Colstrip Police Department
Volunteer Application
( Page 3) Click here to return to Volunteer Program page
EMERGENCY INFORMATION
In case of emergency, please notify:
Name Address
Relationship Day Phone Night Phone
TERMS AND SIGNATURE
As a vulunteer with the Colstrip Police Department, I am willing to furnish information for use in determining my qualifications.
I understand that for security reasons a basic clearance check/background will be conducted and I will be fingerprinted. Further background information will be requested only if a specific volunteer assignment calls for a full security check.
I understand that falsifying statements on this application or during the interview process is cause for my immediate dismissal from the Volunteers in Policing program.
I understand that the Colstrip Police Department will not diclose any of my information to any outside entity without my written consent.
I understand that the Colstrip Police Department will not have to disclose the reason, if any, for not being selected to the program.
In signing, I do hereby certify that all information contained in this application is correct and accurate to the best of my knowledge. I further authorize the Colstrip Police Department to verify criminal history and driving records as part of the background process. If accepted to perform volunteer duties for the Colstrip Police Department, I understand I may be privy to confidential information and promise to respect and maintain all that confidentiality whenever presented with it.
Signature: Date: