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Lansing Citizen's Police Academy

 

Application for Enrollment 2020 Village of Lansing Citizen's Police Academy

First Name : 
MI :
 
 Last Name :
 
 Address : 
City :
 State : 
Zip Code :
 
 Home Phone :
Cell Phone :
 
 Email : 
Drivers License Number : 
 
 Current Employer : 
How Long : 
 
 Reference : 
Reference Phone Number :
 
In the space provided, briefly explain why you want to attend the Village of Lansing Citizen's Academy: