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Applicant Information

Public Safety Cadet Program Application
Do not leave any blanks. If a question does not apply then annotate appropriately.
The following are to be submit on the last page of the application:
Parent Authorization Form (if under 18)
Certification Form
2024-2025 First Quarter Report Card (if applicable)
First Letter of Recommendation (Required)
Second Letter of Recommendation (Optional)
Parent Authorization Page (Required for under age 18)
Parent Authorization Form
Certification Sheet Download
Application Certification Sheet
Name*
Birthdate*
Birthdate
Age*
Gender*
Height*
Hair Color*
Eye Color*
Citizenship*
Do you have an Ohio Driver's License or identification card?*
If other state, list the state here:
Home Address*
City*
State*
Zip Code*
Cell Phone Number*
Email Address*
School or Vocational Program Currently Enrolled and/or Employer*
Current Grade Level (Put N/A if graduated)*
Current GPA(Put N/A if graduated)*
School Counselor or Program Director and/or Direct Employment Supervisor*
Please include at least 2 references we may contact. Reference 1*
Name, Phone Number, and Relationship
Reference 2*
Name, Phone Number, and Relationship
Reference 3
Name, Phone Number, and Relationship
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Have you ever been detained or arrested by law enforcement? If yes, what agency, date, and explain why:*
Have you ever received a traffic citation? If yes, what agency, date, and explain why:*
Have you ever used any illegal drugs to include prescription medications that were not prescribed to you by a physician? If yes, then explain the circumstances:*
What are your career goals?*
What are your expectations of the cadet program?*
How or what can you do to make your community a better/safer place to live?*
Please list all social media accounts, include deleted accounts*
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