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Citizen's Police Academy application

  1. Please fill out the application below completely. A limited background check will be conducted on each completed application.

  2. Your legal first name

  3. If no legal middle name, type NMN

  4. Your last name as it appears on your driver's license.

  5. How are you connected to the Town of Carrboro/Town of Chapel Hill?*

  6. Are you a student?*

  7. Are you employed?*

  8. Are you retired?*

  9. Are you involved in any community groups?*

  10. Have you ever been convicted of a felony?*

  11. Have you ever been convicted of a misdemeanor?*

  12. The Carrboro Police Department wishes to ensure that the Citizen's Police Academy is open equally to all citizens who wish to learn about the department. The following information will help ensure that the class reflects our unique and diverse Town. The information you submit below is completely voluntary; you do not have to fill it out if you do not want to.

  13. The Citizen's Police Academy will require participants to sit through several lectures and question/answer sessions, stand for long periods of time and walk short distances across uneven terrain.

  14. Do you have any special considerations we should be aware of? Specifically: wheelchair access required, service animal, utilizing a walker, etc.*

  15. What is your T-shirt size?

  16. Do you have any special food considerations?

  17. Leave This Blank:

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