Explorer Application

Email: *

What extra curricular activities do you participate in?

Parent's Contact

Date of Birth

Have you ever used any illegal drugs or narcotics?

Yes

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

Yes

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: *

If in high school, is your GPA over 2.0?

Yes

Explorer Application

Home Address