Citizen's Police Academy Application

Our August 2024 class is now FULL. Please check back soon for future class dates.

Please complete the entire form and click submit!

First Name

Middle Name

Last Name

Other Names Used (Maiden Name, Nicknames, etc.)

Date of Birth

Current Age

Place of Birth (City and State)

Gender

Hair Color

Eye Color

Citizenship (Country)

Citizenship Acquired By

Street Address

City

State

Zip Code

Cell Phone Number

Work Phone Number

Home Phone Number

Current Employer (If student, indicate school)

Job Title

Years With Employer

Work Address

City (Work)

State (Work)

Zip Code (Work)

Social Security Number

Driver's License Number

Driver's License State

Have you ever been CHARGED with a felony?

Have you ever been CONVICTED of a felony?

If yes, list details pertaining to conviction, including date, place, law enforcement agency, charge, court and disposition

List any civic organization involvements:

Why do you want to attend the Citizen's Police Academy?:

I acknowledge that by clicking "Submit Form" I authorize the Kenner Police Department to conduct a criminal records check and other investigatory procedures for the purpose of evaluating this application.

Kenner Police Department

Citizen's Police Academy Application

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