General Information

Surname:


First name:


Rank:


Gender:
Male Female

Work phone:


Home phone:


Cell phone:


E-Mail:


Are you a sworn police officer?
Yes No

Are you on full-time mounted duties?
Yes No

Supervisor's name:


Supervisor's phone:


Emergency contact person, name and phone (if different from supervisor):


Have you applied in the past?
Yes No

If so, when?

Department / Agency Information

Name:


Mounted unit direct phone:


Mounted unit direct fax:


City:


Province/State:

Seminar

This seminar is 2 weeks in duration with about 3 to 4 hours of riding daily.

Please outline your riding experience:


Please indicate which of the seminars you are able to attend:
First Seminar (February 20 to March 2)