MVP volunteer application

2. Marysville Crime Prevention Volunteer Application

4. Name*

6. Address1*

8. Address2*

10. City*

11. State*

12. Zip*

14. Home phone*

15. Cell phone*

17. Email address*

18. Date of birth*

20. Emergency contact person*

21. Emergency contact phone number*

25. Level of education*

    1. High School
    2. College
    3. Masters/PhD

26. Field of study*

27. Special training

29. Previous occupation(s)*

30. Interests or hobbies*

32. Describe other volunteer work you've done*

34. Have you ever been convicted of a felony?*

    1. Yes
    2. No

35. If you answered yes, please explain

37. How many hours a week are you available?*

38. Who or what prompted you to volunteer?

40. Reference #1*

42. Reference #2*

44. E-signature*

    My typing my name, I authorize the Marysville Police Department to do a background check of my driving record and my criminal record

45. Today's date*
    Today's date

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field