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Citizens Academy Application
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This form has been modified since it was saved. Please review all fields before submitting.
Date
*
Date
First Name
*
Last Name
*
Driver's License #
Date of Birth
*
Address1
*
City
*
State
Zip
Phone Number
*
Email Address
*
Have you ever been arrested for anything other than a minor traffic violation?
Yes / No
*
If Yes, Please Explain-
If Physical Condition is Limited, Please Explain-
"I want to attend the Citizens Police Academy because"
Emergency Contact- Name, Phone Number, Relationship
*
I understand that a background investigation will be conducted upon submission of this application. Any criminal convictions, any previous actions which could reflect unfavorably on the Muskego Police Department, any suggestion that I might be a security risk, or any attempt to deceive or conceal pertinent information, will be cause for denial of this application.
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