Cadet Program Application | Cary Fire Protection District

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Email

Age

Date of Birth

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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