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Signature Date Please Submit Completed Application to 9 Veteran s Memorial Parkway Salem NH 03079 Attn Capt. I certify the above is true and correct to the best of my knowledge. I also understand that completion of this application does not guarantee me a position in the Citizen s Police Academy. Salem Police Department Citizen Police Academy Application for Admission Name Last name First name Middle name Home Address Street City/Town if not Salem State Zip Telephone Number Cellular...
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