Apply for Citizens Academy | Clay County Sheriff's Office

First Name

Middle Initial

Last Name

Home Phone Number

Cell Phone Number

Email Address

Home Address

City, State, and Zip

Date of Birth

Social Security Number

Occupation/School

Phone Number

Emergency Contact

Relationship

Contact Phone

Why do you wish to participate in the Clay County Sheriff's Office Citizen Academy?

Do you have a family member in Law Enforcement

Yes

How did you hear about the CCSO Citizen Academy?

Have you ever been arrested or convicted of a crime?

Yes

If yes, please provide the date and pertinent details

Please indicate whether you can attend a future session if class space is not available for this session

Yes