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Trumbull Cadets

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Trumbull Police Cadets Application

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Steps

1. Cadet Application Information This section is complete This section is incomplete
2. Education This section is complete This section is incomplete
3. Arrest Record This section is complete This section is incomplete
4. Employment History This section is complete This section is incomplete
5. Family Information This section is complete This section is incomplete
6. References This section is complete This section is incomplete
7. Personal Information This section is complete This section is incomplete

Cadet Application Information

First Name*
Middle Name
Last Name*
Email Address
Address*
City*
State*
Zip Code*
Home Phone Number
Cell Phone Number
Birthdate*
Birthdate
Age*
Are you a Citizen of the United States of America?*
1. Yes
2. No
Are you a resident of Trumbull, Connecticut?
1. Yes
2. No
Previous Addresses (List any / all previous addresses)
Continue

Education

Middle School Name & Address
Dates Attended Middle School
Did you graduate Middle School?
1. Yes
2. No
Middle School Degree/Diploma
High School Name & Address
Dates Attended High School
Did you graduate High School?
1. Yes
2. No
High School Degree/Diploma
College Name & Address
Dates Attended College
Did you graduate College?
1. Yes
2. No
College Degree/Diploma
Continue |Go Back

Arrest Record

Have you ever been arrested?
1. Yes
2. No
If yes, please provide the following:
Date of Arrest(s)
Location of Arrest(s)
Charge(s)
Disposition(s)
Date(s) of Disposition(s)
Have you ever been in negative contact with the Police?
1. Yes
2. No
If yes, please explain:
Continue |Go Back

Employment History

Name of Employer(s)
Phone Number(s)
Employer Address(es)
Job Title(s)
Name & Title of Supervisor(s)
Your Duties
Reason for Leaving
Date(s) of Hire
Date(s) of Resignation/Termination
Continue |Go Back

Family Information

Mother/Guardian Name
Mother/Guardian Address
Mother/Guardian Age
Father/Guardian Name
Father/Guardian Address
Father/Guardian Age
Sibling Name(s)
Sibling Address(es)
Sibling Age(s)
Continue |Go Back

References

List three (3) individuals (no relatives) who know your character, ability, and experience.
Reference 1
Name
Address
Phone Number
Relation/Occupation
Reference 2
Name
Address
Phone Number
Relation/Occupation
Reference 3
Name
Address
Phone Number
Relation/Occpation
Continue |Go Back

Personal Information

Please list any Awards, Recognitions, Certifications, or any information about yourself in the space below. Can include any goals, hobbies, or organizations that you are a part of.

Leave This Blank:

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

This field is not part of the form submission.
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Trumbull Town Hall
5866 Main Street
Trumbull, CT 06611

Phone: 203-452-5000
View Staff Directory

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