Citizen Police Academy Application

Maiden Name (if applicable)

Phone Number

Driver's License

Social Security Number (necessary for background check)

Organizations you belong to (civic groups, Neighborhood Watch, etc.)

Why do you want to attend the Citizen Academy and/or what do you hope to learn?

Eligibility

Potential candidates for the Citizen Academy must meet the following criteria:

18 years of age
Must be a resident of the area
No prior felony arrests
No misdemeanor arrests within one year of application

I give my permission to the Pocatello Police Department to conduct a background check to determine if I have a criminal record. The Police Department reserves the right to deny entry to the Academy based on the findings of a background check.

Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.