2. The San Mateo Police Department is grateful for you interest in the Community Police Academy. Please complete every section of this application prior to submitting. Any questions can be sent to joinsmpd@cityofsanmateo.org. Thank you!
4. First Name*
5. Last Name*
7. Date of Birth*
9. Physical Address*
11. City*
12. Zip Code*
14. Mobile Phone*
15. Email Address*
19. Employer*
20. Occupation*
22. Employer Address
24. Employer City
25. Employer Zip Code
27. Business Phone
28. Business Email Address
32. Tell Us About Yourself
34. 1. Are you over the age of 18?*
    -- Select One --YesNo
36. 2. Do you live or work in the city of San Mateo?*
    -- Select One --YesNo
38. 3. How did you hear about the San Mateo Community Police Academy?*
40. 4. Why do you want to attend the San Mateo Community Police Academy?*
42. 5. You will be provided a shirt for the Academy. What is your shirt size? *
    -- Select One --X-SmallSmallMediumLargeX-LargeXX-Large
44. 6. Have you ever had contact with law enforcement? Please explain.*
46. 7. Are you on probation or parole?*
    -- Select One --YesNo
48. 8. Are you willing to submit to a background investigation?*
    -- Select One --YesNo
50. 9. Are you willing to provide your fingerprints for digital scanning?*
    -- Select One --YesNo
52. 10. Can you commit to attending most classes?*
    -- Select One --YesNo
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field