Palmdale Sheriffs Station Community Academy XX Application
Full Legal Name (Last, First Middle)
Home Address
City Zip Code
Drivers License Number and State
Date of Birth Social Security Number
E-Mail Address
Place of Employment
Home Telephone Work Telephone
Hair Select Color Auborn Black Blond Brown Gray Other Red Eyes Select Color Black Blue Brown Green Hazel Sex: Male Female
Height Weight Emergency Contact: (Name, Address and Phone Number)
HAVE YOU EVER BEEN ARRESTED OR HAD PROBLEMS WITH THE LAW WHICH WOULD EMBARRASS THE LOS ANGELES COUNTY SHERIFF'S DEPARTMENT? YES , NO
IF YES, PLEASE EXPLAIN:
ANY FALSE STATEMENTS, EITHER VERBAL OR WRITTEN, MAY CAUSE THE APPLICANT TO BE REMOVED FROM THE ELIGIBLE LIST.
There is no fee for the Lancaster/Palmdale Sheriffs Stations Community Academy. However, due to the large number of applicants and limited class size, we ask that you make a firm commitment to attend all 11 sessions beginning Tuesday, October 16th, 2007.
By checking the below box, I authorize the Los Angeles County Sheriff's Department to initiate a Record Check prior to my acceptance to the Community Academy.
I accept the terms of this application.
PLEASE DO NOT HIT THE SUBMIT BUTTON MORE THAN ONCE! THE SERVER IS HAVING PROBLEMS, BUT YOUR APPLICATION IS BEING SUBMITTED.
This page Was Last Updated 10/08/2007
