MPD Citizen's Academy Application

(* Denotes Required Fields)

My Information
First Name: *
Last Name: *
Street Address: *
City: *
State: *
Age: *
Phone Number: *
Email Address: *
Current Occupation (previous if retired): *
Is there a specific area you are interested in learning about?: *
Have you been arrested in the past 5 years?: *	Yes No
If yes, please provide charges and details: *
Have you ever served in a law enforcement role?: *	Yes No
If so, please provide details.: *
I understand by submitting this form to enroll in the citizen's police academy, I am subject to a background check which may include a check of any arrest record, driving record, or other criminal history. Any omissions or material misrepresentations will disqualify applicant from participation: *	Yes