APPLICATION FORM
[The information you provide to us will be used by the Moorhead Police Department only]
If your child is interested in attending the Moorhead Police Department Junior Police Academy and you would like
more information, please provide the following information about the child interested in attending:
|
|
|
FIRST NAME |
|
|
|
MIDDLE INITIAL |
|
|
|
LAST NAME |
|
|
|
STREET ADDRESS |
|
|
|
APPARTMENT NUMBER |
|
|
|
CITY |
|
|
|
STATE |
|
|
|
ZIP CODE |
|
|
|
TELEPHONE NUMBER |
|
|
|
NAME OF SCHOOL YOU WILL ATTEND IN 07-08: |
|
|
|
GRADE LEVEL YOU WILL BE IN THE 07-08 SCHOOL YEAR |
|
|
|
PARENT/GUARDIAN NAME |
|
|
|
PARENT TELEPHONE NUMBER |
|
|
|
PARENT EMAIL ADDRESS |
|
|
|
WHICH SESSION CAN YOU ATTEND?
|
BRIEFLY DESCRIBE WHY YOU WOULD LIKE TO PARTICIPATE IN THE JUNIOR POLICE ACADEMY?
|
|
|