Elizabethtown Police Department

Elizabethtown Police Department

Citizens Police Academy

February 22 - March 29, 2010

Application

Name_____________________________________________________________________

^{(First)
( MI)
( Last)}

Current Address_____________________________________________________________

Home Phone______________________ Work Phone_____________________________

Social Security Number________________ Date of Birth__________________________

Employer (Name & Address)__________________________________________________________________________________

Occupation______________________________________________________________

Citizens Police Academy Requirements

Applicants Must Be 18 Years Of Age And Possess A Valid Kentucky Driver’s License.
Applicants Must Not Have Been Convicted Of A Felony And Must Not Have Any Criminal Or Civil Actions Pending Against Them.
Applicants Must Be Willing To Sign A Waiver Releasing The Elizabethtown Police Department And The City Of Elizabethtown From Any Liability.
Applicants Must Sign Below Allowing The Elizabethtown Police Department To Check For Criminal History.
Applicants Must Agree To Make Every Effort To Attend All Classes And Give Advance Notice To The Elizabethtown Police Department. If They Will Not Be Able To Attend A Class. More Than 1 Unexcused Absence Can Mean Termination From The Academy

I agree to the above requirements of the Elizabethtown Police Department’s Citizens Police Academy and authorize the Elizabethtown Police Department to do a records check for any criminal history.

_____________________________ ___________________
^{Applicant’s Signature Date}