Hudson Police Department, Hudson New Hampshire

Hudson Police
Citizen Academy
Application Form

Take a moment to fill out the following form to request a seat in a future Hudson Police Citizen Academy Program. If accepted, you will be required to provide your Social Security number and sign a release form.



First Name:
Last Name:
Email Address:
Address:
Previous Address:
City: State: Zip:


Driver Lic.#:
Lic.State:
Day Phone:
Evng Phone:
Fax:
Birth Date:
Place of Birth:
Employer:
Address:


Hudson Resident Other Affiliation To Hudson

List briefly or describe any civic activities/organizations you are involved in:

Have you ever been arrested? Yes No

If YES, what for? When? Where?


Briefly explain your interest in the Citizen's Police Academy or the Senior Academy:

What do you expect to gain from attending this academy?


List the person to be contacted in case of an emergency during your attendance at the Academy.

First Name:
Last Name:
Address:
City: State: Zip:
Day Phone:
Evng Phone:
Relationship:

Submit the Application Form


Thank you for your interest in the Hudson New Hampshire Citizen Police Academy. This form will be submitted via email and forwarded to our Support Services Division. Please expect a supplement authorization form by fax or mail within two to three weeks.

Questions, send email to Sgt. John McGregor at
jmcgregor@hudsonnh.gov
or call 886-6011

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