Senior Police Academy Registration

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all field are required, if not applicable, write N/A

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Personal Information
First Name:	Middle Name:	Last Name:
Date of Birth:	Gender: Other:	Former Last name:
Ethnicity:	ID Type: Other: ID Number:
Home Phone#:	Alternate Phone#:	Email:
Address:
Address 2:
City:	State:	Zip:
Emergency Contact Name:	Emergency Contact Number:
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If multiple results may occur on the search, please include more information to help us locate you. Ex: OrangeCoSheriff (Badge with dark color background)
Questionnaire (Total of 15 questions for Civilian Police Academy)
1. You must be at least 18 years of age to attend the Civilian Police Academy. If applying for the Civilian Police Academy are you at least 18 years of age? Yes No N/A
Questionnaire (Total of 15 questions for Senior Police Academy)
1. You must be at least 55 years of age to attend the Senior Police Academy. If applying for the Senior Police Academy are you at least 55 years of age? Yes No N/A
2. Please provide any other language you can read, write, or speak fluently. Enter each language on a separate line and beside each enter whether you read, write, or speak the language fluently.
3. Have you ever been convicted of a felony? Yes No
4. Have you ever been arrested or charged with a felony and/or misdemeanor crime? Pursuant to F.S.S. 943.059, arrest that have been sealed or expunged must be disclosed. Yes No
5. Have you ever been a suspect or a defendant in any criminal investigation? Yes No
6. Please provide an explanation of all your criminal investigation(s) and associated dates.
7. Have you ever been involved in any criminal activity? Yes No
8. Please provide an explanation of all your criminal activity and associated dates?
9. Do you have regular or continuous association or dealing with anyone under criminal investigation or indictment, or who is involved in criminal behavior? Yes No
10. Please provide an explanation of your associations with the individual(s) under criminal investigation or indictment and the criminal activity that is involved.
11. Are you now, or have you ever been, a member of a gang or any association that engages in criminal activity? Yes No
12. Please provide the gang and/or association name, location(s) and the dates of involvement.
13. Have you been or known anyone who has been associated with any organization, past or present that would place the integrity of the Sheriff’s Office in question? (e.g. KKK, Nazi organization, organized crime, etc.) Yes No
14. Please provide an explanation of these associations or dealing you have these individuals that would place the integrity of the Sheriff’s Office in question. (e.g. KKK Nazi organization, organized crime, etc.)
15. Have you ever been involved in the sale/purchase of illegal drug either directly or indirectly? Yes No
Questionnaire (Total of 1 question for Teen Police Academy)
1. You must be between 13-17 years of age to attend the Teen Police Academy. If applying for the Teen Police Academy are you between 13-17 years of age? Yes No N/A

SeniorAcademyRegistration

Senior Police Academy Registration

Fullfill your personal information

all field are required, if not applicable, write N/A

Registration is currently closed!

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