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Sheriff Citizens Academy

* Required items    


The Citizens Academy is designed to expose interested participants to the day to day law enforcement work of the Currituck County Sheriff’s Office and the Criminal Justice System in general. Applicants must be at least 18 years old; in good health and have no criminal record. All information furnished will be considered confidential.


1. Name:
   First                                    Middle                                    Last

2. Physical Address:

3. Mailing Address:

4. Primary Email Address:

5. Home Telephone Number

6. Work Telephone Number:

7. Date of Birth:

8. NC Driver License Number:

9. If you have any physical accommodations, please note them,


10. Please indicate shirt size:


11. Have you ever been arrested, charged, or detained for any criminal offense in your lifetime?


If yes, please describe the circumstance.


By filling in my name below and submitting this form, I hereby certify that each and every statement made on this form is true and complete to the best of my knowledge; and authorize any background and criminal records check by the Currituck County Sheriff Office.

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Date:

Enter the security code.