Citizens Police Academy Application for Enrollment
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Applicants must be at least 18 years of age and a resident of, or employed in Jefferson County. Any incorrect and/or unsigned applications WILL NOT be considered.
Last, First M.I.
Date of Birth:
Driver's License #:
Which of the following cities are you a resident of?
City of Residence (yes/no):
City of Beaumont?
City of Port Arthur?
Do you own a business in Jefferson County?
If so, name and address of your business:
PLEASE REVIEW YOUR ANSWERS CAREFULLY AND READ THE STATEMENT BELOW BEFORE SIGNING THIS APPLICATION.
I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the forgoing statements and answers to questions. I understand that any omissions or false statements on this application shall be sufficient cause for rejection from the enrollment or dismissal from the Citizens Police Academy.
I further understand that a law enforcement agency participating in the Citizens Police Academy will be conducting a thorough background investigation that may include, but will not be limited to, any criminal history, employment history and/or personal references.
(Email Address is your electronic signature)
If you have any questions, contact PCR at (409)880-3825.