Address:
Street__________________
City:________________State:_____Zip:_________
Date of Birth:______/________/________Telephone
#:__________________________
Drivers License #:______/_______/______Social Security
#:_______-_____-________
Occupation:_________________________Employer:___________________________
Have you ever been arrested?______If yes, please list when,
where, and the offense:
______________________________________________________________________
Name and phone number of person to contact in the event of
an emergency__________
______________________________________________________________________
All applicants must live or work in DeKalb County.
They must also be at least 21 years of age.
A records check will be conducted on all applicants.
The DeKalb County Sheriff’s Office reserves the right to deny entry to
the Citizens Police Academy based on the findings of the records check.
All information on the above application is true.
I authorize the DeKalb County Sheriff’s Office to conduct a records
check on me based on this application.
Signature:_________________________________________Date:________________
Please print this form and return by mail or in person to:
Detective Sarah Frazier
DeKalb County Sheriff’s Office
150 North Main Street
Sycamore, IL 60178
