Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *HomeCell Email *Date of Birth *Sex: *MaleFemaleRace:HispanicAmerican IndianAfrican AmericanAsianWhiteEmergency Contact *FirstLastRelationship to you? *Father/Mother/Guardian Emergency Contact Phone Number *Emergency Contact Email *Please Upload a picture of your Driver's License, State ID and/or Passport Click or drag a file to this area to upload. Name of School:Employer: Occupation:Employer's Address:Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWork Hours:If Unemployed, Last Employer:May we discuss your present/past employer or school?yesnoDo you have Facebook? *yesnoIf yes, Username:Have you ever been arrested, detained, or taken into custody ANYWHERE? *yesnoIf you answered yes, please explain:Please include the date, location, charge and disposition. Do you have any Physical or Mental Disorders now or in the past? *yesnoIf you answered yes, please explain: Please include the date, location, charge and disposition. Do you have any distinguishing marks, tattoos or scars? *yesnoIf you answered yes, please explain:Please include the date, location, charge and disposition. Tell us why you would like to become a Milwaukee Police Department Public Safety Cadet. *References:Please provide contact information for two references, who are not related to you and can speak to your character.Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Please check to indicate you agree: I hereby acknowledge my complete understanding that the standby law enforcement assignment I am volunteering for carries with it the requirement that I will, without questions, obey and execute to the best of my ability the legal orders or those designated to supervise and commend my activities: that I am to complete all training courses; and that any Violation or disregard of the Rules and Regulations of my organization will be cause for disciplinary action or dismissal. Furthermore, I understand that any false statements intentionally made in my application disqualifies me for membership In the Milwaukee Police Department Public Safety Cadets. Name: *FirstLastDate: *Submit