Volunteers Assisting Pueblo Police Application

1. 

2. V.A.P.P. APPLICATION

3. All volunteers must be at least 18 years or older to submit an application

4. Select one:
   1. MR

   1. MRS

   1. MS

   1. MISS

5. First Name*

6. Middle

7. Last Name*

8. Date of Birth*

9. Social Security Number*

10. Nickname(s)

11. Maiden Name ( N/A if not applicable )*

12. Married Name(s)

14. Address*

15. City*

16. State*

17. Zip*

18. Home Phone*

19. Work Phone

20. Mobile Phone

21. Email Address*

23. Current Employer

24. Employer's Address

25. Lot

26. City

27. State

28. Zip

29. If you are interested in a particular volunteer position, indicate it here:

30. Describe your duties on your current or most recent job(s):

31. Describe previous work experience:

32. List special skills, training, foreign languages, or computer skills you possess

33. Do you have any interests or hobbies we may utilize?

34. Please list any previous or present volunteer experiences:

35. List community affiliations (clubs, organizations, church)

36. Are you actively seeking employment? *
    1. Yes

    1. No

37. If yes, how will this affect your volunteer work with the Pueblo Police Volunteers?

38. Upon a mutually agreeable assignment in the Pueblo Police Volunteers, would you agree to six months, or one year of service? *
    1. Six Months

    1. One Year

39. When are you available for volunteer work?

40. Number of hours per week: *

41. Days Available (select all that apply):*
    1. Mon
    2. Tue
    3. Wed
    4. Thur

    1. Fri
    2. Sat
    3. Sun

42. Preferred time of day:

43. List four references (do not include relatives):

44. 1. Name*

45. Addrress*

46. City*

47. State*

48. Zip*

50. 2. Name*

51. Address*

52. City*

53. State*

54. Zip*

56. 3. Name*

57. Address*

58. City*

59. State*

60. Zip*

62. 4. Name*

63. Address*

64. City*

65. State*

66. Zip*

68. In case of emergency, whom should we contact?

69. Name*

70. Relationship*

71. Address*

72. Zip*

73. Home Phone*

74. Work Phone*

75. It is a normal part of the Pueblo Police Volunteer Program procedure to perform checks (record and reference) on the suitability of new personnel due to the nature and sensitivity of the work. This standard is equally applicable to volunteers in that voluntary staff is treated with the same seriousness and consideration given professionals. Also, the successful completion of a polygraph examination is a qualification to work in certain units or program.

76. Please attach a current resume if you have one.

77. File Upload

78. REQUIRED!
    Please Print the
    Authorization for Release of Information Form
    and RETURN COMPLETED to:
    
    Ofc.Shelly Taylor
    Pueblo Police Department
    200 S. Main St.
    Pueblo, CO 81003
    
    or Fax to:
    719-553-2500

79. If accepted,*
    1. I agree to adhere to the policies and procedures of the Pueblo Police Volunteer Program and the City of Pueblo which include the confidentiality of information.

80. By typing your name below, if accepted, you agree to adhere to the policies and procedures of the Pueblo Police Volunteer Program and the City of Pueblo which include the confidentiality of information.

81. Electronic Signature (type name)*

82. Date:*

Leave This Blank:


84. 1. Receive email copy
85. Email address

86. Submit

* indicates a required field