Citizen Police Academy Application

Click here for more information on the academy.
Click here for a printer-friendly version of this form.

Applicants must be 21 years of age and either live or work in the Westerville area.

All applicants are subject to a criminal background check.

Participants must complete at least 9 out of the 12 classes in order to graduate.

Applicants will be notified by mail of their acceptance.

Please provide the following information:

 

  
* Required

Full Name* e.g. John P. Smith

Date of Birth* e.g. 11-28-1940

Street Address*

City*

State*

ZIP*

Occupation

Work Phone

Home Phone

Cell Phone

FAX

Email

Gender*
Male   female