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Page 1 of 3 MURRAY CITY FIRE DEPARTMENT CADET PROGRAM APPLICATION Murray City Fire Department 40 East 4800 South Murray, Utah 84107 The Murray Fire Department’s Fire Cadet Program is a career development opportunity, aimed at the fire service. The Fire Cadets are comprised of adolescents between 16 and 21 years of age. The Fire Cadet program allows students to gain a better understanding of the fire service and helps guide students interested in possibly pursuing the fire service as a career. Cadets will complete a training program instructing them in such areas as fire safety, operations, fire tactics and emergency medical service. To apply for the Murray City Fire Department Cadet Program you must: ! Agree to commit a minimum of ten to twelve hours to the fire program each month. This will involve eight hours of ride-along time and two training meetings each month. ! Maintain a C+ average in school ! Provide current school transcripts ! Be 16 by July of this year ! Have no felony record ! Have a drivers license by July and a good driving record ! Be in good physical condition ! Have a physical exam by his/her doctor with six months prior to July of this year. ---PAGE BREAK--- Page 2 of 3 As Parent/Guardian, I assume the responsibility for the return of all Murray Fire Dept. Personal Protective Equipment issued to my son or daughter within one week of their departure from the program. Signed , Parent/guardian Date Signed , Applicant Date The applicant and parent/guardian do, hereby, give permission for the Murray City Fire and/or Police Department to access personal information in Juvenile Court, Youth Services and High School records of grades, etc. Signed , Parent/guardian Signed , Parent/guardian Signed , Applicant Dated this day of Year ---PAGE BREAK--- Page 3 of 3 Murray City Fire Department Fire Cadet Application Please print all information Date Name: D.O.B. Address: City, State & Zip Code Telephone: Your Grade Now: 10, 11, 12 Present Age: Drivers License No. Name of Parent or Guardian Teacher Reference: Address: Phone: Citizen Reference: (other than relative) Address: Phone: Applicant, please indicate below what you expect to gain from your experience as a cadet: Applicant, please indicate below what abilities and qualities you will bring to the group. As parent/guardian, I acknowledge that the information contained in this application is true and correct and give permission for the applicant to become involved in participation with the Murray City Fire Department Cadet Program. I am aware that the applicant will be involved in physical activity that may be quite strenuous and physically taxing. Signed , parent/guardian Date