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The Woodland Police Department appreciates your interest in the Citizen Police Academy. Since participants of the Citizen Police Academy will be shown many aspects of law enforcement and a glimpse inside the Woodland Police Department, all applicants are required to complete the enclosed background and application forms. This will assist the Woodland Police Department in determining your suitability for the Citizen Police Academy. The information you provide in the enclosed packet will be kept confidential.
1. The completion of all these forms is mandatory. 2. All statements are subject to verification. 3. Deliberate inaccuracies or incomplete statements may bar or remove you from acceptance and/or participating.
It is to your advantage to respond openly. Any negative factor in your background will be evaluated in terms of the circumstances and facts surrounding its occurrence. For
example, being fired from a job or having an arrest record is not in itself grounds for
disqualification. During the investigation, the investigator will inquire into the facts
surrounding such an occurrence. An evaluation will then be made of the relevance of these facts to the requirements of attending the Citizen Police Academy.
Please take a minute to prepare your digital documents. You will not be able to complete and submit this application without them. You will need to locate and scan the following documents in order to proceed with this online application. All documents submitted shall become a permanent entry as part of your application for
the Citizen Police Academy.
Please check off the required documents once you have them scanned and ready to attach:
Once you turn in the above listed forms along with the following application, it will be reviewed. If you pass the initial application phase, Executive Assistant Trista Kennedy, will contact you to schedule a LiveScan appointment for a Department of Justice fingerprint check. YOU DO NOT SCHEDULE YOUR OWN FINGERPRINT
APPOINTMENT – WE WILL FACILITATE THE SCHEDULING. A CPA Coordinator will contact you to schedule you fingerprint appointment.
EX: 5' 6"
If you are having issues with uploading documents, please contact Executive Assistant Trista Kennedy at Trista.Kennedy@cityofwoodland.org or 530-661-7865.
**REQUIRED** Please upload a clear scan of your Driver's License or ID Card.
**REQUIRED** Please upload a PDF of your DMV Driving Record. NOTE: You can request and receive a copy online at www.dmv.ca.gov. The cost is only $2.00.
Please list the year, make, model and color of your personal vehicle.
**REQUIRED** Please upload a PDF of your current auto insurance.
It is the desire of the Woodland Police Department to have Citizen Police Academy
participants that are medically fit and able to perform the different tasks associated with the Academy to include: kneeling, getting in and out of a vehicle, prolonged sitting and standing, wearing a 10-15lb. Kevlar vest, and life approximately 10 lbs., etc. Therefore, it is required that the applicant set an appointment with their personal physician to be examined and be declared physically qualified to attend the Citizen Police Academy.
Please upload the completed Personal Physical Fitness Release Form. Make sure it is signed and dated by your physician.
Please upload the signed City of Woodland Waiver of Liability, Medical Release, and Indemnification Agreement for Minor and Adult Participant form.
Please select all that apply:
If none, please list N/A.
Academy participants are required to provide their own transportation to and from class(es).
Please list your nearest friend or relative not living with you.
MUST list six (6) total - Three (3) Family Reference and three (3) Outside References. A family reference is a spouse, child, sibling or parent. An outside reference is a friend, co-worker, roommate, landlord, etc.
A family reference is a spouse, child, sibling or parent.
Family Reference #1
Family Reference #2
Family Reference #3
An outside reference is a friend, co-worker, roommate, landlord, etc.
Outside Reference #1
Outside Reference #2
Outside Reference #3
All questions must be answered in your own handwriting. Consider your response
carefully before responding. Please be completely honest.
Please list the drug and date last used (MM/YYYY).
Conviction of a crime is not necessarily a bar to participating in the Citizen Police Academy.
Each case is considered separately.
DO NOT include: A) Minor traffic violations (fines of $75 or less). B) Any offense committed prior to your 18th birthday, which was fully adjudicated in
Juvenile Court or under a youth offender law. C) Any incident sealed under Welfare & Institutions Code 781 or Penal Code 1203.45.
If not applicable, please list N/A.
As a Citizen Police Academy participant for the Woodland Police Department, I am willing to furnish information for use in determining my qualifications. In this connection, I authorize release of any and all information that you may have concerning me, including information of a privileged nature.
I hereby release you, your organization, or others from liability for damage, which may result from furnishing the information required.
I understand that for security reasons a basic clearance check will be conducted and I will be fingerprinted. Further background will be required only if a specific assignment calls for a full security check.
I am an applicant in the City of Woodland Police Department Citizen Police Academy. A background investigation will be conducted to determine my fitness to participate in the Citizen Police Academy.
I hereby direct you, your organization, its Custodian of Records, and/or persons in your employ to release any and all information which you may have concerning me, including, but not limited to: employment information, official employment documents, employment performance data, character reference information, local criminal history information (pursuant to Penal Code Section 13300[b]), and/or any other information which you may possess.
I exonerate, release and discharge you, your organization, its officers, agents, and assigns, from any liability or damages, whether in law or in equity, now and in the future, for furnishing the information requested by the bearer of this authorization form.
I have specifically and permanently waived any rights I may have to review or inspect any and all information developed in this investigation so your responses will be completely confidential pursuant to Labor Code Section 1198.5. You may retain this form for your files.
I certify that I have read this authorization form, understand its meaning and
purpose, and have received a copy of it. I may revoke this authorization at any time by delivering, in writing, such revocation to you/your organization.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Please explain any potential conflicts that you foresee regarding your attendance in the Citizen Police Academy.
I have read and understand the above minimum requirements for Citizen Police
Academy participants of the Woodland Police Department. I certify that all statements and answers on this form are true and complete.
Thank you for completing the Citizen Police Academy Application form. Once your form is submitted, it will be reviewed and you will be contacted. Please allow some time for us to process this application. If you have any questions or need assistance, please contact Executive Assistant, Trista Kennedy, at Trista.Kennedy@cityofwoodland.org or call 530-661-7865.
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