Potential candidates for the Citizens Academy  must be at least 18 years old and live or work in the Roseville area.

Please note: 

  • A local background check will be made based on the information provided in the application.
  • Once selected, candidates will be notified by e-mail.
  • Enrollment is limited to approximately thirty (30) students

Time: 6-9 p.m. 
Date:  May 19 - 29  Monday - Thursday
Place: 1051 Junction Blvd. 

Please confirm your schedule availability before applying. Attendance at every session is required.

Please fill in the application thoroughly. Incomplete applications will result in rejection of the application.

Academy Application

 

Legal First Name
Middle Initial
Legal Last Name
Prior/Maiden Name(s)
Date of Birth
Driver's License Number
Driver's License Issuing State
Home Street Address
City
State
Zip
How long have you lived at this address?
Previous Street Address
City
State
Zip
Phone Number
Is this a cell phone?
E-mail address
Occupation
Employer
Employer's Street Address
City
State
Zip
Employer's phone number
Reason for attending
Have you ever been arrested for a misdemeanor or felony crime?
If the class fills up, I request to be added to a waitling list
 By checking this box, I understand a local background check will be conducted using the information provided on my application and information obtained will be used to determine my eligibility.

 



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