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Albuquerque Police Department
Citizen Police Academy Application
All fields must be completed.
Last Name
First Name
MI
Street
Apt
City
State
Zip
Home Phone
Work
Other
Birth Date
Social Security No.
Drivers License No.
State
Expiration
Current Employment
Have you ever been convicted of a felony?
Yes
No
Have you been arrested for any misdemeanor, including DWI, within the last 3 years?
Yes
No
If you are active with any neighborhood, community, or civic organizations, please list below:
I fully understand that any intentional attempt on my part to provide INCORRECT or MISLEADING information would be just cause for rejection of my application.
Applicant
Signature
____________________________________________ Date______________
NOTE: Print button works only with Windows; Mac users must print from toolbar.
Print the
completed
application then mail or fax
signed
application to:
A.P.D. Citizen Police Academy
5412 2nd Street N.W., Albuquerque, N.M. 87107
Office: (505) 343-5000 FAX: (505) 343-5025