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Volunteer of the Month

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MVP volunteer application

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Marysville Crime Prevention Volunteer Application
Name*
Address1*
Address2*
City*
State*
Zip*
Home phone*
Cell phone*
Email address*
Date of birth*
Emergency contact person*
Emergency contact phone number*
Level of education*
1. High School
2. College
3. Masters/PhD
Field of study*
Special training
Previous occupation(s)*
Interests or hobbies*
Describe other volunteer work you've done*
Have you ever been convicted of a felony?*
1. Yes
2. No
If you answered yes, please explain
How many hours a week are you available?*
Who or what prompted you to volunteer?
Reference #1*
Reference #2*
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
Today's date*
Today's date