Citizens Police Academy

Application

The Citizens Police Academy is an educational program designed to offer residents and business owners an opportunity to learn about the Hanover Police Department’s functions and services.  It is in no way designed to train individuals to perform law enforcement functions.  The training will consist of classroom instruction, tours and practical demonstrations by various members of the department.  These lessons should give students a more realistic view of the way law enforcement personnel perform their duties within the town.  Attendance in a least seven out of  the ten regularly scheduled (range, correctional facility tour and ride along are not required) classes is necessary for the successful completion of this course.

 

Please Type or Print

Name:

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

SSN #:

 

 

DOB:

 

 

 

 

 

Telephone #:

Home

 

 

Work

 

 

 

 

Employer:

 

 

 

 

 

Job Title:

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 A class roster is distributed to each class member containing the names, addresses and telephone numbers of all class members.  Do you wish to have your address or telephone number withheld from this class roster? (Yes or No)

Applicants should be aware that background checks are conducted prior to acceptance into the Citizens Police Academy. 

Briefly describe why you are interested in taking this course: 

 

 

 

 

 

 

 

 

 Would you be interested in participating in the following additional activities?

Tour of the Plymouth County Correctional Facility

YES

NO

 

 

 

Handgun Range Practical Exercise

YES

NO

 

 

 

Ride Along with an officer on patrol

YES

NO

 

 

 

T-Shirts are presented upon completion of the Citizens Police Academy.  Please circle the desired size: 

S     M     L     XL     XXL 

 

Return applications to:               Sergeant Gregory Nihan

                                                Citizens Police Academy

                                                Hanover Police Department

                                                129 Rockland Street, PO Box 214

                                                Hanover, MA  02339-0214

 Please note:  Class size is limited.  Applicants will be notified upon acceptance into the program.

 

For Departmental Use Only 

Acceptance Date:

 

Class #: