MACOMB POLICE DEPARTMENT CITIZEN POLICE ACADEMY Application Form
Name:
First Name
Middle Initial
Last Name
Maiden Name or Other Names Used:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth:
-
Month
-
Day
Year
Date
Sex:
Phone:
Format: (000) 000-0000.
Email address:
example@example.com
Driver's License #
How long have you lived at your present address? Years
Months
Previous address if less than five years at present address:
Occupation/College:
Length of Employment: Years
Months
Employers Name:
Address:
References
List three personal references (Name..., Address..., Phone #)
All applicants must either live in Macomb, work in Macomb, or own property in Macomb or attend school in Macomb. They also must also be at least 18 years of age.
I understand a background check will also be conducted on each applicant. I agree the Macomb Police Department reserves the right to deny entry to the Academy based on the findings of that background check or for any other lawful reason determined by the Macomb Police Department.
Applicant's Signature
Preview PDF
Submit
Should be Empty: