2. Applicant Information
   Must be 18 or older to complete.
4. First Name*
5. Middle Name*
6. Last Name*
8. Date of Birth*
   Date of Birth
9. Gender*
   -- Select One --MaleFemale
10. Race*
    -- Select One --BlackWhiteOrientalAmerican IndianOther
12. Address*
14. City*
15. State*
16. Zip*
18. Home Phone Number*
19. Cell Phone Number*
21. Email Address*
23. Emergency Contact Information
    Who should we notify in case of an emergency?
25. First Name*
26. Last Name*
28. Relationship*
30. Home Number
31. Work Number
32. Cell Number
34. The undersigned participant of the Bowie Police Department’s Citizens’ Police Academy agrees to a full criminal background check upon acceptance into the program.
36. Signature (Please type whole name)*
    By typing my name in the box above and clicking the submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my application and information.
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field