Citizens on Patrol Training Application All fields must be completed unless retired/unemployed, in which case employment-related fields are not required. Name: Date Of Birth: Sex: Male Female Social Security Number: Drivers License: Race: White Black Hispanic Asian American American Indian Other: Home Address: City: Zip Code: Home Phone: Email: Employer: Business Address: City: Zip Code: Occupation: Work Phone: Organizations you are involved with, and awards or recognitions you have received: Why do you wish to attend the Citizens on Patrol? How did you hear about the Citizens on Patrol? Website Newspaper Waco City Cable Channel TV News Friend Have you ever been arrested, detained, or taken into police custody by any Law Enforcement Official? Yes No If yes, please explain: Have you ever been convicted of drug possession or used any drugs? Yes No If yes, please explain: I hereby submit this application and authorize the Waco Police Department to conduct a background check for admittance to the Citizens on Patrol.