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Citizens Police Academy Application

Name*
Gender (Male or Female)*
Date of Birth*
Address*
City*
State*
Zip Code*
Home Phone*
Cell Phone*
Email Address*
Employee or Company*
Have you ever been arrested for a non-traffic offense? (Yes or No)*
If yes, briefly explain*
Briefly state why you wish to attend the CPA*
Hair Color, Eye Color & Height*
For I.D. Card information, please provide the following information
How did you learn about the HDPS Citizen's Police Academy?*

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Email address

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