2. 

4. Designed to create an interest in and understanding of law enforcement, the Public Safety Cadets program introduces, educates and involves highly motivated young adults in our community in all aspects of police operations.

   By completing this form, you are expressing your interest in joining the Fairfield Police Department's Public Safety Cadets program. This is not an official application.

   We will review your submission and contact you with next steps.

6. Participant Information
8. First Name *
9. Last Name*
11. Address*
13. City*
14. State*
15. Zip Code*
16. Date of Birth*
    Date of Birth
18. Email Address*
19. Phone Number*

23. If you are under the age of 18, please complete the Parent/Guardian information below.

25. Parent/Guardian First Name
26. Parent/Guardian Last Name
28. Parent/Guardian Phone Number
29. Relationship to Juvenile
33. Statement of Interest
37. Please provide a short summary of why you are interested in becoming a Public Safety Cadet.*
41. For Further Details, Questions or Concerns:

    Please contact Detective Josh Mossman at 513-867-6087 or jmossman@fairfield-city.org.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field