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Citizen Academy Enrollment Application

  1. Persons interested in attending the Merriam Police Department Citizens Academy must be at least eighteen (18) years of age, without any drug, domestic violence, or felony convictions or adjudications. Applicants must pass a records and background check and provide a personal reference.

  2. ex: Associate / John Doe Inc.

  3. ex: Street Address, City, State & Zip

  4. Do you have law enforcement experience?

  5. Have you ever been arrested or adjudicated for any crime, including a traffic violation?

  6. Please give one character reference, other than a relative, who has known you for at least three years.

  7. Street Address, City, State & Zip

  8. I hereby certify that the information contained in this application is true and complete to the best of my knowledge. The City of Merriam is hereby authorized to conduct any investigation of my personal history.

  9. Leave This Blank:

  10. This field is not part of the form submission.