Please enable JavaScript in your browser to complete this form.Name *FirstLastWhich academy are you applying for? *Citizen's Academy ICitizen's Academy II Citizen Academy II is our advanced academy and has a pre-requisite of attending our Citizen Academy I within the previous 4 years.If you are applying for Citizen's Academy II, please provide the date you attended Citizen's Academy I:Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Date of Birth *Race:BlackHispanicAmerican IndianAsianWhiteSex: *MaleFemaleEmergency Contact *FirstLastEmergency Contact Phone Number *Please Upload a picture of your Driver's License, State ID and/or Passport * Click or drag a file to this area to upload. Have you ever been arrested for anything other than a traffic offense? *yesnoIf you answered yes, please explain:Please include the date, location, charge and disposition. Employer: Occupation:Employer's Address:Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeShirt OrderMilwaukee Police Citizen's Academy participants are required to wear a uniform polo shirt in Citizen Academy ($20.00) or a uniform zip up fleece sweater in Citizen Academy II ($25.00) during all academy activities. The shirt and/or sweater will remain the property of the participant. Checks are to be payable to Milwaukee Police Department Citizen Academy.Shirt Size:SmallMediumLargeX-LargeOtherIf you checked other, please provide size:Please check to indicate you agree:I certify that all statements made on this application are true and complete. I authorize any individual, company, organization or institution to release any and all information concerning statements made by me on this application, and do hereby release all parties and individuals connected therewith from all liabilities for any damages whatsoever incurred in furnishing such information. I agree and understand that any deliberate mis-statement or omission of material facts may disqualify me to attend the Milwaukee Police Citizen Academy. My signature below acknowledges my understanding and agreement with the material provided. MILWAUKEE POLICE CITIZEN ACADEMY - The Document of Understanding, Legal Police Power and your role as a Citizen Police Academy Participant or Graduate -The Milwaukee Police Department and the City of Milwaukee offer the Milwaukee Police Citizen Academy as a service to the community. In doing so, we hope to educate our citizens as to the role, work and duties of the members of the Milwaukee Police Department. It is our commitment to promote through education, your understanding of police operations. It is not our intention to train you to be a sworn law enforcement officer. Please do not construe that this experience, in any manner, constitutes a legal authorization for you to act as a sworn police officer. The Milwaukee Police Department and the City of Milwaukee expect that any citizen who participates in this program, who is a witness to a crime or violation of law seek the assistance of the police. The Milwaukee Police Department and the City of Milwaukee further expect its academy participants and graduates to never attempt to handle matters normally dealt with by sworn law enforcement officers by themselves. MILWAUKEE POLICE CITIZEN ACADEMY WAIVER OF LIABILITY AND RELEASE -READ THIS DOCUMENT CAREFULLY - THIS IS A RELEASE In consideration of (or exchange for) participation in the Milwaukee Police Department Citizens' Police Academy program, I agree to release the City, its employees and agents from all actions or claims which may arise as a result of my participation in this program. I understand that I am subjecting myself to possible injury, property damage or death by participating in this program. I understand that I may witness or be involved in the use of deadly force, shootings, motor vehicle accidents and chases, the use of tear gas or other dangerous items, and other events not listed in this release which may cause physical or emotional injury. I understand that squad cars have been shot at without provocation. I understand that the City is not guaranteeing my safety.I accept full responsibility for any injury or property damage I may sustain due to my participation in this program. I agree to release the City from any and all claims and causes of action in any way arising out of or related to my participation in this program. I agree that I will not file a claim or a lawsuit against the City or its employees for any injuries, even if the negligence of the City contributed to or caused my injuries.I understand that classes may be photographed or videotaped. I give my consent to be photographed or videotaped, and I understand that I will not be entitled to any form of compensation for their use. I waive any claim I may have under the Right to Privacy statute (sec. 895.50, Stats.).I understand that no all applicants will be accepted and there will be a brief interview prior to attending the academy. This release is intended to be as broad and inclusive as permitted by the laws of the State of Wisconsin. If any portion of this release is held invalid, I agree that the balance shall still be in full legal force and effect. This release is for myself, my heirs, executors and administrators. I have read the above RELEASE and I understand that I am assuming certain risks and waiving certain legal rights. Name: *FirstLastDate: *Submit