Consent and Emergency Contact Forms
In addition to submitting an application online (below), please complete and submit the following documents to Sgt. Anitra Highland via email or mail to Sgt. Anitra Highland/YCPA, Tallahassee Police Department, 234 East Seventh Avenue, Tallahassee FL 32303
YCPA Permission Waiver (PDF)
YCPA Emergency Contact and Medical Consent Form (PDF)
Online Application
Please fill out the form below if you are interested in participating in the next TPD Youth Citizens' Police Academy. Please complete all form fields or your submittal will not be accepted. (* indicates required field)
Complete the questionnaire
1. Have you ever had contact with law enforcement for which you were the focus of an investigation? (ex. a traffic stop, questioned about a crime, arrested, etc.)
If the answer is yes, please provide details,
2. Are there any physical limitations we need to be aware of in order to be able to better assist you to engage in the activities associated with the Youth Citizen Police Academy?
If the answer is yes, please provide details,
3. Can you commit to attending all 6 classes from approximately 630pm – 830pm?
Please note that students missing the first night or more than (2) nights of instruction will be withdrawn from the Academy. If there are other priorities at the present time which conflict with the Academy dates/times, please consider reapplying in the future when time allows you to complete the program in its entirety.
4. How did you hear about the Youth Citizen Police Academy?
5. Have you ever had any positive or negative contact with the Tallahassee Police Department?
If the answer is yes, please provide details,
6. If you are not selected or available to attend this session of the Academy, would you be interested in attending the next scheduled Academy?
7. Have you applied for a previous YCPA?
When?
8. Why do you want to participate in the Youth Citizens' Police Academy?
Please review answers and read the statement below BEFORE signing and submitting your application.
I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the foregoing statement or answers to questions. I understand that any omission or false statement on this application shall be sufficient cause for rejection of enrollment or dismissal from the Tallahassee Police Department's Youth Citizens' Police Academy.
I further acknowledge that as part of acceptance to this program, I will be required to attend at least 6 of the 8 classes. Failure to attend the required number of classes will be cause for dismissal from the program. I will abide by all rules and regulations set forth by the Tallahassee Police Department and the City of Tallahassee. I will provide my own transportation when required. I further understand that the Tallahassee Police Department will be conducting a thorough background investigation.
Signature* (Type name as you would sign it)
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