
Post Office Box 1510 • Alexandria, Louisiana 71309 • Telephone 473-6700
APPLICATION FOR THE RAPIDES PARISH SHERIFF'S CITIZENS' ACADEMY
NAME: ________________________________________________________________________
(Last) (First) (M.I.)
DATE OF BIRTH: __________________________ SEX ______ RACE ___________
HOME ADDRESS: _______________________________________________________________
PHONE INFO: (H) ____________________ (W) __________________ (C) _________________
E-MAIL ADDRESS: _____________________________________________
DRIVERS LICENSE #___________________________________________
EMPLOYER: __________________________________________________
HAVE YOU EVER BEEN ARRESTED? YES_____ NO_____
If yes, please explain (including dates)
HAVE YOU EVER BEEN CONVICTED OF A FELONY? YES_____ NO_____
If yes, please explain (including dates)
SIZE OF T-SHIRT ______
PLEASE FILL THIS FORM OUT AS SOON AS POSSIBLE BECAUSE WE CAN ONLY ACCEPT THE FIRST THIRTY (30) QUALIFIED APPLICANTS. IF YOU ARE NOT SELECTED THIS TIME WE WILL KEEP YOUR APPLICATION ON FILE AND CALL YOU THE NEXT TIME WE HAVE AN ACADEMY. IF YOU HAVE ANY QUESTIONS YOU MAY CALL THE RAPIDES PARISH TRAINING CENTER AT (318) 442-9229.
YOU MUST BE AT LEAST 21 YEARS OLD TO ATTEND
Please print and mail to:
Patsy Netherland - P.O. Box 1510 - Alexandria, LA 71309 or fax to: 318-442-9231