Shelby County Sheriff’s Office Citizens Sheriff's Academy Registration

Thank you for your interest in the Shelby County Sheriff’s Office Citizen Sheriff’s Academy.

Please complete the application fully and truthfully. Due to the nature of the topics presented in the course, this application and personal information will be utilized to perform a criminal background check of the applicant for security reasons. Negative information discovered during this process may preclude the applicant from participation in the program.

* Denotes Required Fields

Course Date and Time: First Session Thursday, September 11, 2025 6:30 PM-9:00 PM / Graduation Date Thursday, November 13, 2025

Do you agree to a background check?

Yes

Do you have a criminal record?

Yes

If Yes, Please Explain... 500 characters or less

Are you a legal resident?

Yes

First Name

Middle Name

Last Name

Preferred Name

Email Address

Phone

Work Phone

Mailing Address

Check if same as mailing address

Physical Address

Date of Birth

Driver's License Number

Driver's License Expiration Date

Occupation

Employer

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