Citizens Law Enforcement Academy Application - Santa Rosa County Sheriff's Office

Name *

First

Name *

Last

DOB (MM/DD/YYYY):

Email *

Home Phone

Mobile Phone *

Driver’s License Number:

Driver’s License State:

Address *

Address

City

State/Province

Zip/Postal

Country

Have you attended the Citizen Law Enforcement Academy before?

Yes

No

Year Attended CLEA

Why do you wish to attend the Citizen’s Law Enforcement Academy?

Have you ever been convicted of a crime?

Yes

No

If yes, please explain?

Do you permit Santa Rosa County Sheriff’s Office to complete a criminal history check for application purposes?

Yes

No

Please attach a clear, well lit photo of your Florida Driver’s License:

Maximum file size: 67.11MB