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2016 Citizen Police Academy Application

  1. Classes run September 15 - November 17th, Thursday nights from 6:00 pm – 9:30 pm
  2. West St. Paul Police Department
    1616 Humboldt Ave.
    West St. Paul, MN 55118
    Ph: 651-552-4200
    Fx: 651-552-4199
  3. Mendota Heights Police Department
    1101 Victoria Curve
    Mendota Hts, MN 55118
    Ph: 651-452-1366
    Fx: 651-452-2995
  4. Are you a West St Paul / Mendota Heights resident?*
      1. If you are not a resident, do you work in the City of West St Paul / Mendota Heights?
          1. Business Information (if non-resident, but employee in WSP or MH)
          2. Have you ever been convicted as an adult for a criminal violation including traffic tickets?*
              1. Polo Shirt
              2. Size
              3. In order to apply online you must include a digital copy or picture of your Drivers License. If you only have a paper copy, you must apply in person.
              4. Signature*
                I am over 18 years of age and I agree to allow West St Paul or Mendota Heights Police to run a Criminal Background Check on me for the purpose of determining my suitability for this program. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. (Please note: A criminal record does not automatically disqualify an applicant).
              5. Tennessen Warning
                Information requested on your application is private and may be released only to you (MS.13.04Sub2.) Private data contained include:

                Name: You must provide your full name. This is used to identify you from other applicants. Also using in a background check. Failure to provide this may result in a delay in processing or rejection of your application.

                Local / permanent address/home telephone: Used to contact you regarding your application status. You are not required to provide this information. Failure to provide this information may result in a delay of processing or notifying you of your application status, or giving credit for resident status.

                License Information: Used for background check. You are required to provide this information. Failure to provide this information may result in your rejection as an applicant.

                Date of birth: Used for background investigation and to check minimum age requirement for the program. Failure to provide this information may result in rejection of your application.
              6. Leave This Blank:

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