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2. Richton Park Police Dept. & Matteson Police Dept.
4. CITIZENS POLICE ACADEMY
6. Participant Application
8. Last Name
9. First Name
10. Middle Initial
12. Address
13. Phone
15. How long have you lived @ present address?
16. Date of Birth
17. Drivers License Number
19. Name & Location of Business (if applicable)
21. **All applicants are subject to a background check**
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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