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1 Citizens' Academy Application Applicant Information Full Name: Date: Last First M.I. Address: Street Address Apartment/Unit # City State ZIP Code Phone: Email Date of Birth: Place of Birth.: Driver’s License#: Occupation: Have you ever had a Driver’s License revoked or suspended? YES NO Have you ever been arrested for a crime other than a traffic citation? YES NO If yes, when/where? Are you 18 years or older? YES NO MUST be at least 18 to participate Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. I hereby authorize and allow the City of Pasco to perform a records check. I further understand that my application may be rejected for any reason relating to any criminal charge(s) and/or incidents relating to serious traffic offenses. Signature: Date: Return application to: Pasco Police Department Email to: [EMAIL REDACTED] In Person Only 215 W. Sylvester St. Pasco, WA 99301 Records Check ☐No Records ☐ Record Attached By: ☐Approval ☐ Disapproved (Reason): Approved By: SUBMIT