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3. 
5. All information provided in this form is subject to Freedom of Information Act requests subject to State law.
7. The Westland Police Department is pleased to announce that applications are being accepted for the department's fifth annual Police Youth Academy. The goal of the Police Youth Academy is to allow students to experience hands-on activities and presentations for those interested in the field of law enforcement. The academy is one week (Monday through Friday) and is open to all Wayne-Westland high school students or high school students residing within the City of Westland. The Youth Academy is free of charge.
9. The class will begin Monday, July 17, 2023 and will conclude on Friday, July 21, 2023. The curriculum will consist of a wide range of hands-on and educational law enforcement topics that include, (but are not limited to) discussion or demonstrations in K-9, Taser, traffic stops, SWAT, court functions, building searches, evidence technicians/mock crime scenes, emergency vehicle operations and a trip to the Wayne County Regional Police Academy at Schoolcraft College in Livonia. A complete schedule will be presented on the first day and is subject to change. The program director may terminate a student from participating in the Youth Academy Program for non-compliance with the rules as provided on the first day.
11. The drop-off and pick-up location for the Youth Police Academy will be the Westland Police Department at 36701 Ford Rd, Westland, Ml 48185. The Youth Academy will promptly start at 9:00am and conclude at 1:00pm each day.
13. Attire: Each Police Youth Academy participant will be provided with a shirt, which will be required to be worn each day of the academy.
15. The attached application and waivers must be submitted NO LATER THAN MONDAY, JUNE 26, 2023. The application packet must be completed and signed or it will not be accepted. Please be advised that submission of an application prior to the deadline does not guarantee acceptance to the program as space is limited. You will be notified by phone regarding your acceptance into the Police Youth Academy.
17. If you have any questions,

    Please contact Sergeant Brandon Paris at bparis@wlpd.net or 734-722-9633.

19. Personal Information
21. THE FOLLOWING INFORMATION IS REQUIRED BY ALL PROSPECTIVE PARTICIPANTS IN THE WESTLAND POLICE YOUTH POLICE ACADEMY PROGRAM. ANY FALSE OR INCOMPLETE INFORMATION COULD EXCLUDE THE APPLICANT FROM PARTICIPATING IN THIS PROGRAM.
23. Last Name*
24. First Name*
25. Middle Name*
27. Address*
29. City*
30. State*
31. Zip Code*
33. Phone Number*
34. Email*
35. Age*
37. Name of High School*
38. Grade*
39. GPA*
41. Current Employer (if applicable)
43. Shirt Size*

    1. S
    2. M

    1. L
    2. XL

    1. XXL
45. How did you find out about the Youth Academy?*
47. Have you ever been suspended or expelled from school?*

    1. Yes

    1. No
49. Please explain*
51. Have you ever been charged and/or arrested for a crime?*

    1. Yes

    1. No
53. Please explain*
55. Explain, in your own words, why you are applying for the Westland Police Department Youth Academy:*
57. Parent / Guardian Information
59. First Name*
60. Last Name*
62. Address*
64. City*
65. State*
66. Zip Code*
68. Phone Number*
69. Email Address*
71. Emergency Contact Information (Other than parent information listed above):
73. First Name*
74. Last Name*
75. Relationship to Child*
77. Address*
79. City*
80. State*
81. Zip Code*
83. Phone Number*
84. Email Address*
86. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
88. Applicant Signature*
89. Date*
    Date
91. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
93. Parent/Guardian Signature*
94. Date*
    Date
96. Westland Police Youth Academy Permission to Conduct a Background Investigation
98. As an applicant for the City of Westland Police Department Youth Academy, I hereby authorize the City of Westland Police Department to conduct a criminal history background investigation, including convictions, pending charges and outstanding warrants. I understand that this criminal history check is being conducted due to the nature of the classes given at the Youth Police Academy. I understand that all available police and criminal records will be checked and that the information will be used solely in determining eligibility of applicants for the Youth Police Academy. All information is to remain confidential as required by state and federal statutes.
100. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
102. Applicant Signature*
103. Date*
     Date
105. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
107. Parent/Guardian Signature*
108. Date*
     Date
110. Police Youth Academy Release of Liability Form
112. Name of Parent / Guardian*
113. Name of Child*
115. I, the undersigned parent/guardian named above of child named above, do hereby give my son/daughter permission to attend and participate in the Westland Police Department Youth Police Academy Program. The undersigned hereby agrees that I will assume any and all risks resulting from the attendance and participation of my child at such functions and activities of the Youth Police Academy Program. I further release the City of Westland and the Westland Police Department from any and all liability resulting from my minor child's attendance and participation.
117. I further agree to indemnify and hold harmless the City of Westland, its agents, employees, officers, directors and volunteers from any and all claims, demands, expenses and liability, whether for personal injury, death or property damage arising out of the participation of my minor child in a Youth Academy function or activity.
119. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
121. Parent / Guardian Signature*
122. Date
     Date
124. Westland Police Youth Police Academy Likeness Waiver / Release
126. Adult Student or Parent / Guardian*
128. I, (adult student or parent/guardian named above) authorize the Westland Police Department and City of Westland to make use of my (or my minor child's) name, pictures, photographs and other likeness of the student in newspapers, advertisements or on the City of Westland website, social media and Westland Police Community Partnership Facebook page to further promote its program.
130. By signing below, I acknowledge acceptance of this waiver and agree to allow the use of my (or said minor child's) likeness from any photos or video taken that specifically involve activities related to the Westland Police Department Youth Police Academy. understand that the photos or video could be used to advertise and/or promote the Police Department's community relations activities.
132. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
134. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
136. Applicant Signature*
137. Date*
     Date
139. Parent/Guardian Signature*
140. Date*
     Date
Leave This Blank:


142. 1. Receive an email copy of this form.
143. Email address

     This field is not part of the form submission.

144. Submit

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