Application
If you wish to apply to the Duluth Police Explorer Post #244 Print out the information below, fill it out as completely as possible, and send to:
Application
If you wish to apply to the Duluth Police Explorer Post #244 Print out the information below, fill it out as completely as possible, and send to:
THE ESTABLISHMENT OF EXPLORER POST 244:
THE PURPOSE OF LAW ENFORCEMENT EXPLORING:
2. To develop leadership skills through experience of self-government and cooperation within the organization.
3. To provide the area with a well trained volunteer organization to assist the City of Duluth.
4. To show people in the community, through a wholesome representation of the Police Department, that today's youth are recognized for effective leadership and commitment to the people in this city.
5. To give everyone respect and honest relations with a professional and courteous attitude with an experienced group of individuals.
6. Assist the Duluth Police Department personnel with duties and tasks as assigned.
7. Promote social programs designed for Explorers to have fun in a relaxed environment such as trips, camping outings, and other get-togethers.
MEETINGS AND TRAINING:
Information you provide will be made available only to the Advisors and persons responsible for the application processing and the appropriate law enforcement agency.
Full Name: ______________________________________ Phone:
(____)_____________
Address, Zip: ____________________________________ Cell:
(____)_______________
Date of Birth: ____________________ City, State
of Birth: _______________________
Age: ___________ Sex: ___________ Current School: _________________________
Driver License Number: _________________________E-mail:__________________________
PAST EDUCATION
Past Junior High School:
Past High School: ________________________ ________________________
Addresses: ________________________ ________________________
(if not in Duluth) ________________________ ________________________
Grades Enrolled: ________________________ ________________________
EMPLOYMENT
Please list most recent/current first
Name of Employer: ___________________________________
Phone: __________________
Address: ________________________________________
Length of Employment: ________
Duties: _________________________________________
Reason for Leaving: __________
Name of Employer: ___________________________________
Phone: __________________
Address: ________________________________________
Length of Employment: ________
Duties: _________________________________________
Reason for Leaving: __________
Name of Employer: ___________________________________
Phone: __________________
Address: ________________________________________
Length of Employment: ________
Duties: _________________________________________
Reason for Leaving: __________
REFERENCES
Please list three adult references that we may contact,
other than family members.
Name: ___________________________________________
Phone: ________________
Address: ___________________________________________
Zip Code: _______________
Relationship: ________________________________________
Years Known: _____________
Name: ___________________________________________
Phone: ________________
Address: ___________________________________________
Zip Code: _______________
Relationship: ________________________________________
Years Known: _____________
Name: ___________________________________________
Phone: ________________
Address: ___________________________________________
Zip Code: _______________
Relationship: ________________________________________
Years Known: _____________
We may contact employers/references for further information.
PHYSICAL AND MENTAL CONDITION
Do you have any physical impairment (heart condition,
asthma, less a full use of limbs, hearing, etc.) that would restrict you
involvement or activities in physical events? YES NO
If you answered YES, please explain: ________________________________________________________________________
Are you currently under a doctors care?
YES NO
If you answered YES, please explain: ________________________________________________________________________
POLICE RELATED INFORMATION
Have you ever been employed in police work (community
service officer, volunteer, private security company, etc.) or applied
for a position on a Police Cadet Post? YES
NO
If you answered YES, please explain: ______________________________________________________________________________
Have you ever been arrested, or have received a traffic
ticket or a summons to appear in court?
YES NO
LIST OFFENSES: ____________________________________________________________
List any training or courses that you've had: (i.e. CPR,
leadership, Boy Scouts, ROTC, etc.)
________________________________________________________________________
Do you personally know a police officer or an Explorer
of the Duluth Police Department? YES NO
If you answered YES, please provide:
Name:_________________________ Years Known: ______
How did you come to know the officer/Explorer? _____________________________________
Name:_________________________ Years Known: ______
How did you come to know the officer/Explorer? _____________________________________
ESSAY
Please write a brief paragraph telling us why you are
interested in becoming an Explorer.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
In your own words, please tell us more about yourself
(i.e. hobbies, personality, etc.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
If you have received any awards (school, community, etc.)
please list them here:
________________________________________________________________________
________________________________________________________________________
How did you find out about the Explorer Program?
________________________________________________________________________
As a parent/legal guardian (of applicants under the age of 18), I approve of my son/daughter participating in the Duluth Police Explorer Program and am aware that there is a commitment involved. I have read, reviewed with my son/daughter, and understand the information that has been provided in this packet, and consider the answers to this application to be true.
_____________________________________ ________________________
Parent/Guardian Signature
Date
As the applicant to the Duluth Police Explorer Program,
I have read the information in this packet and hereby wish to be considered
for membership with the DPD Explorers.
_____________________________________ ________________________
Applicants Signature
Date