Volunteers Information

First Name:*

Middle Initial

Last Name:*

Previous Names or aliases (if applicable)

Address Information:

Address*

City*

Zip Code*

List all current and prior residences within the past five years:*

Contact Information:

Primary Phone Number*

Work Number

Cell Number

Date of Birth*

CA ID or Drivers License #*

In case of an emergency, please contact*

Employment Information :

Employment History for the past five years beginning with the most recent place of employment:
*

Languages :

Are you bilingual?*

Yes

No

If yes, what is your second language?

NONE Arabic Bengali Cantonese English French German Hindi Italian Japanese Korean Mandarin Persia Portuguese Punjabi Russian Spanish Swahilli Tagalog Vietnamese Other

Consent to Background Check

If selected to become a Richmond Police Volunteer you would be subject to a mandatory criminal background records check by the Richmond Police Department. Are you willing to undergo a background check?*

Yes

No

Education :

Please list the highest level of education and or training you have received from any educational training institution:

What skills do you possess that you think would be useful to the department and the community in your volunteer work?

Interests :

In what areas are you interested in volunteering?

Office/Clerical Police Records Recruiting and Training Code Enforcement Crime Prevention and Community Education

Pawn Slip Detail Domestic Violence Sexual Assault Ride Alongs Other Projects

Please list some of your previous volunteer experience, if any:

Availability:

Approximate the number of hours per week you believe you can volunteer:

Morning (Days/Hours) :

Afternoon (Days/Hours) :

Evening (Days/Hour) :

Weekdays :

Weekends :

Please list two references outside of family that we can contact regarding your application :

1. Name, Phone Number, Relationship*

2. Name, Phone Number, Relationship*

3. Name, Phone Number, Relationship

I confirm that to the best of my abilities, all the information provided here is true and accurate. Please enter your full name as acknowledgement followed by the date.

Yes

Date: (i.e. 12/31/2014)*