Community Academy Background Authorization Form

Enter your full legal name.
Select your preferred academy language.
Enter your legal first name.
Enter your legal last name.
Enter date of birth in mm/dd/yyyy format.
Enter or select your gender.
Enter your current street address.
Enter the last 4 digits of your Social Security Number
Enter your primary phone number, including area code.
Enter a secondary phone number if available
Enter a valid Email Address
Enter your current occupation.
Tell us about how you hear about the MCSO Community Academy in few words.
Tell us about yourself using the space provied.

By digitally signing below, you hereby declare that the information you have provided above is true and complete to the best of your knowledge. You understand that you will not receive, and are not entitled to information collected during the application process, and you further understand that the information collected will be used in the evaluation process for consideration into the Maricopa County Sheriff’s Office Community Academy.

Enter the first name used for your signature.
Enter the last name used for your signature.
Enter the date signed in mm/dd/yyyy format.
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