Citizen's Police Academy Enrollment Form

Please provide the following information to enroll in the Spring 2023 Citizen's Police Academy. A condition of participation in the UNH Citizen's Police Academy is a criminal and motor vehicle background check. By submitting this form, you are consenting to having UNH Police complete these checks.

Full Name

Date of Birth

**Please note that participants must be at least 17 years of age or older**

Driver's License Number

Driver's License State

Country

Street address

City

Postal code

Contact Phone Number

Email Address

UNH Student?

Is the applicant a UNH Student?

Yes

Major (Area of Study)

If a UNH Student or Faculty, what is your major or field of study?

Community Status

Please define your Role in the UNH Community

Have you Ever Participated in a Citizen's Police Academy Before?

Have you ever participated in a CPA either at UNH PD or at another department?

Yes

Why would you Like to Participate in this Citizen's Police Academy?

Please describe briefly why you would like to participate in this CPA

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