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Citizens Police Academy Application

Please correct the field(s) marked in red below:

We are now accepting applications for the 2017 class, which will run from March to May 2017 (specific start/end dates TBA).  Classes are generally from 6:00 p.m. to 9:00 p.m., but several evenings will run as late as 10:00 p.m.
Name:
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Date of birth: (mm/dd/yyyy)
Address:
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List any other addresses you have resided at in the City of Brentwood
E-mail address:
Home Phone:
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Business Phone:
Reason for requesting to participate in program:
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Have you ever been convicted of a felony? 
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Have you ever been convicted of a felony?
Have you ever been convicted of a felony involving moral turpitude?
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Have you ever been convicted of a felony involving moral turpitude?
I am willing to undergo a minimum background investigation by the City of Brentwood Police Department due to the sensitivity and nature of some of the information that will be covered during the course of training.
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I am willing to undergo a minimum background investigation by the City of Brentwood Police Department due to the sensitivity and nature of some of the information that will be covered during the course of training.
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