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Citizen's Police Academy Application

  1. Give three personal references who have known you well for at least five years.
  2. Applicants are not automatically selected for participation in the Citizens Police Academy. Participants must meet basic requirements and must be cleared by a Law Enforcement screening committee. Individuals with criminal histories may not be accepted into the academy. If more applicants are approved than can be accepted, a waiting list may be created as a future resource.
  3. Prospective applicants may not wish to apply if there is any record of arrest for:
    • violent crime • unlawful use or possession of a controlled substance • child molestation or sexual abuse • any other crime involving moral character
  4. Were you ever arrested, detained or taken into custody in Illinois, any other state, military or elsewhere?*
  5. Indicate below ALL arrests and traffic violations. (Do not include parking tickets.) Use additional pages if necessary.
  6. By this application to participate in the Citizens Police Academy, I understand and agree I will, to the best of my ability, abide by its rules and regulations. Permission is hereby granted for a Law Enforcement records check to be performed. The undersigned waives all right of privacy regarding criminal history information, understanding that all Citizen Police Academy records are confidential.

  7. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  8. Parent/Guardian Electronic Signature Agreement if under 18

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. The Citizens Police Academy is not a part of the hiring process for the position of Police Officer with the City of Carbondale.

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