Fillable Cpa2020application Form.fill-in 002

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Cpa2020application Form.fill-in 002

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U.S.A. forms for City of Evans Colorado

BROWSE CITY OF EVANS COLORADO (CO) FORMS

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The Evans Police Department is hosting its annual session of the Citizens Police
Academy (CPA). The CPA promotes community partnerships and is designed to
familiarize Evans’ citizens with the day-to-day operations of their police department.
The CPA is an 9-week program with classes held on Thursday evenings from 6:00 p.m.-
9:00 p.m. Participants will attend lectures and discussions on topics to include: crime
scene investigations, traffic enforcement, accident investigation, SWAT, narcotics, less
lethal force, and firearms.
The program is free of charge, but seating is limited to 25, and you must be 18 years of
age. Please complete the form below and return it to the Evans Police Department –
Attention: Community Outreach & Police Services Unit. Thank you for your interest.
Registration Form Date / /
Personal Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
ZIP Code
Primary Phone:
( ) -
Alternate Phone:
( ) -
E-mail Address:
Birth Date:
Driver’s
License #
State:
Spouse’s Name:
Emergency Contact Information
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Primary Phone:
( ) -
Alternate Phone:
( ) -
E-mail Address:
Birth Date:
Citizens Police Academy
Community Outreach & Police Services Unit
Office: 970-590-1504 or e-mail: tmcclatchey@evanscolorado.gov
Have you ever been arrested, convicted, or charged with any crime? If so, please
describe the circumstances:
Describe your reasons or interest in attending the Evans’ Citizens Police Academy:
Have you ever attended a Citizens Police Academy; if so, when and where?
Have you ever worked in law enforcement; if so when and where?
This academy requires the attendance of nine 3-hour classes on Thursday evenings,
from 6:00 p.m. – 9:00 p.m. from March 19th through May 14th, 2020. Additionally, we
have organized a half day class at the range on Saturday, May 9th from 9am-1pm. Do
you anticipate being able to attend all the classes? Yes / No
Do you have any special needs that require accommodation in order for you to
participate in this program? If so, please contact Officer Teresa McClatchey at
(970) 590-1504.
Due to the sensitive nature of the information provided at the CPA, a background
screening will be necessary for all participants. By signing and submitting this application,
you agree and grant permission to the Evans Police Department to verify the information
contained in this application and check for prior criminal history. I certify the information
in this application is true and complete to the best of my knowledge.
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Cpa2020application Form.fill-in 002

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Completed 12 July 2020

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