Mukwonago Police Explorer Post #429 Application

We are always eager to accept new members to the Mukwonago Police Department Explorer Post #429. We feel this is a unique opportunity for young people. Law enforcement exploring is an opportunity for people ages fifteen to twenty-one to learn about the challenging field of law enforcement. Explorers currently attend one monthly meeting where various topics are discussed and enjoy limited hands-on training activities.

Members of the explorer post are given the opportunity to work different community functions throughout the Village of Mukwonago with our regular officers. These include traffic control at parades, talks by police officers and tours of local police departments. It is important for you as a parent/guardian to be fully aware of this part of the program. Your son/daughter requires your notarized signature for consent to participate in this program.

lf you have any questions about the program, contact Officer Brian Cieszynski at 262-363-6435 or via email by submission of this application.

Contact Information

Applicant Name

First *

Middle Initial

Last

Address

Street Address *

Address Line 2

City *

State *

ZIP Code *

Date of Birth *

Month

Day

Year

Home Phone *

School You Attend

Grade

Parent/Guardian Name

First *

Last

Phone *

Parent/Guardian Name

First *

Last

Phone *

Contact Email

Emergency Contact Information

Contact #1 Name

First *

Last

Address

Street Address *

Address Line 2

City *

State *

ZIP Code *

Home Phone *

Mobile Phone

Relationship

Does this contact person have keys to your residence?

Yes

Contact #2 Name

First *

Last

Address

Street Address *

Address Line 2

City *

State *

ZIP Code *

Home Phone *

Mobile Phone

Relationship to Explorer

Does this contact person have keys to your residence?

Yes

Leave this field blank

Government

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Residents

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Mukwonago Police Explorer Post #429 Application