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Teen Academy Application

The academy will provide a better understanding of Public Safety with an exciting and packed schedule of hands-on learning. It is the perfect opportunity to try on careers in law enforcement and fire services!

Become a member of a growing nucleus of responsible, well-informed young citizens, while gaining knowledge and understanding of Public Safety.

 The following are mandatory:

·         Completed Application

·         Indemnity & Release Agreement

·         Background check

·         Participation in physical fitness program

·         Transportation to/from academy

·         Attendance the entire week

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First Name
Middle Name
Last Name
Name for Badge
Driver's License Number (If Applicable)
Please indicate one
Male
Female
Present mailing address
City
State
ZIP
Home Phone
 
Work Phone
 
Cell Phone
 
Employer/Business Name (If Applicable)
Business Address
City
State
ZIP
Date of Birth
Age at Academy Start (Must be 14-18)
School Will Attend or Attended (if Graduate)
Person to notify in case of emergency
Relationship to Applicant
Address
City
State
ZIP
Daytime Phone
 
Cell Phone
 
Please list any civic organization to which you belong:
How did you learn about the academy?
Please briefly explain your interest in the Teen Academy:
Applicant's Email Address
Please list any social networking sites you use with your screen names:
Parent/Guardian E-mail
Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Shorts Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
I certify the information in this application is correct to the best of my knowledge.
Yes
 

If you prefer, you may send the completed application by email, fax or US Mail:
tmoag@scottsdaleaz.gov
Fax: (480) 312-7701
US Mail: Scottsdale Police Department
c/o Officer Toni Moag
8401 E. Indian School Rd.
Scottsdale, AZ 85251

For more information or questions, contact:
Scottsdale Police Department
OfficerToni Moag
(480) 312-0275
tmoag@scottsdaleaz.gov
or
Scottsdale Fire Department
Lori Schmidt
(480) 312-1817
lschmidt@scottsdaleaz.gov
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