2026 High School Police Academy!

Complete ALL sections of the application below, which is sent directly to the High School Police Academy staff.
Once pre-approved, parents and students will be required to attend the HSPA Parent/Student Orientation, where additional forms will be signed and notarized on site.
Further questions can be asked at the orientation meeting or emailed to Sergeant Adrian Rodriguez at adrian.rodriguez@lakelandgov.net

Student Information

Student Name *

Nicknames/Aliases

Date Of Birth *

Last 4 of SSN *

Address *

Contact Phone *

Email *

Education/Civic Service

School Name *

Volunteer Service

Social Platforms

Facebook *

Instagram *

Twitter *

Snapchat *

TikTok *

Additional Social Platforms

List all additional platforms and usernames using the field below.

Digital Student Signature *

Digital Parent/Guardian Signature *

Date of Student Signature *

Date of Parent/Guardian Signature *