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    Citizens Academy Application

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    The document is an application for a citizen's police academy run by the Umass Police. It requests basic contact information from applicants, including name, address, phone numbers, email, date of birth, drivers license and social security numbers. It also asks about emergency contacts, affiliation with Umass, t-shirt size, and whether the applicant has a criminal record. Any criminal history must be detailed. The application states a background check will be run and acceptance is at the police's discretion.

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    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    Citizens Academy Application

    Uploaded by

    umpdfacebook
    30 views1 page
    The document is an application for a citizen's police academy run by the Umass Police. It requests basic contact information from applicants, including name, address, phone numbers, email, date of birth, drivers license and social security numbers. It also asks about emergency contacts, affiliation with Umass, t-shirt size, and whether the applicant has a criminal record. Any criminal history must be detailed. The application states a background check will be run and acceptance is at the police's discretion.

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    The document is an application for a citizen's police academy run by the Umass Police. It requests basic contact information from applicants, including name, address, phone numbers, email, date of birth, drivers license and social security numbers. It also asks about emergency contacts, affiliation with Umass, t-shirt size, and whether the applicant has a criminal record. Any criminal history must be detailed. The application states a background check will be run and acceptance is at the police's discretion.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    30 views1 page

    Citizens Academy Application

    Uploaded by

    umpdfacebook
    The document is an application for a citizen's police academy run by the Umass Police. It requests basic contact information from applicants, including name, address, phone numbers, email, date of birth, drivers license and social security numbers. It also asks about emergency contacts, affiliation with Umass, t-shirt size, and whether the applicant has a criminal record. Any criminal history must be detailed. The application states a background check will be run and acceptance is at the police's discretion.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    APPLICATION FOR CITIZENS POLICE ACADEMY Information page

    Applicant Name

    _____________________________________________________
    Last

    Address (local)

    First

    Middle

    _____________________________________________________
    _____________________________________________________

    Email (required)

    ______________________________________________________

    Local Phone number (


    Address (home)

    ) ________________ Cell number (

    ) _______________

    __________________________________________________
    __________________________________________________

    Home Phone number (if different) (

    ) _____________________________

    Date of Birth

    _______________________ *Must be at least 18 years old.*

    Social Security #

    ___________________________________

    Drivers License #

    ___________________________________ State _________

    Person to contact in case of emergency ____________________________________


    Relationship

    ___________________________________

    Phone numbers

    Home (

    Affiliation with Umass/Amherst


    T-shirt size

    ) _____________ Cell (

    ) _______________

    Student_____ Faculty_____ Staff______ None_____

    Sm____ Md.____ Lg.___ XL___ XXL___

    Do you have a criminal record, either pending or closed?

    Yes

    No

    If yes, please give details, including dates and locations.


    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    The applicant understands that a criminal background investigation will be completed by
    the University Police prior to participation in the program. Prior criminal records are not
    automatic disqualifiers. Any false or misleading statements will be cause for refusal of the
    application. Acceptance into the program is at the sole discretion of the Umass Police.

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