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Young Citizen Police Academy (YCPA) Application

  1. You must be 18 years or older to complete or submit this application.

  2. Have you ever been convicted of a crime?*

  3. Name & phone #

  4. Name & phone #

  5. In consideration of my application to attend the YCPA, I give the Lake Jackson Police Department permission to check my personal background, references and to conduct other background checks as necessary to insure the integrity of the class.

  6. Permission*

  7. Leave This Blank:

  8. This field is not part of the form submission.