Citizen's Academy

This is the first step in the application process to the Richland County Sheriff's Department's Citizen's Academy. Please fill in all of the following blanks. You will be contacted as soon as your application is evaluated. Thank you for your interest in the Citizen's Academy.

Please enter your full name (ie. Joe Public) Name:
Address:	E-MAIL :
City:	State:	Zip:
Home Phone in form 123-4567:
Work Phone in form 123-4567:
Date of Birth in form MM/DD/YYYY:	Driver's License Number:	Social Security Number:

Why do you wish to attend the Citizen's Police Academy?

Please give the names, address and phone numbers of TWO non-family member references.

Reference 1:
Reference 2:

PLEASE READ

In consideration of my application to attend the Citizen's Police academy, I give the Richland County Sheriff's Department permission to conduct background checks on me, including convictions, pending charges, and outstanding warrants. I understand that this criminal history check is being conducted due to the nature of the classes given at the Citizen's Police Academy.

No, I do not agree
Yes, I agree!