Scottsboro Police Department

Scottsboro Police Department
Citizens Police Academy
REGISTRATION APPLICATION
If you would like to attend an upcoming session of the Citizens Police Academy, please complete this application form.
Lieutenant Coty Durham
C/O Scottsboro Police Department
916 S. Broad St
Scottsboro Al 35768
Your Name:
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
(Check one)
SSN or DL #:
Email:
example@example.com
Phone #:
Format: (000) 000-0000.
Address:
(Check one)
NOTE: All applicants will be subject to a background check prior to acceptance into the academy. If you have any questions, please feel free to call Lieutenant Coty Durham at 256-609-7120 or email him at coty.durham@scottsboropdal.gov
All applications must be returned no later than April 30^th, 2026.
Shirt Size:
Please give two (2) references & their contact information..
Reference #1:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
You will be notified by mail or email in reference to your acceptance to this session of the academy.
Should be Empty: