Warsaw Citizen's Police Academy Application
Please answer all questions prior to submission.
Name *
Your answer
Telephone Number *
Use the number you prefer to be contacted at
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E-Mail Address *
An e-mail address to correspond with you.
Your answer
Home Address *
Please don't use a Post Office box.
Your answer
Employer *
Your answer
Your Occupation *
Your answer
Business Address *
Your answer
Business Telephone Number *
Your answer
Driver's License Number *
Your answer
Date of Birth *
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DD
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YYYY
Race *
Sex
Height *
Your answer
Weight *
Your answer
I authorize the Warsaw Police Department to conduct a criminal background investigation as part of the conditional offer to attend the Warsaw Citizen's Police Academy program. This investigation is conducted to help insure that the integrity of the Warsaw Citizen's Academy is maintained. The result of the criminal background investigation remains confidential and is only used to allow or deny your participation in the program. *
Note: By marking the authorization below, this serves as your digital signature.
Date of Application *
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