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Citizen Police Academy

  1. 2019_OCSO Sheriff Logo
  2. Sheriff Kevin M. Henderson
    proudly presents
    The Ontario County Sheriff's Office
    Citizen Police Academy
  3. Kevin M Henderson, Ontario County Sheriff
  4. Please be sure to fill out completely before clicking "Submit". Partially completed applications may require re-submission before being considered valid. ***NOTICE - By checking the eSignature/Consent box and submitting this application, you give consent to the Ontario County Sheriff's Office to conduct a background check to include a criminal history clearance on my name and I am providing the above information on a voluntary basis with the understanding that it shall be used to perform such clearance.
  5. Candidate Name
  6. Enter "None" or NA if not applicable
  7. Street # only
  8. Street name only
  9. Street, Avenue, etc.
  10. If applicable
  11. MM/DD/YYYY
  12. ###-##-####
  13. ###-###-###
  14. Telephone Numbers
  15. Phone 1*
    Please Choose one
  16. Phone 2
  17. Phone 3
  18. Due to the nature of Law Enforcement information that may be disseminated in this Academy, it is necessary to restrict enrollment to only those persons who have not been convicted of any crime in the past five (5) years.
  19. eSignature/Consent
    I do hereby give my consent to the Ontario County Sheriff's Office to conduct a background check to include a criminal history clearance on my name and I am providing the above information on a voluntary basis with the understanding that it shall be used to perform such clearance. The conviction of a serious felony may prevent your participation in the Citizen Police Academy.
  20. Signature:______________________________________________________________________________
    If submitting via email, please check the "Consent to background check" checkbox above
  21. Date: _______________________
  22. Parent Signature (if less than 18 years of age):
  23. Parent signature (if less than 18 yo)____________________________________________________________________
    If submitting via email, please check the "Consent to background check" checkbox above and send a written and signed letter with your child to the first class
  24. Return Application to:

    Ontario County Sheriff's Office

    Attn: Krista Schlenker 

    74 Ontario Street

    Canandaigua, NY 14424-1898

    Email:

    Krista.schlenker@ontariocountyny.gov

  25. Please be sure to fill out completely before clicking "Submit and Print" or "Submit". Partially completed applications may require re-submission before being considered valid.
  26. Leave This Blank:

  27. This field is not part of the form submission.