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Thank you for your interest in the Shelby County Sheriff’s Office Citizen Sheriff’s Academy.
Please complete the application fully and truthfully. Due to the nature of the topics presented in the course, this application and personal information will be utilized to perform a criminal background check of the applicant for security reasons. Negative information discovered during this process may preclude the applicant from participation in the program.
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Denotes Required Fields
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Do you live or work in Shelby County, Alabama?
Yes
No
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Have you ever been investigated, arrested or convicted for any crime?
Yes
No
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Do you consent to a background check?
Yes
No
Name
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First
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Middle
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Last
Preferred Name
Address
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Mailing
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Physical
Phone
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Primary
(000-000-0000)
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Work
(000-000-0000)
Secondary
(000-000-0000)
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Alabama Driver's License Information
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Operators License Number:
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Expiration Date:
(00/00/0000)
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E-mail Address:
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Date of Birth:
(00/00/0000)
Employer:
Occupation:
How did you hear about our Citizen Sheriff's Academy?
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