Application - Sheriff Citizen Academy

Name:

Email:

Driver License:

Show Driver License

Social Security Number:

Show Social Security Number

Address:

City:

State:

Zip:

Date of Birth: (Must be 18 to Apply)

Race:

Sex:

Home Phone:

Cell Phone:

Shirt size:

Employer Name:

Occupation:

Address:

City:

State:

Zip:

How long have you been with your current employer?

Do you live, work, or own property (residence/business) in the service area of the Baldwin County Sheriff's Office?

Please Provide Details

How did you find out about the Baldwin County Citizens Academy?

Please Provide Details

Why do you want to attend the Baldwin County Citizens Academy?

Please provide atleast 1 family members or close friends we can contact in case of an emergency

(1) Emergency Contact Name:

Relationship:

Telephone:

(2) Emergency Contact Name:

Relationship:

Telephone:

Have you ever attended the Baldwin Citizens Academy before?

When? (Month/Day/Year)

What is your perception of law enforcement?

Have you ever been arrested and/or convicted of a crime?

Please provide details:

The BCSO will conduct a criminal history check on all applicants who apply to attend the Citizens Academy for the purpose of determining prior arrests and convictions. By typing your name below, you are authorizing the BCSO to conduct this investigation. Any information found to be untruthful will be grounds for immediate refusal of this course.

By checking this box I agree with the statement above.