Cadet Interest Form - City of Draper

Required fields are marked with asterisks (*)

Draper Police Cadet Application

First Name

Last Name

Address

Date of Birth

Phone Number- Primary

Driver's License Number

Driver's License State

Height

Weight

Hair Color

Eye Color

Emergency/Family Contact Information

Father's Name

Father's Address

Father's Phone Number

Mother's Name

Mother's Address

Mother's Phone Number

Please list the name of someone we can contact in case of emergency if we are unable to reach your parents.

Emergency Contact Address

Emergency Contact Phone Number

Relationship

Education

Beginning with the most current, list the name and address of all schools attended.

Year of graduation/projected graduation from high school?

Miscellaneous

Please list all sports, hobbies, clubs or organizations that you belong to or participated in. Note special recognition received, if any.

How did you hear about Draper Police Department's Cadet Program?

If you answered yes, explain.

If yes, describe your use.

Do you have any medical conditions we should be aware of?

Please explain why you would like to be a cadet.

Certification

I certify that the information contained herein is complete and accurate to the best of my knowledge and belief. I acknowledge that any willful omissions or misstatements may result in my immediate disqualification or termination. If appointed to membership in the Draper Police Cadet Program, I agree to conform to policies, procedure, rules, and regulations.

Applicant Signature

Clear

If the applicant is under 18 years of age, a parent/guardian must sign this application as well.

As the parent/guardian of the above named juvenile, I consent to his/her participation in the Draper City Police Department’s Cadet Program.

Parent/Guardian Signature

Clear