Citizen Police Academy: Online Application Submit the form below to apply to one of the upcoming Citizen Police Academy courses. Accepted applicants will be notified before class is scheduled to begin. Because of the overwhelming response to the Citizen Police Academy course, only those applicants selected will be called. All fields are required to submit the form. Personal Information First Name Middle Name Last Name Date of Birth Enter your date of birth DD/MM/YYYY Contact Information Street Address e.g. 555 Central NW Apartment City State Use Postal Format (e.g. "NM"). Zip Code Home Telephone Include area code (e.g. 505-555-5555) Work Telephone Include area code (e.g. 505-555-5555) Other Telephone Include area code (e.g. 505-555-5555) Your E-Mail Address About You Even if you feel that you don't meet minimum qualifications we still encourage you to apply. We do not automatically eliminate candidates from attending the Citizen Police Academy based on answers to the minimum requirements. All applications are individually reviewed and attendance decisions made on a case by case basis. Driver's License State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Driver's License Number Current Employment Have you ever been convicted of a felony? Yes No Have you been arrested for any misdemeanor, including DWI, within the last 3 years? Yes No Is it ok to contact you for additional information? Yes No If you are active with any neighborhood, community, or civic organizations, please list below: Do you live within Albuquerque city limits? Yes No Background Agreement In consideration of the Agency, Albuquerque Police Department, processing my application, hereby irrevocably consent to the following: I understand that a thorough and complete background investigation will be conducted for attendance of the CPA. I understand that a background investigation is conducted by gathering and recording information about my past conduct and associations from any and all sources that the Agency, in its sole discretion, may deem appropriate, including: criminal or other Governmental files and records, past and present employers, and any other source of information available. I hereby release from liability and agree to hold harmless; under any and all possible causes of legal action, including negligence, the City of Albuquerque, Bernalillo County, the Albuquerque Police Department Identification Unit, the Agency and any of its officers, agents or employees for any negligent or wrongful statements, acts, omissions made or recorded in the course of my background investigation. I hereby release from liability and agree to hold harmless under any possible cause of legal action, including negligence, any person or entity which furnishes information or opinions to the Agency as a part of my background investigation. I authorize any person or entity contacted by the Agency during the course of my background investigation to furnish any information or opinions such person or entity may have regarding myself, my conduct or associations, regardless of any statutory or other privilege I may have. I understand the need for confidentiality of sources and information in my background investigation, and I expressly agree that I will never attempt to obtain access to any part of the background investigation designated as confidential by the Agency. This release applies to any cause of action of any nature that might accrue to me. Background Waiver Acknowledgement I agree. I fully understand that any intentional attempt on my part to provide INCORRECT or MISLEADING information would be just cause for rejection of my application. Captcha Submit
