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DISCOVER YOUR FUTURE
N-2017-269
Check One:
Explorer Club Explorer Post
Renewal Post/Club No.
Councit District
Annual Memorandum of Understanding
Santa Ana Police Department has mad and understands the following conditions for participating
in this program operated and maintained by Learning for Life, a District of Columbia nonprofit corporation ("Learning for
Life"), and desires to enter into this agreement regarding participation in this program. The responsibilities of the
organization include:
Explorer Clubs only:
• Screening and selecting at least two adults, including a sponsor and associate sponsor, to work directly with the
Explorer Club participants.
Explorer posts only:
• Screening and selecting at least four adults, including committee chairman, two committee members; and an
advisor, who will work directly with the post officers.
Explorer Clubs and Explorer Posts:
• Ensuring that all participating adults complete the required Exploring Youth Protection training. The training is
available at www.exploring.org.
• Providing adequate facilities for the participants to meet on a regular schedule with a time and place reserved.
• Participating in a program planning meeting and Open House.
• Participating in at least one evaluation with Learning for Life representatives each year.
Note: Adults may serve in multiple posts and clubs.
Exploring is part of Learning for Life's education resource program. Learning for Life provides the support service
necessary to help the participating organizations succeed in their use of the program.
These services include year-round training techniques and methods for selecting quality leaders; program resources; and
primary general liability insurance to cover the participating organization, its board of directors and/or trustees, and its
officers and employees in their official and individual capacities against personal liability Judgments arising from official
Learning for Life activities,
This Annual Memorandum of Understanding shall remain in effect through the registration expiration of the post or club.
Either organization may discontinue the program at any time upon written notice to the other organization.
/2 Z, ��—
Date: 1
!7
Signa r@,o becutive officer or design e Signature of Exploring representative
David Valentin c/gam (e/g(p
(Print name) (Print name)
800-737
Revised May 2016
ATTEST:
N-2017-269
2fj
MAP IA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: (I
TAMARA GOSIAN
Assistant City Attorney
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(i�Vt/yM1s A;,—
Raul Godinez II
City Manager
N-2017-269
039 - Orange County Council
Report:CREN106D v6.09
Date: 11/03/2017
Time: 18:59:48
Page 41 of 256
Post 0238
Learning for Life Renewal
\"E" Exploring6LFL Area\West End - Public Safety
Post: Post 0238
District: 72 West End - Public Safety
County:Orange
Post Status: S
Term (In months):12 Expire Date:
12/31/2018
Participating Organization: Executive Officer
Santa Ana Police Department
0gq'W'J4i en}}n
PO Box 1981
PO Box 1981
Santa Ana, CA 92702-1961
Santa Ana, CA 92702
Special Interest:
0809 POLICE OFFICER
` Fee Information
Qty Fee
`,
Executive Officer Cextificatio
ignature Paid Youth
$
Our organization approves this applrcation and all
participating adults. Multiple Youth
$ XXXXXX
Paid Adults
$
Multiple Adults
$ XXXXXX
Post Liability Insurance Fee $40.00
Total Fees Submitted
$
Post Advisor Certification
Signature
553 Months Completed tenure Disability Code
On Time Post?
Adult Participants
Position
Birth
Gender
Person ID Name
Address Date
YPT Phone
-------------------------- -----------------------
Explorer Post Advisor Daniel Carrillo
------------------------------- ----------
60 Civic Center Plz
134198489
N
Santa Ana, CA 92701-4060
039 - Orange County Council
Report:CREN106D v6.09 Page 42 of 256
Date: 11/03/2017
Time: 18:59:48
Post 0238
Learning for Life Renewal
Adult Participants
Position
Person ID N e Address
_ _______ ____ __________________ ____ ----- ________________
Post Co 'tee Member Katheri Juarez 60 Civic er Plz
128797 Santa Ana CA 01-4060
Post Committee Member Camillo Kim
134198510
Post Committee Chairman Gustavo Alberto
133090435 Moroyoqui
Post - Explorer Post
Associate Advisor
132126685
Post Committee Member
128797382
Brett Alan Nelson
Otilio Sanchez
aloft
MARI4l L -a ��
�ini7O Nl�7 C�QAJ4fi0`9
N CK tqu,NoN�
2836 Devonshire Ave
Fullerton, CA 92835-3008
60 Civic Center Plz
Santa Ana, CA 92701-4060
60 Civic Center Plz
Santa Ana, CA 92701-4060
60 Civic Center Plz
Santa Ana, CA 92701-4060
Birth Gender
Date YPT Phone
______________
N
Adults Printed 8
039 - Orange County Council
Report:CREN106D v6.09 Page 43 of 256
Date: 11/03/2017
Time: 18:59:48
Post 0238
Learning for Life Renewal
Youth Participants
Person ID
Name
Address
039 - Orange County Council
Report:CREN106D v6.09 Page 44 of 256
Date: 11/03/2017
Time: 18:59:48
Post 0238
Learning for Life Renewal
Youth Participants
Birth
Person ID Name Address Date Grade Gender Phone
_ _____________ -------------------------
___ __ _____________
13 8420 Jsnnife n Martinez
Am,
039 - Orange County Council
Report:CREN106D v6.09 Page 45 of 256
Date: 11/03/2017
Time: 18:59:48
Person ID Name
--------- -------------
134198402 Samantha Razo
117872099
Jose J Salmeron
1 5331
Jorg rres
134198424
Sally Lupe Torres
128797419
Anthony Vallejo
134198431
Yessica Guadalupe
F
Youth Printed 30
039 - Orange County Council
Report:CREN106D v6.09 Page 46 of 256
Date: 11/03/2017
Time: 18:59:48
Post 0238
Learning for Life Renewal
--- End of Report ---