Irvine Police Department

jdo@cityofirvine.org

1 Civic Center Plaza
Irvine, CA 92606

949-724-7015

Irvine Community Police Academy (CPA) Form

HOW DO I APPLY?

To participate in our Community Police Academy program, please complete and submit the application form below. The class fills up quickly and seats are available on a first come, first served basis. Space is limited.

If you have any questions about the program, the application, or other inquiries, please contact:

James Do | Police Sergeant

Irvine Police Department | Patrol Division

jdo@cityofirvine.org

Thank you for your interest in our program!

I PREFER TO ATTEND THE NEXT:

English speaking Community Police Academy class

Mandarin speaking Community Police Academy class

FIRST NAME

LAST NAME

DRIVER'S LICENSE

DRIVER LICENSE STATE

DATE OF BIRTH

RESIDENTIAL ADDRESS

CITY

STATE

ZIP

CELL PHONE

HOME PHONE

OCCUPATION

BUSINESS NAME

BUSINESS ADDRESS

BUSINESS PHONE

PLEASE PROVIDE THE REASON YOU ARE INTERESTED IN THIS PROGRAM.

HOW DID YOU HEAR ABOUT THIS PROGRAM? (check all that apply)

Friend

Police Website

Police Employee

Community Event

Former CPA Student

Flyer

Other

PLEASE PROVIDE US WITH THE NAME OR EVENT, FLYER, OR INDIVIDUAL YOU SPOKE WITH REGARDING OUR PROGRAM.

PLEASE PROVIDE ALL INSTANCES YOU WERE CONTACTED EITHER DIRECTLY OR INDIRECTLY, AT HOME OR WORK BY LAW ENFORCEMENT WITHIN THE LAST THREE (3) YEARS. IF YOU HAVE NO CONTACTS, PLEASE ENTER 'NONE.'

BY PRESSING THE "SUBMIT" BUTTON, YOU ARE AFFIRMING ALL INFORMATION YOU HAVE PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE, AND YOU UNDERSTAND YOU WILL BE REQUIRED TO UNDERGO A BACKGROUND INVESTIGATION PRIOR TO BEING INVITED TO THE CLASS. YOU FURTHER AGREE IF ANY NEGATIVE INFORMATION REGARDING YOUR BACKGROUND IS REVEALED DURING THE COURSE OF THE PROGRAM, YOU MAY BE ASKED TO LEAVE.