the box below and list your most recent employment information.)
Occupation
 *
Business Name
 *
Business Address
 *
City, State, Zip
 *
Business Phone
 *

CLASS SHIRT

Shirts are available in Women's sizing (slim-fit) or Unisex sizing

(See sizing chart below.  Please measure carefully as no exchanges will be offered.)

Shirts are available in Women's sizing (slim-fit) or Unisex sizing (See sizing chart below. Please measure carefully as no exchanges will be offered.)
WOMEN'S SIZES UNISEX SIZES
X-Small
Small
Medium
Large
X-Large
XX-Large

Approximate shirt measurements when laid flat. (If you're not sure about your size: take one of your own well-fitting shirts, lay it flat, and measure the width of the shirt approximately 1" below the armhole.)

 

(Shirt Measurements, in inches) Women's Sizes Unisex Sizes
X-Small 17.5 19.5
Small 18.5 21
Medium 19.5 22
Large 20.5 24
X-Large 21.5 26
XX-Large 22.5 27.5

QUESTIONNAIRE: Please complete the information below thoroughly.
At the time of this application, are you under 21 years of age?
 *
At the time of this application, are you under 21 years of age?
Have you ever been arrested or convicted of any criminal offense?
 *
Have you ever been arrested or convicted of any criminal offense?
Do you have any medical conditions that would limit your activities and/or do you require special accommodation?
 *
Do you have any medical conditions that would limit your activities and/or do you require special accommodation?
Have you ever used a name other than the one listed above?
 *
Have you ever used a name other than the one listed above?
If you answered "Yes" to any of the questions above, please explain:
What is your connection to the city of Newport Beach?
 *
What is your connection to the city of Newport Beach?
Please let us know why you are interested in attending the Citizens' Police Academy:
How did you hear about us?
 *
How did you hear about us?

The Academy routinely receives more applications than we can accommodate.  We will do our best to place you in the session of your choice.  Please let us know if you would like to apply for a particular session using the options below.

Leave this section blank to be placed in the first available session.

SESSION PREFERENCE
SESSION PREFERENCE
ADDITIONAL NOTES/COMMENTS
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