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Village of Arlington Heights

administration@vah.com

33 S. Arlington Heights Road , Arlington Heights , IL, 60005, US

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Arlington Heights Police Department

Citizen Police Academy Application

 

Please complete and submit and/or print and return to: 

Arlington Heights Police Department
Attn: Officer Carrie Regilio, Community Services Bureau
200 E. Sigwalt Street
Arlington Heights, IL  60005
cregilio@vah.com

Full Name

Full Address


Date of Birth


Is your Drivers License Valid?


Have you ever been arrested for anything other than a traffic offense?


Employers Address


Emergency Contact

Emergency Contact's Address


Arlington Heights Police Star

As a way of promoting the Citizen Police Academy (CPA), photographs and video imagery may be taken during academy sessions which might be used on the Arlington Heights Police Department's website or appear in local newspapers.

I certify that all statements made on this application are true and complete.  I certify that I am at least 21 years of age and agree to allow the Arlington Heights Police Department to conduct a background check prior to my participation in the CPA.  I agree and understand that any deliberate misstatement or omission of material facts may disqualify me to attend the CPA.

My signature below acknowledges my understanding and agreement with the material provided.

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