SHF - Community Academy Application (Spanish Academy)



SONOMA COUNTY SHERIFF'S OFFICE
SOLICITUD PARA LA ACADEMIA COMUNITARIA
 

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PERSONAL INFORMATION

Sex

EMERGENCY CONTACT

QUESTIONNAIRE

AUTHORIZATIONS


AUTHORIZATION TO CONDUCT A BACKGROUND CHECK
 

As an applicant for the Sonoma County Sheriff's Office Community Academy, I hereby authorize the Sonoma County Sheriffs Office to conduct a criminal history background investigation, including convictions, pending charges, and outstanding warrants. I understand that this criminal history check is being conducted due to the nature of the classes given at the Community Academy. I understand that all available police and criminal records will be checked and that the information will be used solely for determining eligibility of applicants for the Community Academy. All information is to remain confidential as required by state and federal statutes.


MEDIA RELEASE
 

I, , understand all aspects of the Community Academy program may be recorded, by audio and visual means, and may be used to promote future programs. Furthermore, I understand the media may be invited to view the event and may attempt to interview program participants. I am willing to provide my name and telephone number to be contacted by the media regarding Community Academy program. I hereby release and discharge persons representing the Community Academy program from any liability arising out of or in connection with the making, processing, reproduction or exhibition of video tapes or photographs promoting the Community  Academy program.


AFFIDAVIT
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for acceptance into the Sonoma County Sheriff’s Office Community Academy and may result in my dismissal if discovered at a later date. 
 

I understand that this application for acceptance to the Sonoma County Sheriff’s Office Community Academy does not create an express or implied acceptance into the Academy nor guarantee acceptance for any definite period of time. If accepted, I understand that I have been accepted in the Community Academy at the will of the Sonoma County Sheriff’s Office and my status may be terminated at any time. 
 

I have read, understand, and by my signature consent to these statements. 

Contact us at:
Office: (707) 565-2650     |     E-mail: sheriff-outreach@sonomacounty.gov
Sonoma County Sheriff's Office
2796 Ventura Ave.
Santa Rosa, CA 95403
ATTN: Community Outreach Unit