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O.P.S. Member Application

First name:


Last name:


Your Email:


Street Address:


City, State, Zip Code:


Home Phone:


Cell Phone:


Are you at least 18 of age?
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What is your Birthday?
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Are you willing to travel?
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How did you hear about us? Please Explain:


Have you been convicted of or pleaded no context to a felony within the last five years?
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If yes please explain:


Position Applied For:
Select Position Investigator Researcher Public Relations Photographer Evidence Analyst Tech Specialist Auxillary Other
If other please clarify:


Are you able to attend the majority of our meetings and other functions? Or contact via phone or email as to why you are unable to attend?
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Days/Hours Available:

Monday:   Select Yes or No Yes No
From:     To:

Tuesday:   Select Yes or No Yes No
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Wednesday:   Select Yes or No Yes No
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Thursday:   Select Yes or No Yes No
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Friday:   Select Yes or No Yes No
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Saturday:   Select Yes or No Yes No
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Sunday:   Select Yes or No Yes No
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How soon will you be able to participate in the group?


Education or special skills and qualifications:


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Present Or Previous Groups:
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If you selected None please skip this section
Group Name:


Address:


Group Contact:


Phone:


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Position Title:


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Responsabilities:


Reason for Leaving (If applicable):


May we contact your present group?
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