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Citizens Police Academy Application

2. Name*

4. Gender (Male or Female)*

5. Date of Birth*

7. Address*

9. City*

10. State*

11. Zip Code*

13. Home Phone*

14. Cell Phone*

16. Email Address*

18. Employee or Company*

20. Have you ever been arrested for a non-traffic offense? (Yes or No)*

21. If yes, briefly explain*

23. Briefly state why you wish to attend the CPA*

24. Hair Color, Eye Color & Height*

    For I.D. Card information, please provide the following information

26. How did you learn about the HDPS Citizen's Police Academy?*

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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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