Explorer Application

Email: *

Phone *

If you prefer to download and mail or email an application you can do so

Mail to: Officer Mack, 1000 Webster St, Fairfield, CA 94533 or JMack@fairfield.ca.gov

Name: *

What extra curricular activities do you participate in?

Parent's Contact

Date of Birth

If in high school, is your GPA over 2.0?

Yes

Have you ever used any illegal drugs or narcotics?

Yes

Explorer Application

Home Address

Have you ever been arrested, recieved a citation or a traffic ticket?

Yes