Basic Level II Academy Registration

Please review the form below and be prepared to enter all required fields. After you hit submit, the rest of the required forms will be emailed to you.

All fields marked with * are required.

Cadet Information

(yyyy)







If you answered yes to either of the above two questions, additional information will be requested for verification.


Agency Information

Chief/sheriff Information

Firearm Issued

Additional Information



Academy Coordinator

Patrick Fisher
Health Education and Services Center 222C
319-296-4429
319-296-4051 (fax)
Email me

Back to top