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Irvine Community Police Academy (CPA) Form

HOW DO I APPLY?

To participate in our Community Police Academy program, please complete and submit the application form below. The class fills up quickly and seats are reserved on a first come, first served basis. Space is limited.

If you have any questions about the program, the application, or other inquiries, please contact:

James Do | Police Sergeant
Irvine Police Department | Patrol Division
jdo@cityofirvine.org

Thank you for your interest in our program!

REQUEST FOR INFORMATION. I PREFER TO ATTEND THE NEXT: *

English speaking Community Police Academy class

Mandarin speaking Community Police Academy class

FIRST NAME *

LAST NAME *

DRIVER'S LICENSE *

DRIVER LICENSE STATE *

DATE OF BIRTH *

RESIDENTIAL ADDRESS *

CITY *

STATE *

ZIP *

CELL PHONE (999-999-9999) *

HOME PHONE (999-999-9999)

EMAIL *

OCCUPATION

BUSINESS NAME

BUSINESS ADDRESS

BUSINESS PHONE (999-999-9999)

PLEASE PROVIDE THE REASON YOU ARE INTERESTED IN THIS PROGRAM *

PLEASE PROVIDE US WITH THE NAME OR EVENT, FLYER, OR INDIVIDUAL YOU SPOKE WITH REGARDING OUR PROGRAM *

PLEASE PROVIDE ALL INSTANCES YOU WERE CONTACTED EITHER DIRECTLY OR INDIRECTLY, AT HOME OR WORK BY LAW ENFORCEMENT WITHIN THE LAST THREE (3) YEARS. IF YOU HAVE NO CONTACTS, PLEASE ENTER 'NONE.' *

BY PRESSING THE "SUBMIT APPLICATION" BUTTON BELOW, YOU ARE AFFIRMING ALL INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE, AND YOU UNDERSTAND YOU WILL BE REQUIRED TO UNDERGO A BACKGROUND INVESTIGATION PRIOR TO BEING INVITED TO THE CLASS. YOU FURTHER AGREE IF ANY NEGATIVE INFROMATION REGARDING YOUR BACKGROUND IS REVEALED DURING THE COURSE OF THE PROGRAM, YOU MAY BE ASKED TO LEAVE.

Math question * 8 + 12 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

City of Irvine

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Irvine Community Police Academy (CPA) Form