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Lansing Citizen's Police Academy

 Application for Enrollment 2019 Village of Lansing Citizen's Police Academy
First Name : 
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 Last Name :
 
 Address : 
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 Home Phone :
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 Email : 
Drivers License Number : 
 
 Current Employer : 
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 Reference : 
Reference Phone Number :
 
In the space provided, briefly explain why you want to attend the Village of Lansing Citizen's Academy: