Youth CMAT Application

Student Information

Student Name(Required)

First Last

Student Email

Enter Email Confirm Email

Student Address(Required)

Street Address Address Line 2 City State ZIP Code

Student Phone(Required)

Which school do you attend?

Park Center

Champlin Park

Transportation

How are you getting to and from school?

Bus

Personal Vehicle

Other

Are you representing an organization?(Required)

Yes

Organization Information

Only if you are representing an organization

Organization Website

Organization Phone(Required)

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Information

Parent Name(Required)

First Last

Parent Phone(Required)

Parent Address

Enter Email Confirm Email

Is your address the same as the student's?(Required)

Yes

Parent Address(Required)

Only if different from the student

Street Address Address Line 2 City State ZIP Code

Questions

Please answer the questions below to help us assess your qualifications for a position on the Youth Chief’s Multicultural Advisory Team (Youth C-MAT).

Briefly describe below why you are interested in the Brooklyn Park Police Department Youth C-MAT and share any other information you believe may be relevant to the program.(Required)

Please describe the social, cultural, ethnic, or other group(s) you wish to represent on the YouthC-MAT and identify the primary language(s) used by the group(s) you identified. Are you fluent inthese languages?(Required)

Participation in the Youth C-MAT will require attendance at monthly meetings and may requireadditional time to prepare for meetings, relay information to/from other students, and work onteam projects. Are you willing to dedicate time to these activities?(Required)

Connect

Programs & Classes

Services

Government

Parks & Places

Health & Safety

Equity