Membership Application

Membership Application

To apply for membership please complete all questions.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
T-Shirt Size
List any social media platforms you have an active account on:
Allergies
Medical Conditions
High School Name & Grade
Have you been convicted of or plead no contest to any crime within the last 4 years?
Have you ever been charged with a juvenile offense or been under the supervision of the juvenile court?
Have you been suspended from school or any extracurricular activity?
Are you willing to meet the grooming standards set forth by the policies of the program?
Are you willing to wear a uniform and do so in accordance with the policies of the program?
Have you been a member of any Public Safety Cadet, Learning for Life, Venturing or Explorer program?
Employment
Most Recent Employer (Company Name)
Manager Name
Manager Email
Manager Phone Number
Position Title
Dates of Employment (Year-Year)
References
Reference 1

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Information
Name

First NameLast Name
Relationship to Cadet
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
By electronically signing and submitting this document, I certify that the information contained in this application is true and complete. I understand that false information may be grounds for denial of membership or immediate termination of membership at any point in the future, if I am accepted. I authorize the verification of any and all information listed above.
By electronically signing and submitting this document, I acknowledge the program has a strict participation policy and failure to comply with attendance standards will result in dismissal from the program. I acknowledge any uniform and equipment issued by the program is property of the Cherokee Sheriff's Office and if any issued property is lost/stolen, I am responsible for replacing it.
By electronically signing and submitting this document, I acknowledge that I have read and understand the Cherokee Cadet Policy Manual (found on cherokeecadets.org). I agree to follow all rules, expectations, and guidelines outlined in the policy manual. I understand that failure to comply with these policies may result in disciplinary action, including suspension or removal from the program. By signing below, I confirm my commitment to uphold the standards of the Cherokee Cadets program.
Date of Signature

MonthDayYear
Date
Signature
Should be Empty:

Membership Application

Employment

References

Parent/Guardian Information