Gastonia Police Department

Citizens Police Academy Application

Application Deadline is August 3, 2021

Name Called:

Home Phone:

Work Phone:

Employer Information:

Employer Name

Occupation

Mobile Phone:

Driver's License Number:

* Have you ever been convicted of a crime?

Yes

If Yes, Explain Briefly:

List Two Personal References:

Reference One - Name:

Reference One - Phone Number:

Reference Two - Name:

Reference Two - Phone Number:

Why do you want to attend the Gastonia Police Citizens Academy?

How did you hear about our Citizens Academy?

* All applicants are subject to a background check

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