Atmore Police Explorer Application 2025
Community Service, Leadership, Success, and Mentorship.
Thank you for your interest in youth program.
We’re looking forward to being a positive influence during such an important time in the lives of young adults. Our goal is for officers to be reachable mentors—providing guidance, support, and encouragement when it’s needed most.
Explorer Applicant name
*
First Name
Middle Name
Last Name
Parent/Guardian Completing Application
*
First Name
Last
Relation
Age
13 but turns 14 in Training
14
15
16
17
17 but turns 18 in Training
Parent / Guardian Email (A Waiver will be emailed to you Directly)
*
Has the applicant shown interest in any type of trade or profession, if yes what profession.
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 1 Phone
*
Format: (000) 000-0000.
Parent 2 Phone
Format: (000) 000-0000.
Does the Applicant have a Medical Condition or Problem? (Asthma, Diabetes, Etc.) If yes type condition.
*
Emergency Contact Number
*
Format: (000) 000-0000.
Does the Applicant have a history and or involvement with a Juvenile Judicial Court or Officer? If yes please still apply, we will work through this process to review the outcome.
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Yes
No
Does the Applicant live within the Police Jurisdiction of the Atmore Police Department and need Transportation?
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Yes
No
Is the Applicant in good standing with their School, and maintains a 2.0 GPA or higher? If no, please still apply, we will work through this process to review the outcome.
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Yes
No
Does the Applicant have Allergies to any food?
*
Does the Applicant have Allergies to things other than food?
*
Does the Applicant have a food preference based off a Religious Belief?
*
Do you authorize and consent to background checks and screening conducted by the Atmore Police Department for the Applicant applying for this program. By doing so, you are stating you are his/her legal parent, and or guardian as defined by Applicable Law?
*
Yes
No
Upload a Forward Facing Photo of Applicant
*
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Parent / Legal Guardian Name Print for Signature
*
Parent / Legal Guardian Signature
*
Continue
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