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Wichita Police Department Citizen Police Academy Application

Name: Age: Race: Sex: Male Female Date of Birth (mm-dd-yy): Address 1: City: Zip Code: Home Phone: Occupation: Business Address: Business Phone: Driver License # (including state):   Community Group Affiliation: Are you related to a Police Officer? Yes No Why do you wish to attend the Citizen Police Academy? How did you hear about the Citizen Police Academy? Please provide two references: Name: Address: Phone Number: Name: Address: Phone Number: Citizen Police Academy is a program of citizens and law enforcement officers working together to make Wichita and Sedgwick County a better and safer place to live and work! ---Sponsored By--- Wichita Police Department Sedgwick County Sheriff's Department Citizens Police Academy Alumni Association Citizen Police Academy Wichita - Sedgwick County Law Enforcement Training Center 2235 W. 37th North Wichita, KS 67204 (316) 838-9611 (316) 832-9337