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Do not submit this page with your application – for information onlyPalomar CollegePublic Safety Training CenterPolice AcademyApplication Packet**Module III or Full Year**Academy Class 28Applications may be submitted beginning on June 1, 2018Application Deadline:Friday, September 21, 2018 at 12:00 PMModule III Start Date:Wednesday, January 2, 2019DisclaimerThe Palomar College Police Academy makes absolutely no promises or guarantees of acceptance of any applicant. The collegeprovides educational benefits and services to the community and applicable state and Federal law supersedes any statement orimplication referenced herein. The college is not an insurer of its students or police recruits and accepts no responsibility for injuriesor damages resulting from the participation by any student or recruit in the Police Academy training process. No policy, educationalrequirement, or physical requirement is intended to or in any way obviate or supersede the requirements of state and Federal laws.Start dates of any academy training program are at the discretion and approval ofthe California Commission on Peace Officer Standards and Training (POST).

Do not submit this page with your application – for information onlyPalomar College Public Safety Training CenterDear Potential Police Academy Recruit,We would like to thank you for your interest in the Police Academy at Palomar College. Our strenuousTuesday, Wednesday, Thursday night (5:30 pm – 10:30 pm) and Saturday (6:00 am – 5:00 pm) extendedformat schedule offers those employed full time an alternative to preparing or transitioning into a careeras a sworn law enforcement officer. Academies start every January with Module III. The academy is runin a paramilitary style, with students wearing uniforms and adhering to a high level of discipline and order.Students not complying with academy regulations are terminated from the program. Upon successfulcompletion of all three modules of the program, students receive 43.5 units of college credit.The Palomar College Police Academy has dual accreditation with the California Commission on PeaceOfficer Standards and Training (P.O.S.T.) and Western Association of Schools and Colleges (W.A.S.C.).Training is held at the Public Safety Training Center located at 182 Santar Place in San Marcos. Ourprogram is a Modular Format. The program is designed to meet the needs of those aspiring to be fulltime peace officers, as well as Level III, Level II, or Level I reserve peace officers. The modules do nothave to all be completed at one time. For example, one could complete Modules III and II, leave theprogram, and then return the next year to complete Module I. Also the modules do not need to becompleted at the same training facility. A recruit could complete Modules III and II at another facility andthen take Module I at Palomar College.The total cost of the entire yearlong program is approximately 5,000.00. All recruits will spendapproximately 2100 on required uniforms, gear and equipment. Module III fees, to include the tuitionand materials fees will cost approximately 750. The student is responsible for budgeting this amount asa minimum and ensuring payment for tuition costs, material fees, uniforms, use of firearms, EmergencyVehicle Operations Course (EVOC) fee, mandatory health and accident fees, Department of Justicefingerprint processing and parking permits. Some students may qualify for financial aid assistance.Module IIIModule IIModule I9 weeks15 weeks24 weeks8 units14 units21.5 unitsBegins 01/02/19Begins 03/05/19Begins 06/27/19Students interested in the Police Academy must compete for a seat in the class. Agency-sponsoredrecruits are given priority for placement. All applicants must submit an application and pass the testingprocess.Please read this complete application packet, as it contains important information about therequirements of our program. If you have additional questions, please visit us on the web d Luck,The Entire Staff at the Palomar College Police Academy

Do not submit this page with your application – for information onlyPalomar College Public Safety Training Center1. APPLICATION REQUIREMENTS Possession of a high school diploma or GED/Equivalency [GC 1031(E)]. Minimum of 18 years of age (NOTE: A very limited number of agencies consider applicants under21 years of age – it is strongly recommended to wait until at least age 20) [GC 1031(B)]. Ability to read, write and speak English consistent with the duties of a peace officer. Possess a valid California driver’s license. Active duty military may possess a valid out-of-statedriver’s license. No felony or misdemeanor convictions in any state or military court that would restrict possessionof a firearm [PC 29800/29805]. If not already registered as a student at Palomar College, complete a Palomar College studentapplication on-line (www.palomar.edu) and receive a student identification number. Submit a Basic Police Academy application with all supporting documentation by the deadline.2. TESTING PROCESS Applicants must participate in a Physical Agility Test (PAT) and written examination, whichwill be held on Saturday, September 29, 2018. Applicants must participate in an oral interview, which will be scheduled between October 2 andOctober 20, 2018.3. CONDITIONS FOR ACCEPTANCE INTO THE PROGRAMUpon acceptance into the program, students are required to: Complete a Live Scan fingerprint check through the California Department of Justice toobtain a criminal history clearance for firearms eligibility. This form will be providedupon acceptance into the program. Obtain a medical clearance by a qualified health provider. You will need to use thePalomar College Police Academy medical clearance form and have it signed by yourprovider prior to the first day of the Academy.This form will beprovided after acceptance into the program. Attend the mandatory Academy Orientation on Saturday, November 3, 2018.

Do not submit this page with your application – for information onlyPalomar College Public Safety Training CenterApplication InstructionsThe application deadline for Module III is Friday, September 21, 2018 at 12:00 p.m. You should beginyour collection of necessary information and documentation immediately and ensure that you provide thecompleted application, with all required documentation, on time.Completely follow and review the instructions below for submitting your application:1.2.3.Register as a student with Palomar College (obtain a student ID number).Complete this application in a thorough and neat manner. The application should betyped or written in black ink. Do not forget to sign and date the application.Obtain the following documents, which must accompany the application:Proof of Palomar College student registration (provide your student ID number in application).A copy of all college transcripts, if applicable (unsealed, unofficial copies/printouts are acceptable).A copy of a valid California Driver License OR a current and valid military identification with valid out-of-statedriver license.An official/certified copy of your driving record ("H6" full record) from the Department of Motor Vehicles.This abstract MAY NOT be older than six (6) months from the date of the submission of this application.Online printouts of your driving record will not be accepted (exception for out of state driving records).Copy of military ID or DD214, if applicableProof of agency sponsorship, if applicable (a letter from your sponsoring agency)4.Turn in the application BEFORE the deadline, which is 12:00 p.m. on Friday,September 21, 2018. Module III applications will be accepted beginning June 1, 2018.a. Place the application and all required documents in a manila envelope. Submit thecompleted application in one of the following ways:i. Address the envelope to “Police Academy, Attn: Coordinator Barnes”and place in the drop box in the lobby of the Palomar College PoliceAcademy at 182 Santar Place, San Marcos, CA 92069ii. Mail the application to: Palomar College Police Academy,Attn: Coordinator Barnes, 182 Santar Place, San Marcos, CA 92069b. Do not submit applications in any binders or sheet protectors.c. Keep a copy of all documents submitted for your own records. Copies will not beprovided to you by the Academy.5.All applicants will be contacted by e-mail regarding receipt of the application and withinformation about completing the application process.NOTE: THIS APPLICATION IS VALID FOR ATTENDING MODULE III OR THE ENTIRE YEARLONGPROGRAM (MODULES III, II AND I CONTINUOUSLY). RECRUITS WHO SUCCESSFULLY PASSMODULE III ARE RESERVED A SEAT TO CONTINUE IN MODULES II AND I FOR THE 2019ACADEMY YEAR (SUCCESSFUL COMPLETION OF MODULE II IS REQUIRED FOR MODULE I).IMPORTANTFailure to submit any of the above listed documents to the Police AcademyAdministration Office by the deadline will constitute immediate disqualificationfor this Academy Application Process.

Palomar College Public Safety Training CenterBASIC POLICE ACADEMY APPLICATIONInstructions: Please type or print in black ink (must be neat and legible). Answer all questions accurately andcompletely. All statements in your application are subject to verification; incorrect or incomplete statements may bar orremove you from eligibility. Resumes will not be accepted in place of a completed application. You must complete theapplication yourself. Write “N/A” if a section is not applicable.Applying for (check one): Module III OnlyModule III & II OnlyFull Program (Mod III, II & I)1. Personal DataName (Last, First Middle)Area CodeHome Telephone Number (do not enter cell #)Mailing Address (Number & Street)Area CodeWork Telephone Number(City, State & Zip)Area CodeCellular Telephone NumberE-Mail Address (all academy notices will be sent to this e-mail)Social Security NumberRequired License InformationDRIVER’S LICENSE: Number:Palomar Student ID NumberState:2. EducationHigh School GraduateDiplomaGED/EquivalencyCollege/Trade SchoolsAttendedName & Location (City & State) of High SchoolLocation(City & State)Course ofStudy/MajorUnits EarnedDegree or Certificate Received(if applicable)Please describe additional coursework or training (including military, Explorer Cadet programs), which may assist you in an academy.Please list special certificates or other competencies, which may assist you in Police Academy.3. Physical Conditions or LimitationsDo you have any physical limitations that would prevent you from performing tasks involved in the Police Academy?YesNoIf yes, please explain:4. Conviction RecordHave you ever been convicted of a criminal offense (excluding traffic infractions)?YesNoIf yes, please explain (include, when, where, charges and conviction details):

5. Work ExperienceYou should respond completely to the information in this section. LIST YOUR MOST RECENT EMPLOYMENT FIRST. LIST ALLEXPERIENCE, BOTH PAID AND VOLUNTEER, WITHIN THE PAST FIFTEEN (15) YEARS. Additional sheets must be attachedto this application when necessary to provide all required work experience. DO NOT WRITE “SEE RESUME.”Exact Title or Position:(Month / Year )From:Name, Phone, and Address of Employer:To:Duties/Responsibilities:Name & Title of Your Supervisor:Reason for Leaving:ExperienceExact Title or Position:(Month / Year )From:Name, Phone, and Address of Employer:To:Duties/Responsibilities:Name & Title of Your Supervisor:Reason for Leaving:ExperienceExact Title or Position:(Month / Year )From:Name, Phone, and Address of Employer:To:Duties/ResponsibilitiesName & Title of Your Supervisor:Reason for Leaving:ExperienceExact Title or Position:(Month / Year )From:Name, Phone, and Address of Employer:To:Duties/ResponsibilitiesName & Title of Your Supervisor:Reason for Leaving:Add additional pages to reflect all employment for past 15 years