Please fill out and submit this form if you are interested in being considered for the Jefferson County Sheriff's Office Youth Academy.
If under 18, you must include parent or guardian information.
Tell us a little about why you're applying for the Youth Academy program.
The Sheriff’s Office reserves the right to deny entry to the academy. By signing below you have read and understand these considerations:
- The youth academy will incorporate a daily physical fitness component (moderate running, sit ups, push-ups, and obstacle course).
- In consideration of my application to attend the Youth Academy, I give the Jefferson County Sheriff’s Office permission to conduct a background check to include arrest records, convictions and traffic citations to ensure the integrity of the class.
- I further understand that some presentations will contain information that may be disturbing to some participants, and that I may opt out of any portion of the academy.
I (we) hereby swear or affirm, under penalty of perjury, that the information given here is true and correct. The typed signature below indicates this individual, or the legal entity the individual represents (as applicable), accepts responsibility for the activity and agrees to the terms and conditions of this agreement. This application is valid for six months from the date entered with signature.
This field is not part of the form submission.
* indicates a required field