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Steps
1.
Personal Information
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2.
Parental Information
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3.
Emergency Information
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4.
School / Work Information
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5.
References
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6.
Autobiography
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7.
Background Packet
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8.
Acknowledgements
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Personal Information
First Name
*
Last Name
*
Middle Name
Date Of Birth (MM/dd/yyyy)
*
Email Address
*
Home Address
*
City
*
State
*
Zip Code
*
Home Phone
Cell Phone
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Parental Information
Mother Details
First Name
Last Name
Address
Home Phone
Cell Phone
Work Phone
Father's Details
First Name
Last Name
Address
Home Phone
Cell Phone
Work Phone
Guardian's Details
First Name
Last Name
Address
Home Phone
Cell Phone
Work Phone
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Emergency Information
First Name
*
Last Name
*
Address
Phone
Relationship
*
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School / Work Information
School Information
School
City
Current Grade
Work Information
Employer
Work Address
Phone
Job Title
Previous Post
Department
Advisor's Name
Phone
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References
List three non-family members:
Reference 1:
Name
Address
Phone
Relationship
Reference 2:
Name
Address
Phone
Relationship
Reference 3:
Name
Address
Phone
Relationship
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Autobiography
Please tell us about yourself. In your autobiography, please include your full name, your entire family member's names, and their relation to you, your hobbies and other interests and why you would like to be a Fontana Police Explorer.
Autobiography
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Background Packet
Background
Background Packet
Download, print and fill out the background packet. Make sure this is filled out in its entirety and submitted at interview.
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Acknowledgements
I certify that the above is true and that I am between the ages of 14 and 21, currently maintain a "C" average, and I am willing to volunteer a minimum of 10 hours of service per week.
Applicant Name
*
Date
*
Date
Signature Of Parent/Guardian (if a minor)
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