Click here to return to the E-Government Services start page
 
Welcome to the Miami Township, OH, Action Line
Today is Sunday, December 17, 2017.
Police Explorer Application, Post 426

Purpose. This form serves as an application for the Miami Township Police Explorer Post #426. It provides parental permission, emergency and medical contact information, provides a release for medical treatment, provides a release for liability and notification of medical conditions.

* Information is required.

* Name
 
* Address
 
* Telephone Number
 
* Driver's License Number
 
* Father
 
* Father's Address (if same as applicant's - please type Same)
 
* Father's Telephone Number
 
* Father's Work Number
 
* Mother
 
* Mother's Address (if same as applicant's - please type Same)
 
* Mother's Telephone Number
 
* Mother's Work Number
 
* Have you ever been issued a traffic citation?


 
If yes, please explain
 
* Have you ever been arrested or convicted of any criminal offense?


 
If yes, please explain
 

* Information is required.

YOU ARE REQUIRED to open and read the Miami Township Police Department Directive 16.4, Auxiliary Programs. The document is linked below:

AUXILIARY PROGRAMS DIRECTIVE 16.4.

Your submission of this application indicates that YOU HAVE READ Directive 16.4, that you understand it and that you agree to comply with its provisions.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

Township Home | E-Gov Home | Action Line | MTPD Crash Reports
Login | Register | Privacy Policy
Copyright ©2004-2017. Electronic Commerce Link, Inc. dba egovlink.