Hoover Police Department

About You

First Name:

Last Name:

Email:

Address:

Address Cont.:

Zip Code:

State:

Home Phone:

Cell Phone:

Date of Birth:

School:

Grade:

Parents Name (If under 18):

Extra Curricular Activities:

List ALL contacts with Police in your past (Include all WARNINGS, TICKETS, and ARRESTS:

Have you ever been ARRESTED?

Yes No

Do you use DRUGS?

Yes No

Do you use ALCOHOL?

Yes No

Do you use TOBACCO?

Yes No

If you are currently working, list the NAME, ADDRESS, and PHONE NUMBER of your employer:
How did you hear about the Hoover Police Explorers?
Explorer meetings are on Tuesdays from 6:00PM to 8:00PM, do you have dependable transportation to and from the meetings?
Why do you want to be an Explorer?