Calgary Police Cadet Corps Application

Transcription

1 Calgary Police Cadet Corps Application Fostering leadership abilities, cultural tolerance and career development among Calgary s youth. Members of the Corps will define the potential and competence of youth. Developing skills socially, academically, and physically; producing an individual with confidence and respect. The result is an individual who leads their peers not only through actions and words, but also through their mere presence. Eligible youth are encouraged to apply. There is no cost to join the Calgary Police Cadet Corps. Uniforms and kit are provided. Potential credits for school through participation. To become a member of the Calgary Police Cadet Corps, you: Must be a youth between 12 and 18 years-of-age. Be of good moral character. Have no criminal record. Provide written parental/guardian consent. Complete an application for membership. Application Process 1. Complete Calgary Police Cadet Corps application form. (link) 2. A short essay (250 words or less) on why you would like to join the Police Cadet Corps. 3. Complete Calgary Police Service Waiver of Liability (print and sign). (link) 4. Complete Calgary Police Service Media Release Waiver (print and sign). (link) 5. Complete Calgary Police Service Security Clearance (print and sign). (link) 6. Copies of 2 pieces of identification (ie health care card, SIN Card, passport or drivers licence) 7. A photocopy of your most recent report card or transcript. 8. A letter of reference from your school (teacher, principal, etc. 9. Be available for an interview. * Incomplete applications will not be considered * Personal information on this form is being collected under the authority of the Freedom of Information and Protection of Privacy Act, s. 33(c). It will be used to determine your eligibility and suitability for the Calgary Police Cadet Corps and to administer your participation in that program, if you are accepted. Questions about the use or collection of this information should be directed to the Sergeant, Youth Mentorship, Community and Youth Services Section, Calgary Police Service,

2 Application Form Calgary Police Cadet Corps Application Received on: By: Last Name: First Name: Middle Initial: Date of Birth: Year Month Day Gender: M F Address: City: Postal Code: Phone No.: Height: Weight: Hair Color: Eye Color: Cell No: Languages: Written: Spoken: Parent Cadet Family Info: Last Name: First Name: Middle Name: Parent/Guardian: Parent/Guardian: Sibling 1: Sibling 2: Sibling 3: Emergency Contact: Name: Address: Medical Conditions/Allergies: Relationship: Phone: Alberta Health Care Number: Special Skills: Awards: School: Grade: Parent/Guardian Signatures: Applicant signature: Driver s License: Y / N Remarks (Office Use Only): PAGE 1 OF 2

3 PAGE 2 OF 2 Application Form Calgary Police Cadet Corps Please list your hobbies and/or interests: Please describe any volunteer work that you have done: Essay Question: (Please attach on separate document, no more than 250 words) Why would you like to join the Calgary Police Cadet Corps and what strengths do you bring to the Corps? SEND TO: Calgary Police Cadet Corps CYSS Calgary Police Service # Street NE Calgary, Alberta T3J 3R2 OR cadetcorps@calgarypolice.ca

4 CALGARY POLICE CADET CORPS Waiver of Liability, Release, Indemnification and Hold Harmless Agreement By signing this document, you will waive certain legal rights, including the right to sue. Please read carefully! THAT I, a parent/guardian of, a minor child, permit said minor child to participate in the Calgary Police Cadet Corps sponsored. Activities include, but are not limited to: physical exercise program, viewing, entering/exiting police facilities and vehicles and use of police equipment (air rifles and associated equipment, fitness apparatus, operational police equipment) during the period of. I recognize that these activities involve certain inherent dangers and do hereby agree to assume the risks attendant to such activities, including but not limited to: property damage and/or personal injury to said minor child, resulting from the acts of third parties whether caused by deliberate acts, errors, omissions, or negligent acts of said third parties; property damage and/or personal injury to said minor child resulting from said minor child's own activities, deliberate acts, errors, omissions or negligent acts; and property damage and/or personal injury to others resulting from said minor child's own activities, deliberate acts, errors, omissions or negligent acts. I hereby waive all claims, release, indemnify, defend and hold harmless the City of Calgary, the Calgary Police Service, the Calgary Chief of Police, and the Calgary Police Commission (hereinafter called Sponsors), in both their public and private capacities, from any and all liability, claims, suits, demands, expense of litigation, or causes of action which may arise by reason of injury to persons or loss of, damage to, or loss of use of any property occasioned by error, omission, or negligent act of said minor child or, any other persons with regard to this Agreement. I will, at my cost and expense, defend and protect the Sponsors against any and all such claims and demands. I hereby agree to indemnify, defend and hold harmless the Sponsors and all of their officials, officers, agents and employees from and against any and all claims, losses, damages, causes of action, suits and liability of every kind, including all expenses of litigation, including but not limited to court costs and attorney fees for death, injury to or debt of any person for loss of, damage to, or loss of use of any property arising out of or in connection with this Agreement. Such indemnity shall apply whether the claims, losses, damages, causes of action, suits, or liability arise in whole or in part from the negligence of the Sponsors, their officers, officials, agents or employees. It is the express intention of the parties hereto, both myself and the Sponsors, that the indemnity provided for in this paragraph is indemnity by the undersigned to indemnify and protect the Sponsors from the consequences of the Sponsors own negligence, whether that negligence is the sole or concurring cause of the injury, death or damage. Minor s Full Name: M / F Minor s Date of Birth: Minor s Signature Address: Street City Province Postal Code Parent/Guardian Telephone Numbers: Hm: Wk/Cell: Parent/Guardian SIGNED this, the day of, 20 Parent/Guardian Name (please print) Parent/Guardian Signature Witness s Name (please print) Witness s Signature:

5 CALGARY POLICE CADET CORPS Waiver/Release Form to be completed by Parent/Guardian Media Release: I,, the parent and/or guardian of, hereby give permission and consent for to attend the Calgary Police Cadet Corps Program. In providing this permission and consent, I authorize and acknowledge with my signature, the following: I consent to my child being photographed, interviewed and/or videotaped by representatives of media outlets (newspaper, television, radio, etc.). Any information or images obtained from those activities may be reproduced by the Calgary Police Service and/or the public media for use in advertising, publicity or educational activities, including but not limited to Calgary Police Service publications, videos, print and television news. I hereby waive any claims I may have, and release the Chief of Police, the Calgary Police Service, the Calgary Police Commission, and its employees, the City of Calgary, their servants, agents, employees and contractors from liability of claims arising out of such activities. Signature of Parent/Guardian Signature of Witness Date Emergency Contact: Phone #: Alternate #: