Forms • North Richland Hills, TX • CivicEngage

Citizen's Police Academy Application

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Full Name (Last, First, Middle):*

Sex:*

Address:*

City:*

State:

Zip:*

Daytime Phone:*

Alternate Phone:

Date of Birth:*

Place of Employment:

Driver's License #:*

Business Address:

City:

State:

Zip:

Work Phone:

Occupation Title:

Shirt size:*

Have you ever been arrested or convicted of any offense other than a Traffic Violation? If yes, please provide details.*

Email Address:*

Yes

I hereby authorize the North Richland Hills Police Department to conduct a review of my background for purposes of admittance to the Citizen’s Police Academy.*

* indicates required fields.

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