Palos Verdes Estates Police Department 

Volunteer Services Application 

Name

 *

Name

Previous Names (if applicable)

Previous Names (if applicable)

Address

 *

Address

Home Phone

Home Phone

Work Phone

Work Phone

Cell Phone

Cell Phone

Email

 *

Email

Date of Birth

Date of Birth

California Driver's License Number

California Driver's License Number

California Driver's License Number

Expires

List of residences for the last five years. List your current address first:

List of residences for the last five years. List your current address first:

Street, city, state, zip code, and length of time at residence

Street, city, state, zip code, and length of time at residence

Street, city, state, zip code, and length of time at residence

Employment history for the last five years, beginning with the most recent position:

Employment history for the last five years, beginning with the most recent position:

Company name, your position, employer telephone number, and length of employment

Company name, your position, employer telephone number, and length of employment

Work email address

Work email address

Are you bilingual?

Are you bilingual?

YES

NO

If yes, what is your second language?

If yes, what is your second language?

* A RESUME MAY BE SUBMITTED IN LIEU OF, OR IN ADDTION TO, THE EDUCATION AND EXPERIENCE SECTIONS BELOW 

Education and training (list highest level of education and any specialized training received, including military)

Education and training (list highest level of education and any specialized training received, including military)

If you area current student, what is your expected graduation date 

If you area current student, what is your expected graduation date

Describe specific skills and/or experience you have that would be helpful as a volunteer (include information such as knowledge of administrative /office functions, software programs, financial management, event planning, translation, etc.

Describe specific skills and/or experience you have that would be helpful as a volunteer (include information such as knowledge of administrative /office functions, software programs, financial management, event planning, translation, etc.

I am applying for any opportunity relevant to my skills, or: 

I am applying for any opportunity relevant to my skills, or:

Approximate number of hours per week you can volunteer 

Approximate number of hours per week you can volunteer

List days/hours available 

List days/hours available

List one personal or professional reference 

List one personal or professional reference

Full Name

Address

City

State

Zip Code

Phone

Email

How did you hear about our Volunteers opportunities? 

How did you hear about our Volunteers opportunities?

Neighborhood Watch

City Newsletter

City Website

Referral

If other, please explain 

If other, please explain

In case of emergency, contact 

In case of emergency, contact

Name

Address

Phone

Relationship

Volunteer Applicant Signature (type full name)

Volunteer Applicant Signature (type full name)

Volunteer Applicant Signature (type full name)

Date

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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