Police Academy Interest Form

Please fill out and submit the information below before July 1, 2022. This will begin the enrollment process for both the full-time and part-time Police Academy options, both of which will begin in Fall semester 2022.

Name * Required
First Last
Student ID
Date of Birth
Month
Day
Year
Academy: * Required
- Full-Time Day (40 hrs/week, Aug. through Jan.)
- Part-Time Night (Aug. to May)
- Undecided
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone - Primary * Required
Primary Phone Number Type * Required
Phone - Secondary * Required
Secondary Phone Number Type * Required
Email * Required
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