Wheeling Citizens Police & Fire Academy

Wheeling Citizens Fire & Police Academy

Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How long have you lived at your present address?
If less than five years provide previous address
Date of Birth

MonthDayYear
Date
Driver's License Number:
Occupation:
Employer's Name:
Employer's Address:
Work Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Length of Employment:
All applicants must live, work or go to school in Wheeling and be at least 18 years old.

A background check will be conducted on each applicant. The Wheeling Fire and Police Department reserves the right to deny entry to the Citizens Fire & Police Academy based on the findings of the background check.

I have read the program description for the Wheeling Citizens Fire & Police Academy and understand that this training will not authorize me to carry a firearm or exercise peace officer powers if I am allowed to participate.
Signature
Date

MonthDayYear
Date
Please describe why you want to attend this program:
Should be Empty:

Wheeling Citizens Fire & Police Academy