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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?

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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.)

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