Teen Law Enforcement Academy Application

Coordinator: Dylan.ignacio@alexandriava.gov

Academy Requirements:
  • Applicants must be 14 to 18 years of age.
  • Applicants preferred to live or go to school in the city of Alexandria.
  • Applicants must have clean criminal history (questions regarding this, please contact coordinator)
  • Class size limited to 30 participants.

NOTE: * - Required Fields
Applications are to be submitted no later than Friday, July 26, 2019. For questions about Teen Law Enforcement Academy application, email Dylan.Ignacio@alexandriava.gov.
Participant Information:

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* Name:

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* Shirt Size:

Date of Birth:

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* Address:

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* City:

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* Zip Code:

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* Home Phone Number:

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* Cell #:

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* School Attending:

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* Grade:

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* Parent / Guardian Name:

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* Address (if different):

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* City:

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* Zip Code:

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* Home Phone Number:

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* Work #:

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* Emergency Contact:

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* Telephone Number:

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* Provide a 3-5 paragraph explanation of why you want to attend the Teen Law Enforcement Academy. (Applications submitted without this completed will be disregarded.)

AS A STUDENT OF THE ACADEMY YOU WILL BE ALLOWED ACCESS TO SENSITIVE AREAS WITHIN THE POLICE DEPARTMENT. A REVIEW OF ANY CRIMINAL RECORDS WILL BE CONDUCTED.
I understand that this training will not authorize me to carry a firearm or exercise any law enforcement powers granted by the THE CITY OF ALEXANDRIA, VIRGINIA. I also agree to allow photos/ videos to be taken of me and be posted on social media as well as be used for the promotion of the academy.
I certify that the foregoing information is true and complete to the best of my knowledge and belief. I consent to the City's use of any photo or video recording of my participation in the Teen Law Enforcement Academy sessions. NOTE: Please enter your full legal name below. Typing your full legal name will serve as a signature for this request.

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* Applicant's Name:

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* Parent / Guardian Name (if not 18):

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