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2. City of Morgan Hill Community Police Academy

   Applicants must be at least 18 years of age and must not have any felony convictions, convictions of certain misdemeanor crimes, and no pending criminal cases.  Applicants will be carefully screened, and a background investigation check will be completed in addition to the applicant signing confidentiality and waiver agreements.

4. Full Name:*
6. Mailing Address (include City, State, and Zip Code):*
8. Home Phone Number:*
10. Cell Phone Number:*
12. Email Address:*
14. Date of Birth:*
16. Last 4 Digits of Social Security Number:*
18. Driver's License Number (include State and Expiration Date):*
20. Were you referred to the Community Police Academy program by a current City of Morgan Hill employee or volunteer?

    If yes, state whom.

22. Have you ever been convicted of a felony, misdemeanor, or plead no contest?*

    1. Yes
    2. No
24. Have you been or are you on probation or parole?*

    1. Yes
    2. No
26. If yes, list all convictions as an adult (include date, code section, and final disposition on your record).
    
28. By clicking "I Agree", I hereby request to participate in the City of Morgan Hill Community Police Academy. I understand that there may be risks associated with participating in this activity. By signing below, I hereby release City of Morgan Hill, officers, employees, elected officials, and all agents thereof, from any liability which might arise as a result of that activity. *
    -- Select One --I AgreeI Do Not Agree
30. Please type name to sign. *

    By my signature,   I hereby certify that the information contained in this application for acceptance into the City of Morgan Hill Community Police Academy is true and complete to the best of my knowledge.  I understand that any misrepresentation or deliberate omission of a material fact in my application may disqualify me from the application process or dismiss me from the academy program.  I agree to undergo a background investigation check.  I authorize the persons named in my application to give any additional information regarding my character, and release them from any liability for any damages whatsoever for issuing this information to the extent permitted by law.

32. Date and Time Submitted*
    Date and Time Submitted

    Date and Time Submitted
34. Your application will be forwarded to the CPA Team for review.

    Once your application has been reviewed, you will be contacted by the program coordinator or a team member.
    
    
36. Thank you for your interest in our Community Police Academy.
    
    
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field