Community Police Academy Application

Go back to the Community Police Academy page

Please note that submitting an application does not guarantee admittance into the program.

Part 1
Please fill out the form below and click 'Submit' when complete. Fields marked with an asterisk (*) are required.

Part 2
After submitting Part 1, you will receive an email from University Police with further instructions. Please complete the remaining steps to finish your application.

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

First Name *

Last Name *

Address Line 01 *

Address Line 02

City *

State *

Zip *

Cell Phone *

Home Phone

Email *

Date of Birth *

Month

Day

Year

Birth State

Please select the state in which you were born. If you were born outside of the United States, please leave blank.

Select Correct Title *

Student

Faculty

Staff

Emergency Contact *

Emergency Contact Phone *

Leave this field blank

Search form

Community Police Academy Application

Please note that submitting an application does not guarantee admittance into the program.