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Berea Police Department Citizen Academy Application

  1. Berea Police Department Citizen Academy Application
  2. Thank you for applying to the City of Berea Citizen Police Academy class. Return your completed application to the Police Department in person, via US mail, or by email to Ptl. Nick Huskins, Nhuskins@bereapolice.org .     

    To be eligible for the Academy, applicants must:

    • Be 21 years of age or older
    • Have a High School Diploma or GED
    • Be a resident of the City of Berea OR work in the City
    • Have no pending criminal charges
    • Have no felony convictions; misdemeanor convictions will be considered on a case by case basis
    • No pending civil litigation against the City, any other municipality, state, or federal government or other governmental or quasi-governmental agencies
    • Have personal character consistent with community standards.
  3. CONTACT INFORMATION:
  4. PREVIOUS ADDRESS (if current address is less than 10 years). Please list dates of residency:
  5. EMPLOYER:
  6. EDUCATIONAL BACKGROUND:
  7. REFERENCES:

    Please provide 3 non-relative references.

  8. Reference #1
  9. Reference #2
  10. Reference #3
  11. Have you ever been arrested and/or convicted of a crime? Yes / No (circle one)
  12. Are you a member of any organizations (i.e. civic clubs, community organizations, block-watch, etc.)?
    • All applicants meeting the requirements for the Academy will be considered. Class size is limited. The Police Department reserves the right to decline any applicant. 
    • Successful completion of this Academy DOES NOT provide any professional certifications, licenses, or other qualifications.
    • Providing false information on this application will be grounds for non-admittance to or dismissal from the Academy.
  13. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 

    1) Your application will not be signed in the sense of a traditional paper document.

    2) By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

    3) You may still be required to provide a traditional signature at a later date.

    4) You give permission to the Berea Police Department to conduct a background check to determine if you have a criminal record and meet the requirements of entry into the City of Berea Citizen Police Academy.

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