LGBTQ+ Community Academy
This academy will be on September 16, 23, 30 & October 7, 14 with graduation on October 21, 2026.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number or Driver's License, including state
*
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Cell)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number (Alternate)
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Race (requested for purposes of background check)
*
Gender (requested for purposes of background check)
*
Have you ever committed a misdemeanor?
*
Yes
No
If so, provide more details
Have you ever committed a felony?
*
Yes
No
If so, provide more details
Background Check
A background check will be need to be conducted in order for your participation in the class.
Do you agree to submit to a background check?
*
Yes
No
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Next
Education
College
Degree
Major
Back
Next
How did you hear about the LGBTQ+ Community Academy?
*
What organization do you represent?
Why do you want to attend the LGBTQ+ Community Academy?
*
Back
Next
LGBTQ+ Community Academy Agreements
Can you commit to attending the LGBTQ+ Community Academy on the dates to be determined (Tuesdays) from 6 pm - 9 pm?
*
Yes
No
During the LGBTQ+ Community Academy, difficult discussions may arise. We ask that you respect each other's opinions and allow others to speak freely without threats and violence. Can you commit to respectfulness towards one another?
*
Yes
No
You will meet Officers, Commanding Officers and Professional Staff during your LGBTQ+ Community Academy experience. We request that you show them respect by not displaying verbal or physical threats. Can you commit to showing respect for Officers, Commanding Officers, and Professional Staff?
*
Yes
No
Can you commit to being on time and ready for the class every week?
*
Yes
No
Participants will not attend the sessions while impaired on any substance, legal or illegal. Can you commit to not attending the LGBTQ+ Community Academy while under the influence of any substance?
*
Yes
No
I hereby release the Louisville Metro Police Department and Louisville/Jefferson County Metro Government from all claims that may arise or result from participation with the LGBTQ+ Community Academy.
*
Yes
No
If you agree to the above, please sign below.
*
Submit
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