REDFORD TOWNSHIP 2026 CITIZENS POLICE ACADEMY APPLICATION FOR ADMISSION

REDFORD TOWNSHIP 2026 CITIZENS POLICE ACADEMY APPLICATION FOR ADMISSION
This program will run on Thursday evenings from 7:00-9:00pm, September 17th through November 19th.

Anyone interested in participating should submit this application by August 29th.

To keep the personal feel and individual attention, class size is very limited. Priority will be given to Redford residents and businesse owners.

If you have any questions, please contact Lieutenant Thomas Ditzhazy.
Name

First NameMiddle InitialLast Name
Maiden Name (if applicable):
Preferred first name for Name Tag:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone:
Format: (000) 000-0000.
Date of Birth:

MonthDayYear
Date
Driver's License Number:
Email Address:
example@example.com
Please list any associations, clubs, or organizations to which you belong:

0/200
Please answer "yes" or "no" from the dropdown menu for the following questions:
Have you received any traffic citations in the last 10 years?
Have you ever been convicted of a crime?
Have you ever had a criminal case expunged?
Have you ever been arrested, as an adult or juvenile?
List the details of these incidents including infraction/crime, location, police agency, approximate date, and the outcome of the case(s):

0/400

List two individuals that can be contacted in the event of an emergency:
First & Last Name:
Relationship:
Address:
Telephone:
Format: (000) 000-0000.
First & Last Name:
Relationship:
Address:
Telephone:
Format: (000) 000-0000.
Please write a short narrative as to why you want to attend the Redford Township Citizens Police Academy:

0/400
Please review your answers carefully and read the statement below before signing this application.
"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 Redford Township Citizens Police Academy."

"I further understand that the Redford Township Police Department will be conducting a basic background check which will include the following queries: a criminal history check, driving record check, and check for contacts with law enforcement. I duly authorize the Redford Police Department to conduct these queries. I understand that failure to authorize these queries will result in the rejection of my application to attend the Citizens Police Academy. I understand that these queries will remain confidential and are not subject to release. I understand that the results of these inquiries remain the sole property of the Redford Police Department. I understand that they are required due to the nature of the instruction as well as access to the Police Department that I will receive during this experience."
Applicant Signature
Date

MonthDayYear
Date

ADULT WAIVER

RELEASE OF ALL CLAIMS
Current Month
Current Date
Current Year
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In consideration of the permission granted to me by the Charter Township of Redford, Michigan, to participate in the Citizens Police Academy, I hereby release the Charter Township of Redford, Michigan, its agents and employees from all actions, causes of action, damages, claims or demands which I, my heirs, executors, administrators, or assigns may have against the Charter Township of Redford, Michigan and other above-described parties, for all personal injuries known or unknown which I may incur by participating. These activities may include, but are not limited to, riding with officers in patrol cars and use of firearms at the police range. I, the undersigned, have read this release and understand all its terms. I execute it voluntarily and with full knowledge of its significance. In witness whereof, I have executed this release the day and year first above written.
Signature
Should be Empty:

REDFORD TOWNSHIP 2026 CITIZENS POLICE ACADEMY APPLICATION FOR ADMISSION

ADULT WAIVER