Forms Module

2. Citizen Academy Application
   

3. Please complete the information below and  applicants can submit this form electronically or print and submit the form by mail to:

   Charleston Police Department

   Community Oriented Policing

   c/o Mrs. LaQuilla Smalls

   180 Lockwood Blvd.

   Charleston, SC 29403

   
   

   Applicants will be notified of their acceptance.

   
   

5. First Name*
6. Last Name*
8. Address1
10. City
11. State
12. Zip
14. Email:*
15. Phone Number*
17. How did you learn about the Citizen Academy?
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field