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2. Participation Requirements
   1. Must be 18 years old.
   2. Must reside or work in the City of Jacksonville.
   3. Must consent to a background check and have no felony convictions or pending criminal cases.
   4. Must be able to participate in classroom hands-on activities, including firearms familiarization.
   5. Must commit to attending at least 6 out of the 8 sessions to receive a certificate.
   6. Participants are expected to conduct themselves professionally and respect the rules of the Academy.
6. Academy Information
   • Dates:  April 21st - June 9th
   • Class Times:  Tuesdays, 6:00pm - 9:00pm
   • Application Deadline:  April 14th 2026
   • Academy will be limited to 20 participants.
10. Applicant Information
12. First Name*
13. Last Name*
15. Date of Birth*
16. Email Address*
18. Address1*
20. Address2
22. Phone Number
24. City*
25. State*
26. Zip*
28. Driver's License or ID Number*
29. State*
33. Emergency Contact Information
35. Name*
37. Phone:
39. Address:*
41. Relationship:*
45. Background Information
47. Have you ever been arrested for or convicted of a felony?*

    1. Yes
    2. No
49. If yes, please explain.
51. Do you have any pending criminal charges?

    1. Yes
    2. No
53. If yes, please explain.
55. Do you have any medical conditions that could prevent you from fully participating in physical activities such as firearms training?

    1. Yes
    2. No
57. If yes, please explain.
59. How did you hear about the Jacksonville Police Department Citizen's Police Academy?

    1. Social Media
    2. Website
    3. Friend / Family
    4. Other
61. Why do you want to participate in the Citizen's Police Academy?
63. I affirm the information provided is accurate. I understand that participation in the Citizen's Police Academy is a privilege and that the Jacksonville Police Department reserves the right to deny or remove participants for any reason. I also consent to a background check as part of the application process.*

    1. I understand and agree
65. First Name
66. Last Name
68. Date*
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field