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*
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?*

YesNo
Have you ever been charged with a juvenile offense or been under the supervision of the juvenile court?*

YesNo
Have you been suspended from school or any extracurricular activity?*

YesNo
Are you willing to meet the grooming standards set forth by the policies of the program?*

YesNo
Are you willing to wear a uniform and do so in accordance with the policies of the program?*

YesNo
Have you been a member of any Public Safety Cadet, Learning for Life, Venturing or Explorer program?*

YesNo
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.
Reference 2*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
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.
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*

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Membership Application

Employment

References

Parent/Guardian Information