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Citizens Police Academy Form

  1. How did you hear about the academy? ( Select all that apply)

  2. Have you every been charged and/or convicted of a crime? *

  3. Please List Information:

  4. Hospital Preference

  5. I certify that the information in this application is true and complete to the best of my knowledge. I also grant permission for the Durham Police Department to verify the above information contained on this application and check for prior criminal history. My initials below acknowledge that the above information is true and correct to the best of my knowledge.

  6. Leave This Blank:

  7. This field is not part of the form submission.