Citizens Police Academy Application

Ever wonder what it is like to be a Police Officer?

At the Citizens Police Academy, you will have the opportunity to go behind the scenes to see and hear first-hand the tremendous curriculum recruits must master before they can wear the uniform. Your instructors will be real police officers and civilian employees. They will provide you an accelerated overview of the various operations of the Police Department. It is our goal to increase understanding of police work and to develop effective partnerships with the community. Please join us and be part of this important effort.

There is no charge. The only investment on your part is three hours of your time for 12 weeks. What you’ll learn, in turn, will not only benefit you, but if shared with your family, neighbors, friends, and co-workers, could have a significant impact on community-police relations.

The class is made up of a cross-section of the entire community. Professionals, homemakers, laborers, students, educators, retirees, and others are encouraged to apply for admission. You must be at least 21 years of age to enroll and live, work, or attend school in the City of Greenville.

You will receive a confirmation email stating that your application has been received. This is only the first step to attending the class. We will be conducting a background check and an in-house activity check on each applicant prior to final acceptance. Once your background investigation is completed, you will receive an acceptance or denial letter from the Police Department.

Please understand that some issues would require that your application be denied. Persons with felony convictions; pending charges for Family Violence; Assault on Peace Officer; or Resisting Arrest; current illegal drug usage; or mental health issues involving violence or attempted suicide will be denied. We cannot teach police tactics and procedures to individuals with these issues.

If your application is denied, you may request a review in writing. Please address it to Officer James Hamilton, P.O. Box 1049, Greenville, TX 75403 and list all extenuating circumstances that you would like to have considered. The Chief of Police will have final say on all applications.

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Date of Birth*

Date

Driver License or ID #*

Are you a resident of Greenville? *

If yes, how long?

Are you employed in Greenville? *

If yes, how long?

Present Employer / School / Retired*

Your Title

Employer's Phone Number

Please enter a valid phone number.

Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Supervisor

Name of Personal Reference

First NameLast Name

Address of Personal Reference

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number of Personal Reference

Please enter a valid phone number.

Are they a past attendee of CPA?

Emergency Contact *

First NameLast Name

Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Phone Number*

Please enter a valid phone number.

Relationship of Emergency Contact*

Have you ever been arrested for, convicted of, or cited for an offense other than a traffic violation?*

If “yes”, please explain in detail, listing dates, charges, places and action taken. If in doubt, write it down. Failing to disclose criminal history is an automatic denial.

Please list any associations, clubs or organizations you may belong to or be affiliated with:

Please explain, briefly, why you would like to attend the Citizens Police Academy:

Please tell us who recommended that you apply for enrollment to the Citizens Police Academy, if any:

By checking the box below, I hereby certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to questions. I understand that any omission or false statements on this application shall be sufficient cause for rejection for enrollment or dismissal from the Greenville Police Department Citizens Police Academy. I understand there is no charge for the academy and, if selected for enrollment, pledge the time commitment to attend 70% of the sessions. I will abide by all rules and regulations set forth by the Greenville Police Department and the City of Greenville and provide my own transportation and insurance. I further understand that the Greenville Police Department will be conducting a thorough background investigation that may include, but not be limited to any criminal history, employment history and/or personal references.

Signature*

Citizens Police Academy Application

Personal Information

Employment

Reference and Emergency Contact

Background