Bellingham Police Volunteer Group Application

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Lester McCarthy
5 years ago
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1 Bellingham Police Volunteer Group Application Deliver Application to: Scott Hendrickson Volunteer Coordinator Bellingham Police Department 505 Grand Avenue Bellingham, WA

2 C I T Y O F B E L L I N G H A M KELLI LINVILLE Mayor P O L I C E D E P A R T M E N T DAVID DOLL Chief of Police Minimum Qualifications: Resident of the City of Bellingham, 21 Years of Age and Valid

Type or neatly print in black or blue ink. Be as complete, honest and specific as possible in your responses. All statements in your application are subject to verification.

2 2 C I T Y O F B E L L I N G H A M KELLI LINVILLE Mayor P O L I C E D E P A R T M E N T DAVID DOLL Chief of Police Minimum Qualifications: Resident of the City of Bellingham, 21 Years of Age and Valid Driver s License INSTRUCTIONS The information you provide in this application will be used in the background investigation to assist in determining your suitability for a volunteer position. Type or neatly print in black or blue ink. Be as complete, honest and specific as possible in your responses. All statements in your application are subject to verification. Incorrect statements may bar or remove you from consideration for a volunteer position. If the space provided is inadequate, add another page and identify additional information by description. If a question does not apply to you, write N/A (not applicable) in the space provided for your response. the completed application to: Volunteer Coordinator sbhendrickson@cob.org PRINT FULL NAME OTHER NAMES USED ADDRESS Street City State Zip code Street City State Zip code TELE # SOCIAL SECURITY # Home Cell HOW LONG LIVING AT CURRENT ADDRESS? Years Months IF LEASING OR RENTING, PROVIDE MGR/LANDLORD NAME AND : LIST OTHER RESIDENCES FOR THE PAST FIVE (5) YEARS (ADDRESS, CITY, STATE):

3 ADDRESSES USED 3 OF BIRTH DRIVER LICENSE # STATE _ SPOUSE / DOMESTIC PARTNER FULL NAME VOLUNTEER INTEREST How did you find out about this opportunity? Explain your interest in volunteering for the Bellingham Police Department: Special skills, interests or hobbies (especially those that would apply to this position): CHARACTER REFERENCE List two close friends whom we may contact: NAME #1 NAME #2 YOUR PLACE OF EMPLOYMENT List two co-workers whom we may contact: NAME #1

4 NAME #2 4 Answers to the following questions allow Bellingham Police Department to fully investigate each applicant. Affirmative answers will not automatically disqualify applicants. ALCOHOL AND DRUG USE How would you describe your alcohol consumption? [ ] never [ ] once a month [ ] daily Explanation: Have you used marijuana within one (1) year prior to application? [ ] yes [ ] no If yes, please detail the frequency of use and last time used: Have you used illegal drugs, with the exception of marijuana, in the last 10 years? [ ] yes [ ] no If yes, detail the types of drug(s), frequency of use, and last time used: POLICE CONTACT Have you ever been arrested, charged, held on suspicion, detained or fingerprinted by any police, security or juvenile authority? [ ] yes [ ] no If yes, provide the following information: CHARGE DETAINING OR ARRESTING AGENCY CITY STATE: ZIP: DISPOSITION CHARGE DETAINING OR ARRESTING AGENCY: CITY STATE: ZIP: DISPOSITION Have you ever had a criminal record expunged or vacated? [ ] yes [ ] no

5 5 DRIVING RECORD List all vehicles owned or driven regularly by you in the last five (5) years: 1. LICENSE PLATE STATE: MAKE: MODEL: 2. LICENSE PLATE STATE: MAKE: MODEL: 3. LICENSE PLATE STATE: MAKE: MODEL: Have you had a motor vehicle accident in the last three (3) years? [ ] yes [ ] no If yes, provide the following information: DID YOU REPORT IT TO THE POLICE? [ ] yes [ ] no LOCATION INVESTIGATING AGENCY CASE NUMBER DID YOU REPORT IT TO THE POLICE? [ ] yes [ ] no LOCATION INVESTIGATING AGENCY CASE NUMBER Has your driver license been suspended or revoked in the last three (3) years? [ ] yes [ ] no TRAFFIC CITATIONS AND WARNINGS IN THE LAST THREE YEARS: CHARGE AGENCY DISPOSITION A Valid Driver s License and Proof of Automobile Insurance will be required prior to acceptance.

Personal. Name Last: First: Middle: City: State: Zip: Contact numbers Home ( ) - Work ( ) - Other ( ) - Cell ( ) -

Personal. Name Last: First: Middle: City: State: Zip: Contact numbers Home ( ) - Work ( ) - Other ( ) - Cell ( ) - Black Hawk Police Department Background Questionnaire Personal Name Last: First: Middle: Other names you have been known by: Address where you reside Street: Apt/unit/PO Box: City: State: Zip: Mailing