Volunteer Application

* Name:

* Your E-mail:

* Street

* City

* State

* Zip

* Occuption

* 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, Country Or Municipal Law, Regulation Or Ordinance (Also Military Court Martial)?

Yes
No

CONVICTIONS:

* Date Of Conviction

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:

Code Verification:

To Learn More Call Us Today:
Southern Nevada (702) 458-7009, Washoe County (775) 856-6200

Protecting Children Is What We Do

To Learn More Call Us Today: Southern Nevada (702) 458-7009, Washoe County (775) 856-6200

Protecting Children Is What We Do

Volunteer Application

To Learn More Call Us Today:
Southern Nevada (702) 458-7009, Washoe County (775) 856-6200