Elizabethtown Police Department

Elizabethtown Police Department

Citizens Police Academy

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}