YPP Application Applicant InformationYour Full Name(Required) First Middle Last Address(Required) Street Address Apartment/Unit # City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Female Male Non-binary Other Parent/Guardian Contact InfoName First Last PhoneEmail EducationSchool Attending(Required) Grade(Required)Please enter a number from 7 to 12.Year of Graduation(Required)Please enter a number from 2021 to 2030.Are You Planning to Attend College?(Required) Yes No Unsure Area(s) of Study Favorite Subject(s) AwardsAre You in Need of Tutoring?(Required) Yes No Subject(s) ReferencesPlease list two references.Name of First Reference First Last Relationship PhoneName of Second Reference(Required) First Last Relationship PhoneSkills/InterestsTell us why you chose these three skills/interests. Why are they your strongest? Why are you interested? (please give examples)Which of these skills/interests would you like to grow/learn more about? Why?Partnership with PoliceHow would you rate your current relationship with police? (please answer honestly)(Required) Great Good Neutral Not Very Good Not Good At All Why is it important to you that youth and police partner together?(Required)As a Peer Leader, what would you like YPP to accomplish? How should YPP impact the community?(Required)What types of activities/events do you believe are good ways for youth and police to connect? Sports BBQ/Block Parties Talent Show Town Hall Meetings Dance/Concert Games/Competitions Bowling Field Days Cooking Travel Art Select AllOther Would you be willing to help organize these activities/events?(Required) Yes No Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Consent(Required) I certify that my answers are true and complete to the best of my knowledge.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.CAPTCHA
