Police

Irving Citizens Police Academy Enrollment Application

Name

First Name

Middle Initial

Last Name

Address

Address Line One

Address Line Two

City

State

Zip

Phone Number

Texas DL#

Date of Birth

Sex Male Female

How did you hear about the Academy?

Background Information

Please explain briefly why you want to attend the Citizens Police Academy.

Have you ever been arrested for, convicted of, or cited for an offense other than a traffic violation? Yes No

Have you been a party of a civil lawsuit in the past 10 years? Yes No

If yes, explain the details, including charges, places, actions taken, etc.

Employment

Present Employer

Date of Hire

Occupation and Job Title

Job Location

Address Line One

Address Line Two

City

State

Zip

May we place your name, address and phone number on a class roster? Yes No

Emergency Contact

First Name

Middle Initial

Last Name

Emergency Contact Phone

Community Police Academy Agreement

I hereby certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to questions. I understand that any omission or false statement on this application shall be sufficient cause for rejection of enrollment or dismissal from the Irving Citizens Police Academy. I understand that participation in this program is not to train students to be police officers. Participation is to provide education regarding the purpose, rationale and context of police procedures. I acknowledge that as part of acceptance in the program, I will be required to attend at least 70 percent of the classes. Failure to attend will be cause for dismissal from this program. I will abide by all rules and regulations set forth by the Irving Police Department and the City of Irving and will provide my own transportation and insurance. I further understand that the Irving Police Department will conduct a thorough background investigation that may include criminal history information, employment history and personal references. The Irving Police Department reserves the right to deny any application.

I have read and agree to the Community Police Academy Agreement

Police

Irving Citizens Police Academy Enrollment Application

Irving City Hall

Quick Links

Helpful Links