The Indy Public Safety Foundation is proud to announce that applications are now being accepted for the 11th Class of the Public Safety Citizens Academy (PSCA 11)!  With limited seating available, please complete the application below to secure your spot today!  Applications are due by Friday, August 16, 2019 and can only be submitted electronically using this form.  Applicants will receive conditional admission within one week of application and seats are filled on a first come, first serve basis.  Applicants will undergo a brief background check and be notified of their final admission on Thursday, August 22.  Class 11 Orientation & Welcome will be held on Thursday, August 29, 2019.

NOTE:  PSCA 11 runs from Thurs. August 29 to Thurs. November 21 (including Orientation on 8/29 and Graduation on 11/21).  All classes are held on Thursday evenings from approximately 6:30 - 9:30 pm.  By completing this application, you are agreeing that you can attend all classes. While we understand that personal issues may occur, you must attend at least 8 classes in order to graduate.  Given the wait list and demand for this class, attendance and on-time arrivals are a must.

We currently operate with a wait list, so we want to ensure that participants are committed to completing the entire class.  If you are unable to commit, PSCA Class 12 will be offered in the March 2020. 


If you have any questions, please contact Chrissy Wurster at chrissy@indypsf.org.

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* 1. Name

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* 2. Street Address

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* 3. City

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* 4. State

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* 5. Zip Code

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* 6. Email Address

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* 7. Phone Number

The information below is required for the mandatory background screening. Please note that all information will be kept confidential and secure.

Please note, you must be 18 years old to apply.

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* 8. Date of Birth

Date / Time

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* 9. Driver's License Number

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* 10. DLN Issuing State

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* 11. Social Security Number

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* 12. Do you have any past arrests, convictions or pending court cases?  Please note any false information will result in removal from the application process.

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* 13. If you answered "Yes" to question 9, please provide an explanation below including dates, charges, etc.

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* 14. Please provide employment information below.  If not employed, please note "unemployed" or "retired" as appropriate.

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* 15. Recruited or Referred by:

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* 16. If you were not recruited or referred by someone, how did you hear about the Public Safety Citizens Academy?

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* 17. Emergency Contact Information

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* 18. Emergency Contact Phone Number

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* 19. With what civic or volunteer activities are you involved?

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* 20. What interested you in learning more about Indianapolis public safety agencies?

The following two questions about race/ethnicity and gender will have no effect on the application process, but simply help with IMPD's background check.

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* 21. Are you male or female?

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* 22. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

I understand that a criminal background and warrant check will be conducted by the Indianapolis Metropolitan Police Department (IMPD) as part of the application process. I hereby authorize any law enforcement agency to release to IMPD any and all information, which said agencies have about me, for the limited purpose of aiding PSCA staff in evaluating my eligibility for participation in the Public Safety Citizens Academy. I understand that I will not receive and am not entitled to know the contents of confidential reports received from any agencies I hereby release, discharge and agree to hold harmless the agencies, their agents and any person furnishing information from any and all liability arising out of furnishing and inspecting such documents and information.

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* 23. I understand and authorize the above information regarding my background and warrant check?

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* 24. I understand that by typing my name below, it serves as my signature for authorized of criminal background and warrant check.

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* 25. Date of Application:

Date / Time
By clicking submit below, your application will be sent electronically for review.  If you would like to send a hard copy, please mail it to the following address by the deadline.

Indy Public Safety Foundation, 200 E. Washington St., E241, Indianapolis, IN 46204.

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