Cadet Application

Fields with an * are required.

First Name

Middle Name

Last Name

Date of Birth

Street Address

City

Zip Code

Apt., Space, Suite, etc.

Home Phone

Cell Phone

Work Phone

Height

Weight

Hair Color

Eye Color

Sex

Are you between the ages of 15 years and 20 years old?

Are you under 18 years old?

Do you have parent permission/approval to apply/be a Cadet?

Do you have a valid driver's license?

Driver's license number

State

Other languages spoken

Education:

Name of school

Counselor's Name

Current Grade

Grade Point Average

Do you have at least a "C" grade in all classes?

Select highest grade completed

Do you have a high school diploma?

G.E.D. Certificate?

If enrolled in College, list the College name

Major

Number of units

Have you ever been suspended from school?

When?

Short description of suspension

Legal:

Have you ever been arrested?

Charges

Charge 1

Date of Charge

Location of Charge

Charge Information

Have you ever used illegal drugs?

What types?

Have you ever used marijuana?

Last time used and frequency?

Have you ever been listed as a runaway?

When?

How did you hear about Kern County Cadet?

Are you new to the Cadet program?

What agency were you a Cadet?

Parent/Guardian

Relationship

Parent/Guardian

Relationship

I hereby authorize the Kern County Sheriff's Office to conduct a background investigation concerning my work record, reputation, medical, physical and criminal record, including information of a confidential or privileged nature. I understand that I will need to complete a background packet, an interview, attend the Volunteer Services Academy and successfully complete a designated probation period prior to being a full member of the Kern County Sheriff's Cadet.

I authorize an investigation of all statements contained in the application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my membership is for no definite period and may be terminated at any time without any previous notice

Signature of Parent or Guardian

Signature of Applicant