Requirements for Membership & Application

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Clackamas County Sheriff s Office Cadet Program Requirements for Membership & Application Application turned in on: Date: Time: Received by: DATE, TIME AND SIGNATURE OF PERSON RECEIVING THIS APPLICATION MUST BE FILLED TO BE ACCEPTED. 503-969-3001 www.clackamas.us/sheriff/cadet.htm

NOTICE TO APPLICANTS T he Clackamas County Sheriff s Office Cadet Program accepts applications from Jan. 1 to Nov. 1. All applications received from Nov. 2 through Dec. 31 will be considered for the following year s recruitment. Background investigations are completed and interviews are conducted during September through December. Selected Recruit Cadets will be contacted around Dec. 1, and will begin attending meetings no later than the first meeting in January. All Recruit Cadets are required to successfully complete the annual Explorer/Cadet Academy which is conducted for 12 consecutive Saturdays beginning in February or March. Applications must either be TYPED OR WRITTEN LEGIBLY IN BLACK INK or the application will be rejected. Complete the application and return the 8 pages of the Application and the Authorization to Release Information to the Sheriff s Office. (If a section of the application does not apply, write, DOES NOT APPLY. ) Do not leave any section blank, or your application will be rejected. Complete address is required, or your application will be rejected. P.O. BOX addresses will not be accepted. THE AUTHORIZATION TO RELEASE INFORMATION MUST BE NOTARIZED. IF YOU FAIL TO NOTARIZE, YOUR APPLICATION WILL BE REJECTED. MAILED OR FAXED APPLICATIONS WILL NOT BE ACCEPTED. All applications MUST be turned into Clackamas County Sheriff s Office during normal business hours. Date, time and signature of the Sheriff s Office personnel receiving the application must be on the cover page of the application to be processed. Deliver applications in person to: Clackamas County Sheriff s Office Cadet Program attn: Deputy Erik McGlothlin 9101 SE Sunnybrook Blvd. Clackamas, OR 97015 Additional information online at: www.clackamas.us/sheriff/cadet.htm If you have any questions, call the Sheriff s Office and ask to talk to a Cadet Program Advisor. Your message will be forwarded, and an Advisor will call you as soon as possible.

MEMBERSHIP REQUIREMENTS AGE: Membership in the Clackamas County Sheriff s Office Cadet Program is open to all interested persons between the ages of 15 and until their 21st birthday who meet the following requirements: 1. Have parental approval (under 18 years of age). 2. Must be willing to fully participate in various activities, including training, public service, department functions, and social activities. 3. Must be willing to work to continually improve the Cadet Program. 4. Must understand and be willing to obey all Program rules and regulations, to include the Cadet Manual and the Clackamas County Sheriff s Office Rules and Regulations. 5. Must demonstrate professional demeanor and remain in good standing at all times. 6. Applicants under 15 years old may apply as long as the applicant turns 15 years old ON or BEFORE Explorer/Cadet Academy Graduation. SCHOOL: Applicants must be enrolled in high school, or possess a high school diploma, a G.E.D., or equivalent. Members are required to maintain a grade point average of at least 2.5. 1. High school / G.E.D. graduates must have cumulative 2.5 GPA upon graduation. 2. College students must keep average of at least 2.5. BACKGROUND: Applicants will be required to pass an oral interview given by the Program Chain of Command and Advisors. The Clackamas County Sheriff s Office will conduct a complete criminal and driving record investigation on the applicant. APPLICATIONS: Applications are available yearround from the Sheriff s Office Brooks Building (9101 SE Sunnybrook Blvd., Clackamas, OR 97015). Applications can be obtained by downloading an application from the Cadet Web page, located at www.clackamas.us/sheriff/cadet.htm MEETINGS: Meetings are held on the 2nd and 4th Sunday of each month at 4:00 p.m. at the Clackamas County Sheriff s Office Brooks Building (9101 SE Sunnybrook Blvd., Clackamas, OR 97015). MEETINGS ARE MANDATORY (UNLESS VALID EXCUSE). TRAINING: Cadets must complete a Training Phase before being allowed to ride on patrol with a regular Deputy. Cadets must complete a C-COM Tour, a Jail Tour, 4 hours with the Property Division, a Radio Test and 40 hours of ride-a-longs with Advisors and / or approved Deputies. Cadets are required to attend and successfully complete the Explorer/Cadet Academy, which is held for 12 consecutive Saturdays beginning in March. The academy costs $100.00, which is nonrefundable. Cadets must also attend scheduled training events, which are normally held earlier in the day on meeting dates. ADVISORS: Cadets will use the Cadet Program Chain of Command to resolve problems. If this is not possible, Advisors are available at all meetings or on an emergency basis. Those applicants who have any criminal convictions whether by arrest or citation or a poor driving record may be disqualified from acceptance.

Clackamas County Sheriff s Office Cadet Program 9101 SE Sunnybrook Blvd. Clackamas, OR 97015 503-969-3001 AUTHORIZATION TO RELEASE INFORMATION I authorize you to furnish the Clackamas County Sheriff s Office Cadet Program with any and all information that you have concerning myself, my work record, my school records to include disciplinary actions, my financial status, my driving record, my criminal history to include juvenile records, and any other information requested by the Sheriff s Office. Information of a confidential, privileged nature may be included. Your reply will be used to assist the Clackamas County Sheriff in determining my qualifications and fitness for the position I am seeking in the Sheriff s Cadet Program. I hereby release you, your organization/company/school and others from any liability or damage that may result from furnishing the information requested. NOTE: A photocopy reproduction of this request shall be, for all intents and purposes, as valid as the original. You may retain this form for your files. APPLICANT S SIGNATURE PARENT S SIGNATURE (IF UNDER 18) DATE State of Oregon County of Clackamas Signed or attested before me on day of, 20 By (printed name of applicant) By (printed name of parent only if needed) x Notary Public State of Oregon (signature) N o t a r y Se a l

Clackamas County Sheriff s Office Cadet Program Application for Membership Please type or print legibly in black ink. Fill in all sections. Incomplete or unreadable applications will be rejected. IF YOU NEED MORE ROOM TO COMPLETE THIS APPLICATION, PLEASE USE A BLANK SHEET OF PAPER AND ATTACH. PERSONAL INFORMATION LAST NAME: FIRST NAME: MIDDLE NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: CELL PHONE: EMAIL: AGE: BIRTHDATE: DRIVER S LIC NUMBER: STATE OF ISSUE: WHAT OTHER STATES HAVE YOU HAD A DRIVER S LICENSE? HAVE YOU TAKEN DRIVERS ED? WHEN AND WHERE SOCIAL SECURITY NUMBER: HEIGHT: WEIGHT: COLOR EYES: COLOR HAIR: WORK INFORMATION NAME OF EMPLOYER: ADDRESS: ZIP SUPERVISOR: PHONE: HOW LONG HAVE YOU WORKED HERE? YOUR PRIMARY DUTIES:

PARENTS (Include Step-Parents) NAME RELATIONSHIP DOB ADDRESS HOME PHONE WORK PHONE EMPLOYER DOES THIS PARENT RESIDE WITH YOU NOW? IF NO, WHY? NAME RELATIONSHIP DOB ADDRESS HOME PHONE WORK PHONE EMPLOYER DOES THIS PARENT RESIDE WITH YOU NOW? IF NO, WHY? NAME RELATIONSHIP DOB ADDRESS HOME PHONE WORK PHONE EMPLOYER DOES THIS PARENT RESIDE WITH YOU NOW? IF NO, WHY? SIBLINGS (List brothers, sisters, step-brothers, step-sisters) NAME DOB RELATIONSHIP LIVING WITH YOU NOW? IF NOT, CURRENT ADDRESS NAME DOB RELATIONSHIP LIVING WITH YOU NOW? IF NOT, CURRENT ADDRESS NAME DOB RELATIONSHIP LIVING WITH YOU NOW? IF NOT, CURRENT ADDRESS

SIBLINGS (CONT.) NAME DOB RELATIONSHIP LIVING WITH YOU NOW? IF NOT, CURRENT ADDRESS NAME DOB RELATIONSHIP LIVING WITH YOU NOW? IF NOT, CURRENT ADDRESS RESIDENCES (List the last 3 addresses where you have lived. Include who lived with you at each) 1) ADDRESS CITY STATE ZIP LIVED HERE FROM (MONTH & YEAR) TO WHO LIVED WITH YOU HERE? (Include DOB if not listed elsewhere) 2) ADDRESS CITY STATE ZIP LIVED HERE FROM (MONTH & YEAR) TO WHO LIVED WITH YOU HERE? (Include DOB if not listed elsewhere) 3) ADDRESS CITY STATE ZIP LIVED HERE FROM (MONTH & YEAR) TO WHO LIVED WITH YOU HERE? (Include DOB if not listed elsewhere)

EDUCATION/SCHOOL INFORMATION HIGH SCHOOL GRADUATE? YES NO YEAR GRADUATED: WHICH HIGH SCHOOL? ADDRESS: ZIP PHONE NUMBER: G.E.D.? YES NO YEAR COMPLETED: WHERE FROM? ADDRESS: ZIP PHONE NUMBER: ATTENDING HIGH SCHOOL? YES NO WHICH HIGH SCHOOL? ADDRESS: ZIP PHONE NUMBER: WHAT GRADE YEAR TO GRADUATE CURRENT GPA ATTENDING COLLEGE? YES NO WHICH COLLEGE? ADDRESS: ZIP PHONE NUMBER: CURRENT GPA: MAJOR: ATTENDANCE AT MORE THAN ONE HIGH SCHOOL? WHICH HIGH SCHOOL? ADDRESS: ZIP PHONE NUMBER: YEAR(S) ATTENDED: REASON FOR CHANGING SCHOOLS? WHICH HIGH SCHOOL? ADDRESS: ZIP PHONE NUMBER: YEAR(S) ATTENDED: REASON FOR CHANGING SCHOOLS?

IF YOU HAVE EVER BEEN ARRESTED, HELD ON SUSPICION, DETAINED OR FINGERPRINTED BY ANY POLICE OR JUVENILE AUTHORITY, PROVIDE THE FOLLOWING INFORMATION: DATE: CHARGE: DETAINING OR ARRESTING AGENCY: ADDRESS: ZIP PHONE NUMBER: DISPOSITION: DATE: CHARGE: DETAINING OR ARRESTING AGENCY: ADDRESS: ZIP PHONE NUMBER: DISPOSITION: DATE: CHARGE: DETAINING OR ARRESTING AGENCY: ADDRESS: ZIP PHONE NUMBER: DISPOSITION: DATE: CHARGE: DETAINING OR ARRESTING AGENCY: ADDRESS: ZIP PHONE NUMBER: DISPOSITION: ON A SEPARATE PIECE OF PAPER AND BEGINNING WITH THE MOST RECENT CASE, WRITE AN ACCOUNT OF EACH INCIDENT LISTED ABOVE. FAILING TO DO THIS, YOUR APPLICATION WILL BE REJECTED.

DRIVING RECORD DO YOU HAVE AN OREGON DRIVER S LICENSE OR OREGON IDENTIFICATION CARD? NO YES NUMBER: HAS YOUR LICENSE EVER BEEN SUSPENDED OR REVOKED? YES NO CRASH HISTORY: DATE: LOCATION: INVESTIGATING AGENCY: ADDRESS: ZIP CASE NUMBER: PHONE NUMBER: DATE: LOCATION: INVESTIGATING AGENCY: ADDRESS: ZIP CASE NUMBER: PHONE NUMBER: TRAFFIC CITATIONS (LIST) DATE CHARGE AGENCY DISPOSITION

REFERENCES LIST FIVE (5) PERSONS NOT RELATED TO YOU WHO KNOW YOU WELL. PREFERABLY LIST RESIDENTS OF OREGON. DO NOT INCLUDE FAMILY AND FRIENDS. INDICATE HOW LONG THE REFERENCES HAVE KNOWN YOU. ALL INFORMATION REQUESTED BELOW MUST BE COMPLETED. #1 NAME: DOB: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: HOW DO YOU KNOW THIS PERSON? HOW LONG HAVE YOU KNOWN THIS PERSON? #2 NAME: DOB: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: HOW DO YOU KNOW THIS PERSON? HOW LONG HAVE YOU KNOWN THIS PERSON? #3 NAME: DOB: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: HOW DO YOU KNOW THIS PERSON? HOW LONG HAVE YOU KNOWN THIS PERSON? #4 NAME: DOB: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: HOW DO YOU KNOW THIS PERSON? HOW LONG HAVE YOU KNOWN THIS PERSON? #5 NAME: DOB: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE: HOW DO YOU KNOW THIS PERSON? HOW LONG HAVE YOU KNOWN THIS PERSON?

SIGNATURE All of the above and attached information is true and correct to the best of my knowledge. (If not, your application will be rejected.) Signature of Applicant Date DO NOT WRITE IN THIS BOX OFFICE USE ONLY DATE APPLICATION RECEIVED APPLICATION FILLED OUT PROPERLY? YES NO BACKGROUND INVESTIGATION ASSIGNED TO: RECORDS CHECK (ATTACHED) DRIVING RECORD (ATTACHED) WORK INFORMATION (ATTACHED) SCHOOL INFORMATION (ATTACHED) GPA: REFERENCE LETTERS (ATTACHED) CHECK ON PREVIOUS ADDRESSES (ATTACHED) CHECK ON REFERENCES (ATTACHED) OTHER: ORAL INTERVIEW: DATE: PASS FAIL REASON: ACCEPTED INTO PROGRAM: YES NO DATE: SIGNATURE OF ADVISOR: