Explorer Application

Leave This Blank:

Explorer Data Form
Personal Information
Parent/Guardian Information (If Explorer is a minor)
Certification/Authorization
I hereby certify that the information contained in this application is true and complete to the best of my knowledge. You are hereby authorized to make any investigation of my personal history deemed necessary in consideration for my acceptance into the Muscatine Police Explorer Program.



Explorer Signature:___________________________________________


Parent/Guardian:_____________________________________________


Date:______________________________________________________

 
* indicates required fields.