Citizens’ Police Academy Sign-Up

Police ApplicantRPS Family MemberNew to CanadaMember of Citizen on Patrol Program

Surname (required)

Given Name 1 (required)

Given Name 2

Maiden Name

Address (required)

Residence phone number

Cell phone number

Business phone number

Your Email (required)

Your Occupation

Employer

Gender:

Applicant's Date of Birth:

List Name & Date of Birth of Other Adults at this address:

Education

Briefly explain why you would like to join the Citizens’ Police Academy:

How did you learn about this program?

NewspaperInformation SessionRPS MemberAboriginal Police Prep ProgramOther Police Agency MemberRPS WebsiteFamilyFriendTwitterFacebookRadioRPS Aboriginal Recruit Liaison OfficerCareer Fair (Please Specify below)Other (Please Specify below)

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