Welcome!
Let me say thank you for your interest in our department and the citizens academy. Since 2000 we have trained over 60 people from all walks oflife, many like you. We have had fathers and sons, aunts and nieces and brothers and sisters enrolled in our classes. Our instructors come from many of the law enforcement disciplines, including patrol, investigations, undercover operations and S.W.AT. We take pride in our program and always strive to make them as interesting as possible.
The first class will be held on April 1st and will meet every Thursday night for 8 weeks ending on May 20th. The class starts at 6:30 pm unless noted and will be held in the Emergency Operations Center in the basement of the Law Enforcement Center. The classes will end at roughly 9:30 pm to 10:00 pm depending on the topics. Please dress comfortably because some of these classes will be hands on.
There is no commitment on your part to the department as this is an informational event only. We ask only that you remain attentive and keep an open mind.
Please complete the application and return it to the Law Enforcement Center by Friday, March 26th 2010. There is no cost and I will contact you to confirm you attendance.
Thank you,
Officer Brett Lewis
Estherville Police Department
You are encouraged to print this entire page as all statements below are a part of your application and not just the questions you will answer and submit. Since you cannot sign this online submission we will phone you to confirm your desire to be considered as an applicant.
I hereby make application to participate in the Estherville Police Citizens Academy. I certify that:
I have never been convicted of a felony.
I have not and do not use or sell any illegal drugs.
I currently possess a valid driver's license.
BACKGROUND & CRIMINAL CHECK
I understand that particlpation in the Citizens Academy is optional on my part as well as on the part of the Estherville Police Department and that I 'do not have a legal right to participation. If selected to participate, I authorize' the Estherville Police Department to do a personal background investigation and a criminal history check.
RELEASE FROM LIABILITY
I hereby fully understand and acknowledge that some of the activities to which I may be involved during training sessions of the Citizens Academy might be dangerous and that injury to my person or property may res ult from such act ivity. I unders tand that the Estherville Police Department and its individual members are not liable for any personal or property damage I might sustain from participation. I fully assume all risk of,injury to my person and property and agree to release the Estherville Police Department and its individual members from any and all liability for damages which may be caused or result from my participation.
There is a submission form that follows. Please be sure to click the "Submit" button after you have filled in all of the cells. If you do not click the "Submit" button we will not receive your application.
I hereby authorize the Estherville Police Department to conduct a criminal history background check for the purposes of the Estherville Police Citizens Academy. I also understand that the citizens academy is by invitation only and that the Estherville Police Department has the right to deny anyone entry to the citizens academy.
GENERAL AUTHORIZATI0N AND RELEASE OF INFORMATION I HEREBY AUTHORIZE AND GRANT MY INFORMED CONSENT TO PERMIT YOU TO RELEASE AND TO MAKE AVAILABLE TO THE ESTHERVIILE POLICE DEPARTMENT AND/OR ITS AGENTS AND/OR REPRESENTATIVES DATA CLASSIFIED AS PRIVATE WHICH CONCERNS ME AND WHICH MAY BE IN YOUR POSSESSION. THE DATA WHICH I AUTHORIZE TO BE RELEASED CONSISTS OF PRIVATE DATA, AND HAS BEEN COLLECTED BY YOU AS A RESULT OF MY CONTACTS AND ASSOCIATIONS WITH YOU AND/OR YOUR AGENTS AND ' REPRESENTATIVES. THE INFORMATION FOR WHICH RELEASE IS AUTHORIZED INCLUDES ALL DATA WHICH HAS BEEN COLLECTED, CREATED, RECEIVED, RETAINED OR DISSEMINATED IN WHATEVER FORM WHICH IN ANY WAY RELATES TO MY DEALINGS WITH YOU OR YOUR AGENCY. I UNDERSTAND THAT THE PURPOSE OF PERMITTING THE ESTHERVIILE POLICE DEPARTMENT TO HAVE ACCESS TO THIS INFORMA110N IS TO DETERMINE MY ELIGIBILIlY FOR THE ESTHERVIILE POLICE CITIZENS ACADEMY. I HEREBY AUTHORIZE AND GRANT MY INFORMED CONSENT TO PERMIT YOU TO MAKE PHOTOCOPYS FOR THE ESTHERVILLE POLICE DEPARTMENT OF DATA WHICH CONCERNS ME AND IS IN YOUR POSSESSION, OR ANY INFORMATION ABOUT ME THAT YOU MAY KNOW.
Since you cannot sign this online submission we will phone you to confirm your desire to be considered as an applicant