Welcome to the City of St. Helens!
Citizens Academy /
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Last name *
Home phone *
Work phone *
Your Occupation *
Business address *
Drivers License #
Date of birth *
How did you hear about the academy?
Why do you want to attend? *
Are you involved in any community or civic organizations? Please explain: *
Emergency contact: Name *
Criminal History: Have you ever been convicted of a crime? If yes, please explain
I understand that the St. Helens Police Department will conduct a criminal background check on me, and that information revealed during that investigation may cause me to be excluded from the class . *