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2024 Public Safety Careers Application
Public Safety Academy
COUNS 131P
July 22 - 25
Monday - Thursday, 9:00 a.m. - 2:00 p.m.
INDIAN VALLEY CAMPUS
1800 Ignacio Blvd., Novato, CA 94949
Discover a variety of public safety careers during our one-week academy! Gain valuable insights into the field and its dynamics.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
High School
*
Archie Williams HS
Madrone HS
Marin Oaks HS
Marin's Community School
Novato HS
Redwood HS
San Andreas HS
San Marin HS
San Rafael HS
Tamalpais HS
Tamiscal HS
Terra Linda HS
Tomales HS
Other:
Date of Birth (MM.DD.YYYY)
*
MM
/
DD
/
YYYY
Ethnicity
*
Hispanic, Latino, or Spanish origin
Not of Hispanic, Latino or Spanish origin
Other:
Required
Race
*
American Indian or Alaska Native
Asian (including Indian subcontinent and Philippines origin)
Black or African American
Native Hawaiian or Other Pacific Islander
White (including Middle Eastern origin)
Other:
Required
Gender
*
Female
Male
Other
Prefer not to say
Other:
Grade you will enter in Fall 2024. Please note graduating high school students will be responsible for all tuition and fees. Current high school students will not be charged tuition.
*
9
10
11
12
Will have graduated from high school
Other:
Phone Number (XXX)-XXX-XXXX
*
Cell phone preferred
Your answer
Email Address
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Phone Number
*
Cell phone preferred
Your answer
Parent/Guardian Email
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Have you taken a class at College of Marin before?
*
Yes
No
Other:
If yes, what is your Marin ID number (M00#)?
Your answer
Are you applying for any other Career Academies?
*
Yes
No
Other:
If yes, which is your top choice?
*
Your answer
Have you participated in a past Summer Career Academy
*
Yes
No
If yes, which one?
*
Your answer
Are you in a CTE pathway at your school? (Engineering, Biotechnology, Medical Careers, Digital Gaming, etc.). If yes, which one?
*
Your answer
Are you in any of the programs below or others not mentioned?
*
4-H Program
10,000 Degrees
AIM High
AVID
Bridge the Gap
COMPASS
Huckleberry Youth Programs
Next Generation Scholars
Presente
University Prep UP Program
Not in any program
Other:
Required
Orientation Session Availability
*
We will hold virtual orientation sessions for all academies. You are only required to attend one session. Below please indicate which sessions you are available to attend.
I can attend the virtual orientation on Friday, May 17 , 2023 from 4 – 5:15 p.m.
I can attend the virtual orientation on Wednesday, May 22, 2023 from 4 – 5:15 p.m.
I can attend EITHER of these sessions
I am unable to attend either of these orientations
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