101 Town Center, P.O. Box 5655, Bella Vista, AR 72714 (479)876-1255
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BVPD Citizens Police Academy


Submit the form below to apply to participate in the Citizens Police Academy. Applications are accepted on a first come, first served basis until the class is full.

Applicants are required to be at least 21 years of age and have no criminal record (no felony convictions and/or arrestes for domestic abuse laws) because of firearms training that take place during this course. You must be able to walk unassisted, bend at the waist and easily lift 10 pounds.

For any questions about participating or general questions about the Citizens Police Academy prior to submitting this application, contact Capt. Tim Cook at 479-855-3771 or email tcook@bellavistaar.gov.


Name:
 
Address:

Phone:

Email:

Date of birth:

Occupation:

Place of employment:


What is your current physical condition?


Are you able to walk unassisted, bend at the waist and easily lift 10 pounds?
  Yes
  No

Why do you wish to attend the Citizens Police Academy?


Have you ever been arrested for a crime? 
  Yes
  No

If yes, what crime and when?


Give the name, address and phone number of two character references.
1. 
2.