Charles F. Wagner, Jr.
Sheriff and Tax Collector
Rapides Parish

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 PRINT AND 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