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2. First Name*
3. Middle Name
4. Last Name*
6. Street Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Email Address*
15. U.S. Citizen*

    1. Yes
    2. No
16. 18 years or older*

    1. Yes
    2. No
17. Understand that the reserve position is an *unpaid volunteer* position*

    1. Yes
    2. No
19. Able to volunteer a minimum of 10 hours a month*

    1. Yes
    2. No
20. Has a clean criminal background*

    1. No, I have a criminal history
    2. Yes, I have no criminal history
22. Can pass a thorough background check*

    1. Yes
    2. No
23. Valid Minnesota driver's license number*
25. Highest Level of Education*

    1. High school graduate/GED
    2. Some college, but no degree
    3. Associates degree
    4. Bachelor's degree
    5. Master's degree
    6. Professional degree
    7. Doctorate
26. Additional and relevant training experiences
28. Professional licenses or certifications
29. Relevant memberships, professional organizations, volunteer experience
31. Currently Employeed*

    1. Yes
    2. No
32. If currently employed, provide employer's name, address, job title, dates employed and supervisor's name, title, and contact information
36. Please provide professional and personal references.
38. Reference #1 (name, contact information, relationship to you)
39. Reference #2 (name, contact information, relationship to you)
41. Reference #3 (name, contact information, relationship to you)
42. Reference #4 (name, contact information, relationship to you)
46. Skills/experiences (check all that apply)*

    1. Driving experience
    2. Computer experience
    3. Radio communication
    4. Report writing
    5. Law enforcement
    6. Security
    7. Police Reserve
    8. Police Explorers
    9. Community Service Officer
    10. Supervisory/Management
    11. Military
    12. Veteran
    13. Emergency Medical Services
    14. First Aid/CPR
47. Languages you speak/write (check all that apply)

    1. American Sign Language
    2. Spanish
    3. Somali
    4. Hmong
    5. Other
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49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

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