Kalamazoo Regional Citizens Academy Application Form Why do you wish to attend the Citizen Police Academy?(required) How did you first hear about the Citizen Police Academy?(required) Have you ever been arrested/convicted of a crime? If yes, are you currently on probation or parole?(required) Your Information Name(required) Date of Birth(required) Address(required) City(required) State(required) Zip Code(required) Home Phone Number(required) Work Phone Number(required) Email Address(required) Name of Employer/Organization(required) Occupation(required) Driver's License Number(required) References Reference Name(required) Reference Phone Number(required) Submit Δ