Online Application

Print

Please complete this form with accurate and truthful information.  Once it is submitted, it will be stored with other applications until our annual enrollment period in September.  You will be contacted to confirm your application has been received once the information is verified.  This information is for our post only and will not be shared with any other organization.  Thank you for your interest in our post!
Please correct the field(s) marked in red below:

1
Name:
2
Date of Birth:
3
Address:
4
Phone Number:
5
Email Address:
6
Age:
7
Level of school completed as of this September
8
How did you find out about our post?
9
Why do you want to join the Police Explorer Post?
10
Have you ever been arrested or issued a traffic citation? 
11
If so, when, where, and what for?
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code