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Citizen's Academy Application

  1. The City of Lowell requires that persons participating in the Citizen's Academy submit to a background screening prior to participation. Personal information will not be released to any other source and will not be used for any other purpose than to assist with determining suitability for participation in the Lowell Citizen's Academy. Failure to provide the information needed for a background screening may result in your application for participation being denied.

  2. I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the forgoing information that I have provided. I understand that any omissions or false statements found to have been made on this application shall be sufficient cause for the application to be denied or for dismissal from the Lowell Citizen's Academy. I understand that the information provided by me will be used to conduct a background screening to determine my suitability for participation in the program. I understand that participation in the program is not to train citizens to be employees of the City but rather the goal and purpose of the program is to educate citizens regarding the purpose, rationale, and context of local government procedures. I acknowledge that as part of the acceptance to this program, I will be required to attend a minimum of nine (9) of the ten (10) course days. I understand that failure to attend the required number of courses may result in dismissal from the program. I agree that as part of acceptance to the program I will abide by all rules and regulations for the program established by the City of Lowell, their officers and agents. I understand that I must provide my own transportation to and from course sessions and at other times when required. By accepting admission into the Academy I agree for my likeness (still photos, video, and audio recordings) to be used to further the purpose of the Academy through advertisement, presentations, and other literature. I understand that the Lowell Police Department will be conducting the required background screening.

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