CITY OF FOND DU LAC POLICE DEPARTMENT

APPLICATION FOR CITIZEN’S POLICE ACADEMY

NOTICE: All questions must be answered. Incomplete or illegible applications will not be considered.

1. PERSONAL INFORMATION
Name (Last, First, Middle)
Address (Apartment, Street, P.O. Box) / Home Telephone Number
City / State / Zip Code / Work Telephone Number
Email Address / Cell Phone Number
Are you at least 18 years old? Yes No
Are you a United States citizen? Yes No
Have you ever been convicted of a felony? Yes No
Have you ever been convicted of a misdemeanor crime of domestic violence? Yes No
Have you ever been arrested or convicted of a crime? Yes No
Do you possess a valid Wisconsin driver’s license or a valid driver’s license from another state? Yes No
2. REFERENCES
Give two references (not relatives, or present employer; avoid listing members of the clergy).
Name:
Position/Title/Profession:
Number of Years Acquainted:
Address:
City/State/Zip:
Telephone Number:
Name:
Position/Title/Profession:
Number of Years Acquainted:
Address:
City/State/Zip:
Telephone Number:
3. QUESTION

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Why do you wish to attend the Fond du Lac Police Department’s Citizen’s Police Academy?

Application may be mailed to: Fond du Lac Police Department, C/O Officer Foster, 126 N. Main St, Fond du Lac, WI 54935

Application may be emailed to:

Application due before September 23, 2016 at 4:00pm

Notification will be made by phone and/or email during the week of September 26, 2016

Citizen’s Police Academy: Classes are held at the Fond du Lac Police Department Tuesday evenings from 6:00pm – 8:00pm starting October 4 and running 8 weeks through November 22, 2016.

SPACE IS LIMITED!!!

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