EmailMe Form - Membership Application

Thank you for your interest in becoming a member of the 7th Police District Advisory Council. Membership opportunities are extremely limited and filing an application does not guarantee acceptance. Your application will be reviewed by our membership committee. If there an opening for membership from the Police Service Area where you reside, you may be contacted for a personal interview. If there is no opening at this time, your information will be kept on file for future consideration.

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Full Legal Name *
Home Address *
Home Telephone Number *
Work Telephone Number
Cell Phone Number
E-mail Address *
Specifically, what do you feel you can contribute toward promoting a Police/Community Partnership? *
Are you able and willing to attend monthly daytime meetings and contribute time - including occasional nights and weekends - to volunteer on various committees and participate in community events? *
What are you looking to achieve by becoming a member of the 7th Police District Advisory Council? *
Do you possess any special skills or talents that you believe would prove an asset to the 7th Police District Advisory Council? *
Do you have any criminal record? If yes, please detail. *
Are you willing to submit to criminal records check? *
Yes
NO

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