Citizen's and Minister's Police Academy Registration Form

Citizen's and Minister's Police Academy Registration Form
The Citizen and Minister's Police Academy is a 10-week program designed to teach citizens and leaders of Hampton's faith-based community about the mission, policies, and day-to-day operations of the Police Division. The program curriculum is designed to educate the citizen in an effort to improve communication between citizens and police and dispel misconceptions the community may have about the Police.

Classes are 6:30-8:30 p.m. and begin Monday, January 26, 2026 and run every Monday through March 30, 2026. (exception: No class Monday, February 16, 2026 due to President's Day. Class will be made up on Wednesday, February 18, 2026)

Applications must be completed by individuals who are at least 18 years of age.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MaleFemale
WhiteHispanic or LatinoBlack or African AmericanNative American or American IndianAsian/Pacific IslanderOther
Driver's License Number
State
Expiration Date

MonthDayYear
Date
Place of Employment
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone Number
Please enter a valid phone number.
YesNo
YesNo
If yes, explain in detail, include date, charge, place, action taken:
Name address and phone numbers of TWO character references:
How did you hear about the Citizen Police Academy and why do you wish to attend?

Citizen's and Minister's Police Academy Registration Form

Rules