Date of Application:______________          Academy Year:_______
Received by: (staff)______________
Date received:(staff)_____________

N.C. ACADEMY FOR LAW ENFORCEMENT EXPLORERS
APPLICATION FOR APPOINTMENT

Instructions:     Complete all information asked for in this application.
N.C.A.L.E.E. Medical Release/Permission form must be complete and submitted with application.
BSA Personal Health and Medical Record form -  ( optional - submit if required by your post/council).
Submit a $15.00 application fee. (This fee will be applied to the total cost of the Academy if accepted to attend, fee will be refunded if not appointed to Academy).
Academy fee:  $ 100.00



NAME_____________________________________________AGE________SEX: M/F______

ADDRESS_____________________________________________________________________

    ______________________________________________________________________


PARENTS NAME______________________________________________________________

ADDRESS_____________________________________________________________________

     ___________________________________E-MAIL___________________________


HOME PHONE#____________________BUSINESS PHONE#_________________________



EXPLORER POST/AGENCY________________________________________POST #_____


AGENCY ADDRESS____________________________________________________________

          ____________________________________________________________

AGENCY PHONE #:______________________POST ADVISOR_______________________

ADVISOR/AGENCY E-MAIL ____________________________________________________


POST INSURANCE INFORMATION:_____________________________________________

Page 2

Answer the following questions:


How long have you been a member of your Post_______________________________________



Have you previously attended the N.C. Academy for Law Enforcement Explorers ?_________

If yes, give year of attendance___________and class: basic or advanced___________________



Current position you hold in your Post, if any_________________________________________



Describe yourself; include your strengths and your weaknesses; interests and hobbies; etc.___













Write a brief explanation why you should be selected to attend the N.C. Academy for Law Enforcement Explorers, and what you hope to gain from the Academy.

















T-Shirt Size (circle)      S M L XL XXL

















Date of Application:______________          Academy Year:_______
Received by: (staff)______________
Date received:(staff)_____________

N.C. ACADEMY FOR LAW ENFORCEMENT EXPLORERS
APPLICATION FOR APPOINTMENT

Instructions:     Complete all information asked for in this application.
N.C.A.L.E.E. Medical Release/Permission form must be complete and submitted with application.
BSA Personal Health and Medical Record form -  ( optional - submit if required by your post/council).
Submit a $15.00 application fee. (This fee will be applied to the total cost of the Academy if accepted to attend, fee will be refunded if not appointed to Academy).
Academy fee:  $ 100.00



NAME_____________________________________________AGE________SEX: M/F______

ADDRESS_____________________________________________________________________

    ______________________________________________________________________


PARENTS NAME______________________________________________________________

ADDRESS_____________________________________________________________________

     ___________________________________E-MAIL___________________________


HOME PHONE#____________________BUSINESS PHONE#_________________________



EXPLORER POST/AGENCY________________________________________POST #_____


AGENCY ADDRESS____________________________________________________________

          ____________________________________________________________

AGENCY PHONE #:______________________POST ADVISOR_______________________

ADVISOR/AGENCY E-MAIL ____________________________________________________


POST INSURANCE INFORMATION:_____________________________________________

Page 2

Answer the following questions:


How long have you been a member of your Post_______________________________________



Have you previously attended the N.C. Academy for Law Enforcement Explorers ?_________

If yes, give year of attendance___________and class: basic or advanced___________________



Current position you hold in your Post, if any_________________________________________



Describe yourself; include your strengths and your weaknesses; interests and hobbies; etc.___













Write a brief explanation why you should be selected to attend the N.C. Academy for Law Enforcement Explorers, and what you hope to gain from the Academy.

















T-Shirt Size (circle)      S M L XL XXL

















Date of Application:______________          Academy Year:_______
Received by: (staff)______________
Date received:(staff)_____________

N.C. ACADEMY FOR LAW ENFORCEMENT EXPLORERS
APPLICATION FOR APPOINTMENT

Instructions:     Complete all information asked for in this application.
N.C.A.L.E.E. Medical Release/Permission form must be complete and submitted with application.
BSA Personal Health and Medical Record form -  ( optional - submit if required by your post/council).
Submit a $15.00 application fee. (This fee will be applied to the total cost of the Academy if accepted to attend, fee will be refunded if not appointed to Academy).
Academy fee:  $ 100.00



NAME_____________________________________________AGE________SEX: M/F______

ADDRESS_____________________________________________________________________

    ______________________________________________________________________


PARENTS NAME______________________________________________________________

ADDRESS_____________________________________________________________________

     ___________________________________E-MAIL___________________________


HOME PHONE#____________________BUSINESS PHONE#_________________________



EXPLORER POST/AGENCY________________________________________POST #_____


AGENCY ADDRESS____________________________________________________________

          ____________________________________________________________

AGENCY PHONE #:______________________POST ADVISOR_______________________

ADVISOR/AGENCY E-MAIL ____________________________________________________


POST INSURANCE INFORMATION:_____________________________________________

Page 2

Answer the following questions:


How long have you been a member of your Post_______________________________________



Have you previously attended the N.C. Academy for Law Enforcement Explorers ?_________

If yes, give year of attendance___________and class: basic or advanced___________________



Current position you hold in your Post, if any_________________________________________



Describe yourself; include your strengths and your weaknesses; interests and hobbies; etc.___













Write a brief explanation why you should be selected to attend the N.C. Academy for Law Enforcement Explorers, and what you hope to gain from the Academy.

















T-Shirt Size (circle)      S M L XL XXL

















Date of Application:______________          Academy Year:_______
Received by: (staff)______________
Date received:(staff)_____________

N.C. ACADEMY FOR LAW ENFORCEMENT EXPLORERS
APPLICATION FOR APPOINTMENT

Instructions:     Complete all information asked for in this application.
N.C.A.L.E.E. Medical Release/Permission form must be complete and submitted with application.
BSA Personal Health and Medical Record form -  ( optional - submit if required by your post/council).
Submit a $15.00 application fee. (This fee will be applied to the total cost of the Academy if accepted to attend, fee will be refunded if not appointed to Academy).
Academy fee:  $ 100.00



NAME_____________________________________________AGE________SEX: M/F______

ADDRESS_____________________________________________________________________

    ______________________________________________________________________


PARENTS NAME______________________________________________________________

ADDRESS_____________________________________________________________________

     ___________________________________E-MAIL___________________________


HOME PHONE#____________________BUSINESS PHONE#_________________________



EXPLORER POST/AGENCY________________________________________POST #_____


AGENCY ADDRESS____________________________________________________________

          ____________________________________________________________

AGENCY PHONE #:______________________POST ADVISOR_______________________

ADVISOR/AGENCY E-MAIL ____________________________________________________


POST INSURANCE INFORMATION:_____________________________________________

Page 2

Answer the following questions:


How long have you been a member of your Post_______________________________________



Have you previously attended the N.C. Academy for Law Enforcement Explorers ?_________

If yes, give year of attendance___________and class: basic or advanced___________________



Current position you hold in your Post, if any_________________________________________



Describe yourself; include your strengths and your weaknesses; interests and hobbies; etc.___













Write a brief explanation why you should be selected to attend the N.C. Academy for Law Enforcement Explorers, and what you hope to gain from the Academy.

















T-Shirt Size (circle)      S M L XL XXL