Citizen Police Academy Application
Citizen Police Academy Application
Citizen Police Academy Application
Classes are limited to 25 students per session. Applicants will be notified of their acceptance a
week prior to the start date.
APPLICATION FORM
(Form may be copied for additional applicants.)
PLEASE PRINT
Name_________________________________________________________________
Address_______________________________________________________________
Apt.#_________________________________________________________________
Town_________________________________________________________________
Zip___________________________________________________________________
Phone________________________________________________________________
Date of Birth___________________________________________________________
I give the Wellesley Police Department authority to conduct a criminal history records check.
Signature____________________________________________________________________
Date________________________________________________________________________