Form Center

2. Citizens Polcie Academy Agreement
   I hereby certify that there are no willful falsifications, omissions or misrepresentations in the foregoing statements and answers. I understand that any omission or false statement on this application shall be sufficient cause for rejection for enrollment or dismissal from the Frankfort Police Department Citizens Academy. I also grant permission for the Frankfort Police Department to verify the information contained in this application.
4. Electronic Signature*

   By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

   1. I agree.
   2. I do not agree.
6. Electronic Signature
7. Date
   Date
Leave This Blank:


9. 1. Receive an email copy of this form.
10. Email address

    This field is not part of the form submission.

11. Submit

* indicates a required field