Fillable YOUTH CADET LAW ENFORCEMENT STUDENT TROOPER PROGRAM APPLICATION 2019

Fill Online, Printable, Fillable, Blank YOUTH CADET LAW ENFORCEMENT STUDENT TROOPER PROGRAM APPLICATION 2019 Form

Use Fill to complete blank online COMMONWEALTH OF MASSACHUSETTS (MA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

YOUTH CADET LAW ENFORCEMENT STUDENT TROOPER PROGRAM APPLICATION 2019

On average this form takes 7 minutes to complete

The YOUTH CADET LAW ENFORCEMENT STUDENT TROOPER PROGRAM APPLICATION 2019 form is 3 pages long and contains:

  • 0 signatures
  • 6 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
THE AMERICAN LEGION
DEPARTMENT OF MASS, INC.
YOUTH CADET LAW ENFORCEMENT
STUDENT TROOPER PROGRAM
APPLICATION
2019
QUALIFICATIONS:
This program is open to high school students, 15 to 17 years old, in good academic standing.
Applicants must be of good moral character and present a well-groomed appearance. Hair must be
neatly trimmed (females-arranged) and males must be clean-shaven. This program consists of
rigorous training and physical stress in a para-military-type academy setting. The Youth Cadet Law
Enforcement Student Trooper Program is open to all, regardless of race, color, religion, gender or
nationality.
PERSONAL DATA (Please type or print and sign):
NAME: ________________________ __________________________ _____________________
(Last) (First) (Middle)
ADDRESS: __________________________________ ______________________________________
(Street)
(City, State, Zip)
DATE OF BIRTH(mm/dd/yyyy): ____/____/______
GENDER: ___________________
(Parent’s Or Guardian’s Name, Address and Phone Number)
(High School Attending)
(Applicant’s Signature)
T-SHIRT SIZE (please check appropriate size, adult size):
Small Medium Large X-large
Have you ever attended a previous Student Trooper Program? Yes No
If yes, what year? _______________
If you have previously attended the Student Trooper Program, please do not apply again.
Students are not allowed to attend the program twice.
MEDICAL INFORMATION:
A physical examination is required. A medical form requiring a doctor’s signature will be required
upon your acceptance to the program. Additional information will be provided at that time.
Primary Phone: (____)____________________
Email Address: _________________________
RELEASE OF LIABILITY:
The applicant, being given the opportunity to use certain equipment and facilities of
the Massachusetts State Police Academy during the American Legion “Youth Cadet Law
Enforcement Student Trooper Training Program,” assumes all risks and liability pertaining to any
activity pursuant to the program or that may arise during his/her participation in said program
and hereby releases from such liability, the American Legion, the Massachusetts State
Police, and the staff members performing the training. Persons attending this Program are
responsible for any medical bills, including transportation costs, associated with any injuries
or illnesses incurred while participating in the training program. In the event of disciplinary
action, parents or guardians will be notified and will be responsible for picking up their child, if
necessary.
(Signature of Applicant) (Date) (Signature of Parent or Guardian) (Date)
SCHOOL OFFICIAL CERTIFICATION:
I hereby certify that the above named student is in good academic standing, does not have a
negative disciplinary record and will be between the ages of 15-17 during the Program. (See dates below)
(Signature of School Official) (Date)
____________________________________________________ (_____)_________________________
(Name of School) (Phone Number)
American Legion Authorizing Post_______________________________ District________________
To locate a post near you, go to: www.masslegion.org,then to POST LOCATOR link.
(Post Official's Authorizing Signature and Address)
(Name and Address of Provider of Sponsorship Fee)
Applications will not be accepted before January 25, 2019. This application, with the
sponsoring fee check in the amount of $400.00, must be received before May 3, 2019. Apply
early, as space is limited to 80 applicants per week. Candidates for the program will be
selected prior to May 10, 2019. Candidates that are accepted into the program will be provided
information on the required equipment and the required medical forms. Those candidates that are
not accepted into this year’s program will be notified and the sponsoring fee check will be returned.
Make check payable to: American Legion, Department of Massachusetts and mark “Youth
Cadet” and student’s last name in the bottom left-hand corner.
Mail APPLICATIONS and CHECKS ONLY to: Mr. Louis E. Brault, Cadet Law Enforcement
Chairman, 104 Johnson Road Unit 207, Chicopee, MA 01022. In the event the applicant is not
accepted, the sponsorship fee will be returned to the provider.
DATES: (Please state order of preference, 1 & 2, and type
numbers in designated boxes):
If only available for one week, indicate that week only.
July 15 - 19, 2019
July 22 - 26, 2019
Name:
Applicant must write a brief statement of why they would like to be accepted into the Student
Trooper Program.
Any questions, contact Mr. Louis E. Brault, at
(413) 593-9842 or louisbrault@yahoo.com
No refunds will be authorized for ”no shows” or for a student leaving
the program prior to its conclusion.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

YOUTH CADET LAW ENFORCEMENT STUDENT TROOPER PROGRAM APPLICATION 2019

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 28 January 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document