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Citizen Police Academy Application (CPA)

  1. Have you ever been convicted of a crime?*

  2. Name & phone #

  3. Name & phone #

  4. In consideration of my application to attend the YCPA, I give the Lake Jackson Police Department permission to check my personal background, references and to conduct other background checks as necessary to insure the integrity of the class.

  5. Permission*

  6. Leave This Blank:

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