2017 CWA Citizens Academy Application Packet

C. PHILLIPS “PHIL” FERGUSON SUFFOLK COMMONWEALTH’S ATTORNEY 2017 CITIZENS ACADEMY SEPTEMBER 26, 2017 –OCTOBER 26, 2017 (EXCEPT 10/05/17) Please complete the following application: Name: _______________________________________ Address: _____________________________________ ____________________________________ Telephone: Home: _______________________________ Cell: _______________________________ In case of Emergency: ________________________ Emergency Contact Number: ________________________ Special Needs if Applicable: ________________________________ * The Suffolk Commonwealth’s Attorney’s office will be conducting a background investigation on each applicant prior to September, 19, 2017. * Classes will be every Tuesday and Thursday from September 26, 2017 through October 26, 2017 (Except 10/05/17) from 6:00 P.M. to 7:30 P.M. at the Godwin Courts Building located at 150 North Main Street, Suffolk, VA 23434.

Deadline to submit your completed application is September 19, 2017. Please send your application to: Office of the Commonwealth’s Attorney’s Godwin Courts Building 150 North Main Street Attn: Joan R. Turner, Community Outreach Coordinator Suffolk, VA 23434 If you have any questions, please call Joan Turner, Community Outreach Coordinator of the Suffolk Commonwealth’s Attorney’s Office at 757‐514‐4379.

I hereby agree to all of the above terms of this application: ________________________________________________ Date: ____________________