RequestTracker Forms • Apache Junction • CivicEngage

Public Safety Supplement

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Full Name*
ALL VOLUNTEERS FOR THE APACHE JUNCTION POLICE DEPARTMENT AND ANIMAL CONTROL MUST BE AT LEAST 18 YEARS OF AGE.
Area of Interest
Patrol
Animal Control- Paws & Claws Care Center
Administration
Victim Services
Chaplain
Criminal Investigations Division (CID)
Personal Information
Date of Birth*
Social Security Number*
Driver's License Number
State
DL Expiration
Do you own a vehicle?
Yes
No
License Plate Number
State
Vehicle Insurance Carrier
I understand the Apache Junction Police department may require fingerprints to be taken, a personal interview to be conducted, a background investigation, a polygraph examination, and a criminal history records check to be completed. I agree to comply with all laws, pertinent Apache Junction Police department administrative orders, and Police Auxiliary Program policies and procedures. I understand that my application does not ensure acceptance into the Apache Junction Police department volunteer program. I also understand that the Apache Junction Police Department reserves the right to disqualify any applicant at any time who would not be, by the decision of the Chief of Police, a good match for this volunteer position.
By Typing your name below you acknowledge you have read and agree to the statement above.*
Date of Acknowledgement*

* indicates required fields.