City of Springfield, Illinois

James O. Langfelder - Mayor

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Springfield Junior Police Academy


Information About the Form

The Junior Police Academy is a special program that gives children ages 8 – 12 an opportunity to learn about the Springfield Police Department by participating in activities at the Springfield Police Academy, 3501 Color Plant Road.

There are two one week sessions; one beginning July 17 and the other on July 24. The children will be placed in one session or the other. Breakfast and lunch will be provided. Monday through Thursday hours will be 8:00 a.m. (drop off time 7:30 a.m. - 8:00 a.m.) to 3:00 p.m. (pick up time). On Friday, start time will be the same, and then certificates of completion will be passed out at 11:30 a.m. with pick up time after that. You will receive a phone call informing you of the week your child will attend.

Applications can be obtained by visiting the Springfield Police Department at 800 E. Monroe, contacting the Springfield Police Academy at 217.788.8415 or by going online to spd.springfield.il.us under the recruitment tab.

Applicants must not have been arrested, charged, or under investigation for any misdemeanor or felony criminal violations, or crimes of moral turpitude. Any applicant who has an outstanding warrant will be disqualified.

Academy staff members are not licensed to administer any types of medications to attendees. It will be the responsibility of the parent/guardian to administer the medication at the time it is prescribed to be taken.

Instructions for completing the applications:

  • Print all information clearly.
  • Complete all blanks on the form. Place a “N/A” on items that do not apply.
  • Complete to the best of your ability a short paragraph on why you wish to attend this program. Use a separate sheet of paper if needed. Include some reasons why you should be considered for the program (role model to others, leadership abilities, etc.)
  • Provide names of two persons that may be contacted for emergency purposes.
  • Have your parents/guardian approve your application and participation in the program by filling out the additional forms, and signing the bottom of the application.
  • Provide a current physical examination from your doctor, approving your participation in physical activity. (Previous year school physical or a note from the physician will be accepted).
  • If you have any questions you may call the Springfield Police Academy at 217.788.8415.

Enrollment Form

Full Name:
Date of Birth:
Address:
City:
State:
Zip:
Primary Phone:
Secondary phone:
Primary Guardian's Name:
Emergency Contact #1:
Contact #1 Address:
Contact #1 Phone:
Emergency Contact #2:
Contact #2 Address:
Contact #2 Phone:
School Currently Attending:
Grade Level:


Please explain briefly why you would like to attend the Junior Police Academy.

Please list any clubs, groups or organizations you may belong to or are affiliated with, also list any awards or recognitions you may have received.

Do you have any medical conditions that would prohibit you from participating in physical activity? If so, please list in detail and attach doctor’s note.

Do you have any allergies to medications, food, bee or wasp stings, etc? If so, please list any allergies you have and what happens to you if you are exposed to these items.

Have you ever been arrested or convicted of a crime?

If yes to above question, please explain details of offense/crime, date of crime and location where the crime took place.



I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the forgoing statements and answer to questions. I understand that my omission or false statements on this application will be sufficient cause for rejection for enrollment or dismissal from the Junior Police Academy. I also understand that the Springfield Police Department may complete an investigation on any information provided and may ask for personal references.

The Springfield Police Department does not discriminate on the basis of race, color, national or ethnic origin, sex, disability, veteran status or age in the administration of its educational programs and admission policies.

Checking this box is considered a legal signature in the State of Illinois, and binds you to the accuracy of the information provided above.