Explorer Program Interest Form

2. 
3. Woodland Police Department Explorer Program Interest Form
   Welcome and thank you for your interest in the Woodland Police Department Explorer Program. Confidentiality, dependability, loyalty, dedication and professionalism are the by-words under which the Police Department operates. We recognize community involvement as an important necessity and as a crucial component in reaching our goals and objectives. To this end, we have designed The Explorer Program to provide an outlet for youth to be involved with the Department and community.
5. First Name*
6. Last Name*
8. Physical Address*
10. City*
11. State*
12. Zip Code*
14. Home Phone Number
15. Cell Phone Number*
17. Email Address*
18. Gender
    -- Select One --MaleFemale
20. Best time to contact you?*
    Best time to contact you? Start Date

    Best time to contact you? Start Time

    —

    Best time to contact you? End Date

    Best time to contact you? End Time
21. Current Age*
    -- Select One --14151617181920
23. School Currently Attending?
24. How did you learn about the program?

    Please select all that apply:

    1. Facebook
    2. Instagram
    3. Twitter
    4. WPD website
    5. Friend / Relative
    6. At a local event
    7. Other
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field