Section 1 of 1 in this document
CMPD Youth Academy Enrollment Application
Enrollment to this Academy
Enrollment into this Academy
Choose One
CMPD Middle School Academy
CMPD High School Academy
CMPD Explorers Academy
CMPD Leadership Academy
CMPD Teen CERT Academy
CMPD Latino High School Academy
Applicant Information
Last Name
First Name
Nicknames or Aliases
Date of Birth
Month
MM
January
February
March
April
May
June
July
August
September
October
November
December
Day
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
YYYY
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
Age
Race
Sex / Gender
Male
Female
Home Address
City
State
Zip Code
Email Address
Home Phone Number
Mobile Phone Number
High School Attending
Current Grade Level
School Resource Officers SRO Name
SROs Email Address
School Guidance Counselor's Name
Counselor's Email Address
T-Shirt Size
Small
Medium
Large
X-Large
Parent / Guardian Information
Parent/Guardian Name(s)
Parent/Guardian Home Phone
Parent/Guardian Work Phone
Parent/Guardian Email Address
Parent/Guardian Home Address
City
State
Zip Code
Emergency Contact Information
Emergency Contact Name(s)
Relationship to Applicant
Emergency Contact's Work Phone
Emergency Contact's Home Phone
Emergency Contact's Mobile Phone
Criminal History
Live in Mecklenburg County
Yes
No
Have you ever been arrested?
Yes
No
Have you ever been suspended from school in the last 2 years?
Yes
No
Have you ever used illegal drugs?
Yes
No
Have you ever been issued a traffic citation?
Yes
No
Explanation of criminal history, if answered YES to any of the above questions.
Questions
1. What do you hope to gain by attending the High School Police Academy?
2. What type of community and/or volunteer activities do you participate in and how do you think that these activities impact our society?
3. Tell us something about yourself. How do you like to spend your free time? Hobbies?
4. Due to recent events in the media what is your opinion of the Law Enforcement?
5. What qualities and/or characteristics may distinguish you from other applicants?
disregard this