CPA Application



  • First Name:
    		MI:
    		Last Name:

  • Address:
    		City:
    County:
    		State:
    		ZIP:

  • Phone:
    		Contact Preference:
    E-mail:

  • Have you ever been arrested/convicted of a crime or a traffic offense requiring jail time? : (Required)



  • If YES, please explain.: (Required)

  • Why do you wish to attend the Citizen’s Police Academy?:

  • How did you hear about the Citizen's Police Academy?:

  • I affirm that the information on this application is true and complete to the best of my knowledge. I understand that deliberate false statements or the withholding of information may make me ineligible to be considered as a Citizen Police Academy applicant. I do understand the Wheeling Police Department reserves the right to disqualify anyone convicted of a felony or certain misdemeanors from participation in this academy. I give the Wheeling Police Department permission to conduct any background investigation they deem necessary on me as part of the processing of this application, and to use any information obtained in accordance -with the policies of the Wheeling Police Department. By clicking the check box, I agree to this statement.:

Enter This Verification Number (Required)