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2. First Name*
3. Last Name*
5. Date of birth*
   Date of birth
7. Mailing address*
9. Unit or apartment #
11. City
12. State
13. Zip
15. Phone number*
16. Alternate phone number
18. Email address
22. Complete the sections below if under 18.
24. Information of parent/guardian
26. Name of parent/guardian
28. First Name
29. Last Name
31. Parent/guardian date of birth
    Parent/guardian date of birth
33. Parent/guardian mailing address
35. Unit or apartment #
37. City
38. State
39. Zip
41. Parent/guardian phone number
42. Parent/guardian email address
44. Education
46. Current school being attended
47. Current GPA
49. Assigned school counselor
51. First Name
52. Last Name
54. Additional information
56. Do you have a driver's license?

    1. Yes
    2. No
58. Are you able to attend meetings on a monthly basis?

    1. Yes
    2. No
60. Have you ever been convicted of, or entered a plea of guilty or no contest to a crime?

    1. Yes
    2. No
62. If yes, please explain.
64. How did you hear about this cadet program?
68. Public Safety Cadet Program application criteria

    Experience:

    • No Previous experience required

    Education:

    • For 8th-12th grade aged cadets, you are required to actively attend a school while maintaining status as a Marysville Police Cadet. GPA of 2.5 is required to maintain status as a Marysville Police Cadet.

    Other qualifications:

    • Must be age 14 by date of application.
    • Marysville Police Cadets are required to be between the ages of 14-20.
    • Must complete application process in full, to include passing an oral board before selection.
    • Must be able to successfully pass an extensive background check.
    • Must not have been convicted of a felony offense.
    • Must be a citizen of the United States of America or lawful permanent resident by date of application.
    • Must attend at least one meeting a month to maintain status as Marysville Police Cadet

    Insurance:

    • Liability Insurance as well as Supplemental Accident Insurance is provided through Clarke and Sampson, Inc. by the Insurers; Cincinnati Specialty & Philadelphia Indemnity Company to all Public Safety Cadet registered participants while participating in cadet activities.

    Costs:

    • None. Marysville Police Cadets will be funded through the City of Marysville and will resort to other means necessary to raise money for the program. Uniforms will be provided for the Cadets.
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70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

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