Application Form

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Full legal name: First, Middle, Last

Email

Phone

Permanent Street Address:

City:

State:

Zip:

I am applying for:

Year:

I am applying as:

Are you currently a degree seeking student at a college or university?

University or college name and location:

Current major (and minor):

Status:

GPA:

What are your reasons for wanting to enroll in the Park Ranger Law Enforcement Academy in Flagstaff, AZ?

List any relevant work experience that you may have in the fıelds of park management, resource management, law enforcement or recreation

List your special interests and hobbies

Describe your abilities and skill in interpersonal communication, professional attitude, and physical fitness.

Have you ever been arrested, charged, or convicted of any crime in any jurisdiction (misdemeanor of felony)?

Provide 3 references. Include for each: Name, Title, Relationship to you, and Telephone number

Reference #2

Reference #3

Payment: A non-refundable $150 fee is required for processing applications to the academy. Your application will not be considered until this payment is received. Credit or debit card payments can be made by phoning the academy’s administrative assistant at 928-523-5392. Checks or money orders must be made out to “Northern Arizona University” and mailed to: Michael O’Connor, Director, Park Ranger Law Enforcement Academy, Northern Arizona University, PO Box 15016, Flagstaff, AZ 86011-5016. If paying by check or money order, include the check or money order number below.

*By submitting this form I attest that all of the information listed above is true and correct to the best of my ability*

Check or money order number: