Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

2019 Citizens Police Academy Application

  1. Sex

  2. Have you ever been convicted of a crime (excluding Traffic Violations)?*

  3. I understand the Shaker Heights Police Department Citizens Police Academy will meet every week from 7 to 10 p.m. for 10 weeks.*

  4. I understand individuals selected to participate in the Academy are expected to attend all sessions and to participate in class activities.*

  5. I understand I may miss no more than 2 classes for any reason during the term of the academy in order to be eligible for graduation. If I do not graduate due to attendance, I will be afforded the opportunity to make up the missed classes during the next academy. I will then be eligible for official graduation from that academy class.*

  6. I understand that I will be subject to a criminal background inquiry before being accepted into the program. Those having arrest and conviction histories that include a felony, a misdemeanor of violence or moral turpitude, etc. are not eligible to participate.*

  7. I understand that I will be required to sign a Release in order to participate.*

  8. I understand the Chief of Police reserves the right to exclude any applicant from consideration whose participation is deemed not to be in the best interests of the Shaker Heights Police Department and / or the applicant.*

  9. Signature*

  10. Please Answer the Following Questions

  11. Leave This Blank:

  12. This field is not part of the form submission.