Skip to Main Content
Loading
Close
Loading
Search
Board of Supervisors
Government
Residents
Business
Things to Do
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Beautification Committee
Boards and Commissions
Building Regulation
Commissioner of the Revenue
County Administration
CP-Training
Fire and Life Safety
Human Resources
Library
Mosquito Control
Parks & Recreation
Planning Division
Public Works
Sheriff's Office
Social Services
Treasurer
Victim Witness Assistance Program
Virginia Cooperative Extension
Waste Management
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Citizen's Academy Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
APPLICATION YORK-POQUOSON SHERIFF’S OFFICE “SHERIFF’S CITIZEN ACADEMY” YORKTOWN, VA
J. D. “DANNY” DIGGS, SHERIFF
Applicants must be 21 years of age to apply and live or work in York County or the City of Poquoson. Incomplete and/or unsigned applications will not be considered.
Name
*
Date of Birth:
*
Date of Birth:
Sex
*
-- Select One --
Male
Female
Address
*
City
*
State
*
Zip Code
*
Home Phone:
Work Phone:
Email Address:
*
Cell Phone:
Driver License Number:
Last 4 digits of SSN:
*
Employer:
Occupation:
Employers Address:
City
State
Zip Code
Have you been arrested for any offense other than traffic?
*
Yes
No
If yes, what for?
When?
Where?
What was the outcome?
What do you expect to gain from attending this program?
Will you be able to attend all 12 sessions?
*
Yes
No
Shirt Size? (Male Polo Sizes)
*
S
M
L
XL
2XL
3XL
I hereby certify that the information contained in this application is true and correct to the best of my knowledge. The Sheriff’s Office is hereby authorized to conduct an investigation of my criminal and driving history as deemed necessary for consideration to attend the Sheriff’s Citizen Academy.
Electronic Signature of Applicant:
*
Applicants will sign hard copies of documents upon acceptance.
Today's Date:
*
Today's Date:
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Board of Supervisors
Government
Residents
Business
Visit
How do I...
Real Estate
Assessment
Parks & Recreation
Treasurer
Development
Dashboard
Online Payments
Economic
Development
Government Websites by
CivicPlus®
Home
Visit
Yorktown
Public
Library
Careers
FAQs
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow