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Citizen's Police Academy Application

Applicants must be at least 21 years old and be a resident or business owner in the City of Maumelle. Classes will be held on Thursday evenings at the Maumelle Police Department. Admission is by application only. A background check will be performed on each applicant.

Contact Information
*REQUIRED FIELDS

First Name*
Last Name*
Date Of Birth*
Street Address*
Apartment or Unit Number
City*
State*
Zip Code*
Best Contact Telephone Number*
Occupation
Employer

Why do you desire to attend the Citizen's Police Academy?
E-mail Address*
Confirm E-mail*

Gender*
Male Female

Please provide 2 personal references.

Reference 1 Name* Phone*

Reference 2 Name* Phone*

I authorize the Maumelle Police Department to conduct a background investigation to obtain any information relating to my criminal history record for the purpose of making a determination of eligibility for the Citizen's Police Academy. *

By checking this box, I agree to the above*