CMPD

601 E. Trade Street Charlotte, NC 28202

Citizens' Academy Application Form

Please complete the application form for the Academy enrollment.

Are you 18 years or older?

YES

Nickname(s)

Place of Birth

Telephone (Main)

Telephone (Work)

Citizenship

Naturalized

Other

Driver's License Number

State License was Issued

Ethnic Background (specify)

Do you have Law Enforcement Experience?

Yes

Current Occupation

Employer

Please explain your reason for attending the Citizen's Academy.

NOTE - A Criminal Background Check will be completed due to police sensitivity issues.

Background Check Consent

Yes, I give the CMPD permission to conduct a standard background check of my person.

No, I do not give my consent.