Citizen Police Academy Application
Citizen Police Academy Application
Purpose
Dallas Police
Department
Alumni Association
Graduates of the Citizens Police Academy have formed
an Alumni Association which is open to all past and future
graduates have formed an Alumni Association which is
open to all past and future graduates. The alums
continue to work with the Dallas Police Department and
the citizens to enhance community relations.
A Program of Citizens
and Police Working
Together
Name:
Address:
City:
DOB:
Cell #:
DL #:
Home #:
Zip:_
Gender:
Email address
EMPLOYMENT
Name of Employer:
Address:
City:
Zip:
Business #:
BACKGROUND
Please advise of any changes in home/work address, home/work numbers, etc, as to be able
to reach you for the actual beginning date of your class.
CERTIFICATION & SIGNATURE
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 statement and answers
to questions. I understand that any omission or false statement on this application shall be sufficient cause for rejection of
enrollment or dismissal from the Dallas Police Department Citizen Police Academy. I understand that all participation in this
program is not to train citizens to be police officers. Rather, the goal and purpose of this program is to educate citizens regarding
the purpose, rationale and context of police procedures. I acknowledge that as part of acceptance to this program, I will be
required to attend at least 70% of the classes or 7 out of 10. Failure to attend will be cause for dismissal from graduating. I will
abide by all rules and regulations set forth by the Dallas Police Department and the City of Dallas, and provide my own
transportation. I further understand that the Dallas Police Department will be conducting a thorough background investigation
that may include, but not be limited to, fingerprinting, any criminal history, employment history and personal references.
Applicants Signature:
Date: