Beaverton Police Department Form

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Beaverton Police Department Summer Student Academy

  1. Students must be able to attend all dates in order to be eligible for the program.

    All fields are required unless otherwise indicated.
  2. Parent / Guardian the Student lives with:
  3. Emergency Contact:
  4. Do you live in Washington County?*
  5. Have you ever been arrested?*
  6. Do you have any medical conditions that would limit your participation in any of the physical activities? *
  7. I can attend all academy dates: June X, X, X, X and X, 2020?*
  8. Please complete the following questions
    You must answer all four (4) questions.
  9. If you have questions about the Summer Student Academy, please contact Sergeant McDonald at kmcdonald@BeavertonOregon.gov.
  10. Leave This Blank:

  11. This field is not part of the form submission.