VOLUNTEER APPLICATION

Nevada Child Seekers depends upon volunteers to fulfill our mission of protecting children. Please fill out the following and let us know where your interests lie. All applicants are subject to a background check.

 
Contact: Robin Haddad
Phone: (702) 458-7009
Fax: (702) 735-2812

 

** NAME:

** Your E-mail:

** STREET:

** CITY:

** STATE:

** ZIP:

** OCCUPATION:

** EMPLOYER:

BUSINESS ADDRESS

SOCIAL SECURITY NUMBER (You may call our office (458-7009) to give SS#)

** DATE OF BIRTH

CAN WE CALL YOU AT WORK?
 YES NO

** HOME PHONE?

WORK PHONE

CELL PHONE

** AVAILABLE TIMES

**I AM INTERESTED IN VOLUNTEERING FOR:
 SEARCH FORCE
 CHILD SAFETY EVENTS/FINGERPRINTING
 FUND RAISING EVENTS
 OFFICE SUPPORT/TRANSLATION OF RESOURCE MATERIALS
 SAFETY PRESENTATION IN SCHOOLS
 HELPING FAMILIES TO DISTRIBUTE MISSING CHILDREN FLIERS
 E-VOLUNTEER FLIER TEAM

**ARE YOU BILINGUAL?
 YES NO

IF YES, WHAT LANGUAGE(S)?

SPECIAL SKILLS, HOBBIES OR INTERESTS THAT MAY BE UTILIZED AT EVENTS, ETC:

DO YOU PRESENTLY HAVE OR HAVE YOU EVER HAD:
 NARCOTIC HABIT?
 EXCESSIVE DRINKING HABIT?
IF YES, PLEASE EXPLAIN:

**HAVE YOU, SINCE AGE 18, EVER BEEN CONVICTED OF A VIOLATION OF ANY FEDERAL, STATE, COUNTY OR MUNICIPAL LAW, REGULATION OR ORDINANCE (ALSO MILITARY COURT MARTIAL)?
 YES NO

CONVICTIONS:
Date:

CHARGE:

CITY/STATE WHERE CONVICTED

ARE YOU PRESENTLY ON PROBATION, PAROLE OR PENDING TRIAL FOR A CRIME?
 YES NO

I hereby authorize Nevada Child Seekers to conduct the necessary check and obtain any necessary information required, and release Nevada Child Seekers from any liability resulting from this investigation. I understand that my application must be cleared through the Police Department in addition to the investigation.

I agree to the following consent and release:
 Yes No

Code Verification:
captcha

Comments are closed.