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Citizen's Police Academy
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La Vista Police Department Citizen's Police Academy Application
Name
*
Date of Birth
*
Street Address
*
City, State, Zip
*
Home Phone
*
Alternate Phone
Email Address
*
Driver's License Number
State
Occupation
*
Briefly explain why you want to participate in this program.
*
PLEASE NOTE:
A criminal history check will be conducted on each applicant prior to their approval for admittance into the Citizen’s Police Academy.
Some of the course content may be graphic in nature and some the terminology may be offensive. Please be aware of this prior to applying for the program, and please be aware that you may be excused from the class if the need arises.
Class size is limited; you will be notified of your application status.
Applicants must be at least 18 years of age.
BY TYPING IN MY SIGNATURE BELOW AND CLICKING SUBMIT, I AGREE TO THE TERMS AND CONDITIONS OF THIS APPLICATION.
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Date Application was Submitted
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