FRESNO POLICE DEPARTMENT VOLUNTEER APPLICATION

Please print or type; you may include a resume or additional pages, as needed

Name:_____________________________________________________________________________________________
                                                 (Last)                                                                        (First)                                                                   (Middle)

Previous Names (if Applicable)__________________________________________________________________________


Address:___________________________________________________________________________________________
	(Street)                                                      (City)	                                                (State)                                  (Zip Code)

Home Phone:___________________________________   Cell Phone:_________________________________________


Work Phone:___________________________________  Date of Birth:_________________________________________


California Drivers License Number:___________________________________________ Expires: ____________________


E-mail address:______________________________________________________________________________________

List residences for the last five years.  List your current address first:

1._________________________________________________________________________________________________
(Street, City, State, Zip Code and length of time at residence)

2.________________________________________________________________________________________________¬_                                                                                                                
(Street, City, State, Zip Code and length of time at residence)

Employment history for the last five years, beginning with the most recent position:

1._________________________________________________________________________________________________
     (Company name, your position, employer telephone number and length of employment)

2._________________________________________________________________________________________________
    (Company name, your position, employer telephone number and length of employment)

Are you bilingual?  Yes______  No______  If yes, what is your second language?__________________________________

Second language proficiency - Speak: (Circle one)   Fair    Good    Excellent;  Read: (Circle one)   Fair     Good      Excellent


*A RESUME MAY BE SUBMITTED IN LIEU OF, OR IN ADDITION TO, THE EDUCATION AND EXPERIENCE SECTIONS BELOW

*Education and training:_______________________________________________________________________________                                                                                                           
                                                                                 (List highest level of education and any specialized training received, including military) 

___________________________________________________________________________________________________


___________________________________________________________________________________________________

                                                                 						 
*Describe specific skills and/or experiences you have that would be helpful as a volunteer (include information such as knowledge of administrative/office functions, software programs, financial management, event planning, translation, etc.:

___________________________________________________________________________________________________




I am applying for any opportunity relevant to my skills, or:_________________________________________________
                                                                                                                                                                         (List specific position)
Approximate number of hours per week you can volunteer: ___________________________________________________

List days/hours available:______________________________________________________________________________

List one personal or professional reference:

1._________________________________________________________________________________________________  
       (Name)                                        (Address)                                (City)               (State)      (Zip Code)                                              (Phone)


List any arrests (charges, dates of arrest, and disposition—excluding traffic tickets): ________________________________

___________________________________________________________________________________________________

How did you hear about the Police Volunteer Program? ( ) Citizen Corps   ( ) Referral    ( ) C.P.A.    ( ) Other If other, explain:
 ___________________________________________________________________________________________________

In case of emergency, contact:__________________________________________________________________________                                                                                                                      
 (Name, Address, Phone Number and Relationship)

Signature:________________________________________________________________ Date:______________________

Can you refer another possible candidate for the program?


	(Name)                                          (Mailing Address or email address)	(Phone Number)