La Crosse District Attorney’s Citizen Prosecution Program Application Form

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* 1. Name

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* 2. Phone Number

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* 3. Email

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* 4. Address

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* 5. Place of Employment

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* 6. The Citizen Prosecution Program meets each Tuesday for a total of 3 weeks, October 14 through October 28, from 6:00pm until 8:00pm. Each student is required to attend all sessions of the program.

Are you able to meet this type of commitment?

Yes

No

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* 7. What do you plan on getting out of attending the Citizens’ Police Program?

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* 8. What types of involvement do you have in the community? (Social groups, volunteer organizations, etc.)