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Cadet Program Application
Cadet Program Application
caryfire
2020-08-31T14:03:17+00:00
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Age
Date of Birth
Date Format: MM slash DD slash YYYY
Current School
Parent or Legal Guardian Name
Parent or Legal Guardian Phone
In case of emergency, and Parents cannot be reached, who should be notified?
Relationship
Phone
Do you have any medical conditions or allergies that CFPD should be aware of?
Yes
No
If Yes, please describe
Are you taking any medications that CFPD should be aware of?
Yes
No
If Yes, please list medications
Physician Name
Physician Phone
Please list any extra-curricular activities with school or other organizations?
How did you hear about the Cary Fire Protection District Cadet Program?
What do you feel you could bring to the Program?
Attend Cadet Training
Cadets are required to attend training as part of the program. Training includes the once per month cadet meetings, every other Tuesday night training and other training dates. Do you believe you will be able to attend, at minimum, 50% of the training available?
Yes
No
Please Explain, if appropriate
Applicant Signature
Enter Your Full Name. Your electronic signature certifies that the information you provide on this application is accurate and true. By entering your name into the above field, you are legally signing the document.
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