Winter Park Police Department - Police Explorers Application

Application
Winter Park Police Explorer Post 112
Winter Park Police Department

The Post will be inactive while school is out which will include June, July and into the beginning of August. Applications will not be accepted during this time period until the beginning of August. If you are interested in becoming a member please complete the application at that time.

To apply, please complete the online application. Otherwise either print out the application (Word document) or download the pdf file, and mail to:

Winter Park Police Explorers
Attn: Officer Jamie Loomis
500 N. Virginia Ave.
Winter Park, FL 32789

Note: All fields and acknowledgements must be completed for consideration.

First Name:
Last Name:
D.O.B.:
Address:
City:
State:	Zip:
Home Phone:	Other Phone:
Email:
Gender:	Race:
School:	Grade:
Parent/Guardian:
Work Phone:	Other Phone:
Why do you want to be an Explorer?

What are your current career goals?

What do you see as your strengths?

What do you see as your weaknesses?

What makes up a good team?

What does the word "respect" mean to you?

Have you ever been suspended or expelled from school? If yes, why and when?

Have you ever been arrested? If yes, why and when?

What special talents do you have that would help the team?

What areas of law enforcement interest you?

What do you expect to learn and/or gain from being a Police Explorer"

Are you involved in any extra-curricular activities? If so, what are they?

What do you do for fun?

I understand that by this acknowledgement, if I am accepted, I will be taking on a tremendous responsibility that will also include opportunities to learn and grow. I will need to maintain an image that positively reflects my association with the Winter Park Police Department. I affirm that this application contains no misrepresentations, falsifications omission or concealment of fact. The information given by me is true and complete. I am aware that any falsification will be grounds for instant termination of membership with the Winter Park Police Explorer Post 112.
Note: Applicant and Parent must check boxes below to acknowledge. Applicant's Acknowledgement: Parent's Acknowledgement:
Please list three references (not related to the applicant) that we may contact to appraise your character, experience, personality and other qualities.
Name:
Address:
City:
State:	Zip:
Phone:
Relationship to Applicant:

Name:
Address:
City:
State:	Zip:
Phone:
Relationship to Applicant:

Name:
Address:
City:
State:	Zip:
Phone:
Relationship to Applicant:

Winter Park Police Explorer Post 112 Winter Park Police Department Emergency Information
Emergency Contact #1
Name:
Relationship:
Home Address:
City:
State:	Phone:
Employment:	Phone:
Work Address:
City:	Other Phone:
Emergency Contact #2
Name:
Relationship:
Home Address:
City:
State:	Phone:
Employment:	Phone:
Work Address:
City:	Other Phone:

Additional Information:
Insurance Company:
Policy Number:
Required Medications:
Allergies:
	As the parent/guardian, I acknowledge this application.

Any and all information gathered will be used to determine eligability for the program. This information is not disciminated outside of the police department or released to a third party.

home • chief's message • divisions • about us • employment • community • faqs