Required fields are marked with asterisks (*)

Police Explorer Application

The City Of Ramsey Law Enforcement Explorer Post #(3819) is a division of the City of Ramsey Police Department. You will be trained in police practices and be exposed to classified information. Because of this, an intensive background investigation is performed on all applicants. Please fill out this application as completely as possible. If a question does not apply to you (such as Driver’s License information) please place N/A in the appropriate space. If you have any questions please feel free to contact an Advisor, brossum@cityoframseymn.gov or llohse@cityoframseymn.gov.

Personal Information

Position Title:

First Name:

Last Name:

Address:

Address 2:

City:

State:

ZIP

Email:

Home or Cell Phone Number:

At the time of applying, are you under the age of 18?

Yes

Parent / Guardian Information

Parent/Guardian 1:

First Name:

Middle Name:

Last Name:

Email:

Home or Cell Phone Number:

Address:

Address 2:

City:

State:

ZIP

Parent/Guardian 2:

First Name:

Middle Name:

Last Name:

Email:

Home or Cell Phone Number:

Address:

Address 2:

City:

State:

ZIP

Education

Name of School:

Phone Number:

Grade:

School Counselor's Name:

Current Classes:

Sports / Clubs / Activities

Awards, Certificates, Etc.

Employment

Please enter information on at least your last two employers.

Employer:

Is this a current employer or past employer?

Current Employer

Past Employer

Start Date:

Position Title:

Employer Address (Street, City, State, ZIP):

Employer Phone Number:

May we contact this employer?

Yes

Supervisor Name:

Supervisor Phone Number:

Supervisor Email:

Employer:

Is this a current employer or past employer?

Current Employer

Past Employer

Start Date:

Position Title:

Employer Address (Street, City, State, ZIP):

Employer Phone Number:

May we contact this employer?

Yes

Supervisor Name:

Supervisor Phone Number:

Supervisor Email:

Add Remove

References:

Please list people you have known for at least three years consisting of two peers and two adults.

Full Name:

Years Known:

Email Address:

Phone Number:

Briefly describe how you are acquainted with this person.

Full Name:

Years Known:

Email Address:

Phone Number:

Briefly describe how you are acquainted with this person.

Remove

Full Name:

Years Known:

Email Address:

Phone Number:

Briefly describe how you are acquainted with this person.

Remove

Full Name:

Years Known:

Email Address:

Phone Number:

Briefly describe how you are acquainted with this person.

Add Remove

Supplemental Questions

If a question dows not apply to you, please place N/A in the appropriate space.

Are you between 14 (completed 8th grade) and 21 years old?

Yes

Are you enrolled in school and able to maintain a C average or better?

Yes

Do you have a good driving record?

Yes

Not Applicable

Have you ever been charged or convicted of ANY crime or petty offense?

Yes

Have you ever been listed as a runaway?

Yes

Have you had any contact with the police or the court system (other than what you have mentioned above)?

Yes

Have you ever been suspended or expelled from school?

Yes

Please explain why you would like to become a Police Explorer.

Where did you learn of this opportunity?

Agreements

I certify that all answers to the above questions are true and understand that any false information or omission of information from this application will be cause for rejection of this application or termination without notice.

I understand the above agreement.

I authorize a representative of the City of Ramsey Police Department to contact any of the persons listed on my application.

Yes

Signature

By signing below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

Applicants under the age of 18 must also have a legal guardian sign.

Applicant Signature

Clear

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