Moorhead Police Explorer Post 639

MOORHEAD POLICE EXPLORER 639 ONLINE APPLICATION

Please complete this form with accurate and truthful information. Once it is submitted, it will be stored with other applications until our annual enrollment period in September. You will be contacted to confirm your application has been recieved once the information is verified. This information is for our post only and will not be shared with any other organization. Thank you for your interest in our post!

Name:

Date of Birth:

(mm/dd/yyyy)

Address:

Phone Number:

Email Address:

Age:

	Level of school completed as of this September


	How did you find out about our post?


	Why do you want to join the Moorhead Police Explorer Post?


	Have you ever been arrested or issued a traffic citation? Yes No
	If so, when, where, and what for?