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Roanoke Business Police Academy Application
Roanoke Business Police Academy Application
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Roanoke Business Police Academy Application
Date
Full Name
Mr.
Mrs.
Ms.
Addess
Date of Birth
Social Security Number
We will contact you for this information.
Home Phone Number
Work Phone Number
E-mail Address
Occupation
Employer
Years Employed (current employer)
List any Roanoke Police Officers you know.
Will you be able to attend all classes? If not, please explain.
Are you involved in the community? If so, how?
Why do you want to participate in the Business Police Academy?
What do you hope to gain from this program?
If you are not selected for this class, would you be interested in attending a future academy?
Yes
No
How did you first hear about the Business Police Academy?
By checking the box below, I hereby make application for the Citizen Police Academy sponsored by the Roanoke Police Department. I understand that a standard background check will be made using the information I have provided, including a criminal history and DMV history. I hereby certify that all statements made in this application and any attachments are true and complete to the best of my knowledge, and I understand that any misstatement of material facts may subject me to disqualification or dismissal.
I agree to the above statements.
November 21, 2009