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Sheriff's Citizens Academy Online Application
Upcoming Session(s):
(Select One)
  EOC - 18900 Cortez Blvd, Brooksville
  Atria - 7030 Evergreen Woods Trail, Spring Hill
Full Legal Name:
Any Other Names you
have been known by:
Address:
City / State / Zip:
Telephone Number:
Email Address:
Social Security Number:
Gender:
Driver's License Number:
Drivers License State:
Drivers License Exp:
Have you ever been arrested?
If YES, list the charges
and disposition:
Date of Birth:
Comments:
If you have any specific questions that are not addressed on this form or experiencing issues submitting this form, please contact Kim Purchase, Community Outreach Coordinator 352-797-3678.

By clicking submit you certify that:

1. The information supplied in this application is true and correct to the best of your knowledge.

2. You grant the Hernando County Sheriff's Office permission to verify all information provided.

3. You are aware that a criminal history will be conducted by the Hernando County Sheriff's Office.

4. A denial of this application may occur if any false statements or misrepresentation of any facts are noted in the process.

5. If any blanks appear on the application it will not be considered.