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Citizen Programs

CITIZEN'S POLICE ACADEMY APPLICAION FORM VIA EMAIL

An application for the Citizen's Police Academy may be obtained at the front desk of the Jackson Police Department, by calling Investigator Abe Jones at (731)425-8523, or may be obtained in PDF format online now

Mail your completed application to Sergeant Abe Jones, CPA Coordinator, at the Jackson Police Department 234 Instutute Street, Jackson, TN 38301 or contact (731)425-8523.

CITIZEN'S POLICE ACADEMY
Application Form

Last
First
MI


City

State
ZIP
Social Security #

Sex
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Race

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DOB
Home Phone
Office Phone

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State

 

Duties Performed:


I CERTIFY THAT ALL STATEMENTS MADE ON THIS APPLICATIOIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE ANY INDIVIDUAL, COMPANY, ORGANIZATION OR INSTITUTION TO RELEASE ANY AND ALL INFORMATION CONCERNING STATEMENTS MADE BY ME ON THIS APPLICATION. AND I DO HEREBY RELEASE ALL PARTIES AND INDIVDUALS CONNECTED THEREWITH FROM ANY AND ALL LIABILITIES FOR ANY DAMAGES WHATSOEVER INCURRED IN FURNISHING SUCH INFORMATION. I AGREE AND UNDERSTAND TAHT ANY DELIBERATE MISSTAEMENT OR OMISSION OF MATERIAL FACTS MAY DISQUALIFY ME TO ATTEND THE CITIZEN'S POLICE ACADEMY. MY SIGNATURE BELOW ACKNOWLEGES MY UNDERSTANDING AND AGREEMENT WITH MATERIAL PROVIDED.

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