July 2017
OCEAN CITY POLICE DEPARTMENT
CITIZENS POLICE ACADEMY APPLICATION
FULL NAME: ________________________________________________ DATE OF BIRTH: ____/____/____
PERMANENT ADDRESS: __________________________________________________________________
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OCEAN CITY ADDRESS (if different than permanent address): __________________________________
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HOME PHONE: ___________________________ CELL PHONE: __________________________________
EMAIL ADDRESS: ________________________________________________________________________
CURRENT OCCUPATION: _________________________________________________________________
SOCIAL SECURITY #: ____________________ DRIVERS LICENSE # & STATE: _____________________
HAVE YOU EVER BEEN ARRESTED? ________________ IF YES, WHAT FOR AND WHEN? ___________
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EMERGENCY CONTACT PERSON: _________________________ PHONE #: _______________________
HOW DID YOU HEAR ABOUT CITIZENS POLICE ACADEMY?: ___________________________________
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WHY DO YOU WANT TO ATTEND THE CITIZENS POLICE ACADEMY?: ___________________________
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SIGNATURE DATE OF APPLICATION
Please mail or email completed application to:
Ocean City Police Department
ATTN: Ashley Miller
6501 Coastal Highway
Ocean City, MD 21842
amiller@oceancitymd.gov
FOR AGENCY USE ONLY
Background Investigator: ___________________
Approved: __________ Rejected: ___________
Date: ______________
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