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Citizens Academy Application
The Johnson County Sheriff's Office Citizens Academy consists of a twelve (12) week program. Unfortunately no more than twenty (20) participants can be accommodated per Academy. The Academy meets every Tuesday evening, from 6:00 pm to 9:30 pm, at the Fred Allenbrand Criminal Justice Center, Sheriff's Office Operations Building, 27747 W. 159th Street in New Century, Kansas. The Academy is free of charge and involves interactive instruction through both classroom presentations and field experience.
PERSONS INTERESTED IN ATTENDING THE SHERIFF'S CITIZENS ACADEMY MUST (1) RESIDE IN JOHNSON COUNTY, KANSAS; (2) BE AT LEAST EIGHTEEN (18) YEARS OF AGE; (3) HAVE NO DRUG, DOMESTIC VIOLENCE, OR FELONY CONVICTIONS OR ADJUDICATIONS; (4) PASS A RECORDS AND BACKGROUND CHECK (5) PROVIDE A PERSONAL REFERENCE. ALL APPLICATIONS WILL BE PLACED ON A WAITING LIST FOR FUTURE ACADEMY OPENINGS. QUESTIONS REGARDING THE STATUS OF YOUR APPLICATION CAN BE ANSWERED AT (913) 715-5505.
First Name

Middle Name

Last Name

DOB (mm/dd/year)

Address

City

State
Zip

Home Phone

Cell Phone

Your Email Address

Occupation

Employer

Employer Address

Employer City

Employer State
Employer Zip

Business Phone

Driver's License Number

Driver' License State
Social Security Number

Do you have any law enforcement experience?
YesNo
If yes, please explain:

Have you ever been arrested or adjudicated for a crime other than a traffic violation?
YesNo
If yes, provide details of arrest(s) and/or conviction(s):

Please provide one character reference, other than a relative, who has known you for at least three (3) years.
Reference First Name

Reference Middle Name

Reference Last Name

Years Acquainted

Reference Address

Reference City

Reference State
Reference Zip

Reference's Occupation

Reference's Employer

Reference's Home Phone

Reference's Business Phone

Reference's E-Mail Address

Do you have any special needs? (hearing impaired, etc.)

Please list any Citizens Academies you have attended in the past.

How did you hear about the Sheriff's Citizens Academy and why do you want to attend?

I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. THE JOHNSON COUNTY SHERIFF'S OFFICE IS HEREBY AUTHORIZED TO CONDUCT ANY INVESTIGATION OF MY PERSONAL HISTORY.
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