Public Safety Cadets

Public Safety Cadets
Mentor Application for Membership

Step 1 Mentors register themselves, upload their signed agency Memorandum of Understanding and create member login below

Thank you for your interest in mentoring young people interested in a career as a public safety professional. Your mentoring will change the lives of the young people, help shape the community in which you live and ensure quality policing for the future.   Please complete the form below and upload a completed image of your agency’s Memorandum of Understanding signed by the head of your agency to complete the registration process .  No need to upload an MOU if your agency is already registered with PSC.

Mentor Information
First Name: *

Last Name: *

Position / Title Rank:*

Area / Division of Assignment:

Mailing Street Address:* (for receiving PSC related materials)

Mailing City:*

Mailing State:*

Mailing Zip:*

Mentor Contact Information
Business Phone: *

Mobile Phone:*


Mentor Email Address / Login Information
Mentor Email Address:* (Will be used to login, no capital letters please)

Please re-type the mentor email address: *

Password:* (For website access - minimum 8 characters, must include 1 numeric and 1 special character)

Sponsoring Agency Information

Agency Name: *

PSC Agency Identifier: * (Select below or ask your lead mentor)

Area / Division of Assignment Street Address:*

Agency City: *

Agency State: *

Agency Zip: *

Agency Website Address:*


Are you the Lead Mentor for your Agency? *
Yes
No

Are you the Point of Contact for your Agency? *
Yes
No

Attach your completed Agency Memorandum of Understanding signed by the head of your agency (Does not have to be submitted now; but is required for mentorship to be approved)



 I am attaching the MOU now (see above)
 MOU has already been approved by PSC or I will upload the MOU at a later date (use blue button on Membership page when ready to submit)

Describe How Cadets Can Join Your Unit * 
Describe how prospective Cadets can make contact and join your PSC Unit. To be displayed on the public website.


Expected number of Cadets in your unit (approximate):

How did you learn of PSC?

Unit # Preference
If you are registering a new Unit with PSC, please specify the 4 digit unit number you prefer.  Please enter your first 3 choices here.

#1: 
#2: 
#3: 



Next Steps
Step 2. After you Submit this application, by clicking the Submit button below, you will receive acceptance email shortly after you have been approved by PSC.
    -then-
Step 3. If registering a Unit for the first time, Login (using login you created here), pay $20 annual unit registration dues and select your preferred Unit Number.
Step 4. Pay the $15 2020 Mentor Membership Dues using the Donate/Pay screen under the Join/Donate tab.  When paying, name the Mentor or Mentors being paid in the comment box.
Step 5. Register your cadets and upload signed Parent/Guardian Consent Form for each Cadet
Step 6. Pay the annual Cadet Membership Dues using the Donate/Pay screen under the Join/Donate tab.  When paying, name the Cadet or Cadets being paid in the comment box.

               Mentor and Cadet membership dues are still $15!

Online acceptance agreement

I have been selected for participation in the Public Safety Cadets by my sponsoring agency.  By submitting this online application for membership as a Mentor in Public Safety Cadets, I hereby certify that I am 21 years of age or older, never been convicted of a crime, all information provided is accurate and authorize PSC to conduct periodic background checks on me as long as I am a member.  Those checks may include criminal, credit, court records, and driving records.  I also agree to take the PSC Youth Safety Training within the agreed upon timeframe to be eligible for membership. Color, race, religion, gender, sexual orientation, ethnic background, disability, economic status or citizenship are not criteria for participation.  PSC does record gender and ethnicity of our members to measure our participation success throughout all communities.  I agreed to the Agency Memorandum of Understanding .