The Indy Public Safety Foundation is proud to announce that applications are now being accepted for the 10th Class of the Public Safety Citizens Academy (PSCA 10)!  With limited seating available, please complete the application below to secure your spot today!  Applications are due by Friday, February 22, 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, February 21.  Class 10 Orientation & Welcome will be held on Thursday, March 7, 2019.

NOTE:  PSCA 10 runs from Thurs. March 7 to Thurs. May 23 (including Orientation on 3/7 and Graduation on 5/23).  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 11 will be offered in the August 2019.


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

Question Title

* 1. Name

Question Title

* 2. Street Address

Question Title

* 3. City

Question Title

* 4. State

Question Title

* 5. Zip Code

Question Title

* 6. Email Address

Question Title

* 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.

Question Title

* 8. Date of Birth

Date / Time

Question Title

* 9. Driver's License Number

Question Title

* 10. DLN Issuing State

Question Title

* 11. Social Security Number

Question Title

* 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.

Question Title

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

Question Title

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

Question Title

* 15. Recruited or Referred by:

Question Title

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

Question Title

* 17. Emergency Contact Information

Question Title

* 18. Emergency Contact Phone Number

Question Title

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

Question Title

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

Question Title

* 21. T-shirt Size

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.

Question Title

* 22. Are you male or female?

Question Title

* 23. 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.

Question Title

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

Question Title

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

Question Title

* 26. 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.

T