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To be considered for participation in the Citizens’ Academy, an applicant must be over the age of 18 and
either live or work in Pasco County. Class size is limited to 25 participants.
Men or women's size small, medium, large or x-large?
Please note a copy of your driver’s license or State ID, as well as a completed Pasco County Sheriff's Office Background Check form are required as part of your application. Please fax or mail these to:
Johanna Rodriguez, Program Manager at
8731 Citizens Dr., Suite 350,
New Port Richey, FL 34654
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a participant, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
I hereby authorize Pasco County to conduct a standard check of law enforcement records on me. I understand this check will include, but not be limited to, any records charges, prosecutions, or convictions for criminal or civil offenses. This check will be used for the purpose of the Citizens’ Academy application process. Any information obtained will be used for the purposes of providing clearance to participate in the Citizens’ Academy.
I hereby authorize Pasco County to use any still photography or video footage in which I may appear for whatever purpose(s) deemed appropriate. I do this voluntarily and with the understanding that there is no compensation. Applying for, or participating in, the Pasco County Citizens’ Academy does not guarantee any position on any board or commission. It is intended to give citizens a working knowledge of County policies, procedures, mandates, and budgets.
If accepted to the Citizens’ Academy, I understand that I will be required to attend a minimum of 8 out of 10 sessions, and that the program is held from 4:00 p.m. to approximately 6:30 p.m. beginning in late September at the locations and dates specified in the schedule (times and locations subject to change). A copy of the schedule will be provided in advance. Pasco County does not provide transportation; therefore, participants are responsible for their own transportation. By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Thank you for completing this application form and for your interest in participating in the Citizens’ Academy.
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