PERSONAL DATA
FIRST NAME
MIDDLE NAME
LAST NAME
ADDRESS (Street Number and Name)
CITY
STATE
ZIP CODE
PHONE (Best Number to Reach You)
EMAIL ADDRESS
( )
AVAILABILITY
Yes
No
If YES, give date _________________________
Yes
No
If YES, give date _________________________
and department _________________________
When are you available to begin? _________________________
EDUCATION
HIGH
SCHOOL
VOCATIONAL/
TECHNICAL SCHOOL
COLLEGE/
UNIVERSITY
GRADUATE/
PROFESSIONAL
School Name
and Location
Years Completed
9
10
11
12
GED
1
2
1
2
3
4
1
2
3
4
List Credit Hours Received:
(S) - Semester (Q) - Quarter
Diploma/Degree Received
Course of Study
RELEVANT TRAINING AND SKILLS
List fields of work for which you have been registered, licensed or certified
Registration: _________________________________________
State: _____________
No.: _________________
Exp. Date: ____________
Registration: _________________________________________
State: _____________
No.: _________________
Exp. Date: ____________
List internships, specific courses, workshops, training and/or rotations you may have had that relate to the volunteer opportunity you are applying for.
Include credit hours or CEU's if applicable.
Indicate skills, knowledge, and abilities which relate to the volunteer opportunity you are applying for.
Human Resources
Town of Knightdale
950 Steeple Square Court
Knightdale, North Carolina
27545OFFICE: (919) 217-2222
FAX: (919) 217-2229
EMAIL: personnel@knightdalenc.gov
POLICE DEPARTMENT
VOLUNTEER APPLICATION
Volunteer applications can be
submitted to the Human Resources
Department by fax, email, or mail.
Please ensure that your application is
complete, signed, and dated before
submitting. Incomplete applications
will not be processed.
Town of Knightdale Police Department Volunteer Application
RELEVANT EXPERIENCE
Using a separate section for each position, describe in detail all relevant experience beginning with the most recent opportunity.
May we contact your most recent supervisor? Yes No
1
Organization: (Present or most recent)
Address:
Phone No.:
Job Title:
Name of Individual You Responded To:
Start Date: (mo/yr)
Reason for Leaving:
End Date: (mo/yr)
Job Duties: (Be specific)
Full-time # Years ____ # Months ____
Part-time # Years ____ # Months ____
Volunteer/Other # Years ____ # Months ____
2
Organization: (Present or most recent)
Address:
Phone No.:
Job Title:
Name of Individual You Responded To:
Start Date: (mo/yr)
Reason for Leaving:
End Date: (mo/yr)
Job Duties: (Be specific)
Full-time # Years ____ # Months ____
Part-time # Years ____ # Months ____
Volunteer/Other # Years ____ # Months ____
3
Organization: (Present or most recent)
Address:
Phone No.:
Job Title:
Name of Individual You Responded To:
Start Date: (mo/yr)
Reason for Leaving:
End Date: (mo/yr)
Job Duties: (Be specific)
Full-time # Years ____ # Months ____
Part-time # Years ____ # Months ____
Volunteer/Other # Years ____ # Months ____
4
Organization: (Present or most recent)
Address:
Phone No.:
Job Title:
Name of Individual You Responded To:
Start Date: (mo/yr)
Reason for Leaving:
End Date: (mo/yr)
Job Duties: (Be specific)
Full-time # Years ____ # Months ____
Part-time # Years ____ # Months ____
Volunteer/Other # Years ____ # Months ____
Application continued on the next page
Town of Knightdale Police Department Volunteer Application
REFERENCES
List three persons who are not related to you who have definite knowledge of your qualifications for the volunteer opportunity for which you are
applying such as co-workers, teachers, etc.
Name
Phone
Email Address
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
CERTIFICATE
I certify that, to the best of my knowledge and belief, the statements given truly represent my background and experience. In addition, I give the
following Authorization to Release Information. I hereby authorize my previous employers, personal references listed, and other persons or
institutions shown on my application to provide the Town of Knightdale any information requested. I understand that before I can begin volunteering
the Town of Knightdale will perform a criminal background check investigation. I also understand that false information may be grounds for rejection
of my application and/or refusal of a volunteer opportunity.
Signature
Date
END OF VOLUNTEER APPLICATION
click to sign
signature
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