Saginaw Police Department

CPA Application

Thank you for your interest in the Saginaw Police Department Citizens Police Academy. Please complete this on-line application completely, then hit the "Submit" button. Your application will be forwarded to our Community Services Unit, and you should be contacted within a few days.

Today's Date
First Name
Middle Name
Last Name
Date of Birth	Race / Ethnicity Sex
Current Age
Address
City
State
Zip Code
Home Phone
Cell Phone
E-Mail
Current Employer
Current Position
Felony	Have you ever been charged with or convicted of a felony crime? Please answer Yes or No
Misdemeanor	Have you ever been charged with or convicted of a misdemeanor crime? Please answer Yes or No
Pending Charges	Do you currently have knowledge or pending criminal charges against you from any jurisdiction....local, state, or federal?
Participation Goal	Why do you want to participate in the Saginaw Police Department CPA program?
Certification	I certify the information provided above is true and accurate to the best of my knowledge. I understand the Saginaw Police Department reserves the right to not allow my participation in a Citizens Police Academy. I understand that criminal history and background checks will be run by the Saginaw Police Department prior to approving my attendance in a CPA class. (Previous criminal history issues are not automatic disqualifiers from CPA attendance.) Type your name below as certification:

For more information, please contact our Class Coordinator.

Officer Kim Allison kallison@saginawpolice.org

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Saginaw Police Department - 505 W. McLeroy Boulevard - Saginaw, Texas 76179