Part I
Applicant Identity
Fields marked * are required. Do not enter your Social Security Number anywhere on this online form. It will be collected in person with your identification.
Phone & Email
Demographics
Employment (if currently employed)
Part I
Contacts, Education & References
Parent / Guardian #1 *
Parent / Guardian #2 (if applicable)
Emergency Contact (other than parent/guardian) *
Education *
Reference #1 (not a parent, guardian, or family member) *
Reference #2 (not a parent, guardian, or family member) *
Three documents are required with your application
Attach them here and they are delivered to the Explorer Coordinator together with your application. PDF, Word, or a clear photo (JPG/PNG), up to 5 MB each. If a document isn't ready yet, you can bring it to your first meeting instead.
Part II
Background Questions
Answer every question completely and truthfully. Where details are asked for, provide names, dates, times, exact locations, a full description of events, and the outcome. We can work with applicants who are forthcoming about minor transgressions, but we will not accept applicants who conceal information, even by omission. Question numbers match the official DPD application form, which skips numbers 9 and 27.
Part III
Releases & Affirmations
Read and acknowledge each release below. These are requirements of membership. If the applicant is under 18, a parent or guardian must complete their section as well. You will also sign physical copies when you present your identification.
Electronic Signature
Parent / Guardian Signature (required because applicant is under 18)
By typing their name, the parent/guardian consents to the applicant's membership, the liability waiver, and the medical authorization above, and affirms they are the applicant's legally appointed or natural guardian.