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Application Form (PRINT CLEARLY) The Citizens Police Academy provides an exciting opportunity for community members to learn more about the roles and responsibilities of the Monument Police Department. Academy attendees will learn from our police personnel on such topics as Community Policing, Patrol Procedures, Criminal Investigations, Officer Safety, Defensive Tactics, Less Lethal Options, Use of Deadly Force – shooting various police weapons, Internal Affairs, and more. The Academy is designed to give participants an overview of the various aspects of the Monument Police Department’s function and operational procedures. The Academy is one day per week for seven consecutive weeks meeting on Tuesday evenings from 7:00 – 10:00 p.m., and one Saturday at the Range. QUALIFICATIONS: Must be at least 18 years of age Live or work in the Tri-Lakes area No felony convictions No misdemeanor convictions within two years of application After completing and submitting this application, you may be contacted for an interview to continue the application process. A background check will be performed to confirm eligibility. Class size is limited to 18 participants. There is no cost to participate. Complete this 2-page application and return it to the front desk of the Monument Police Department. When submitting your application, please make sure to bring in your driver ’s license. Return your application as soon as possible as spaces fill up fast. Date: First Name: Name: Name: Home Address: Home Phone: Other Phone: Date of Birth: Employer: MONUMENT POLICE DEPARTMENT Citizens Police Academy ---PAGE BREAK--- Do you have a valid driver’s license or ID: State Of Issue: License # E-mail address: 1. Describe why you are interested in attending the Citizens Police Academy: 2. Describe any experience(s) – positive or negative – you have ever had with the Monument Police Department: 3. Have you ever attended a Citizens Police Academy? Where and When: You must attend at least 6 of the weekly sessions to qualify for the Certificate of Completion. By signing, you acknowledge that all the information you have provided is accurate and true. Signature: Date: ---PAGE BREAK---