RCMP Volunteer Application

Volunteer Information

Surname *

Given Name(s) *

Home Address *

City *

Province *

Postal Code *

Phone Number *

Alternate Phone Number

Email *

Date of Birth (if under 19)

Valid Class 5 Driver's License? *

Yes

Emergency Contact *

Phone Number *

Alternate Phone Number

Employment

Name and contact information for present employer, if applicable.

Name of Organization

Phone Number

May we contact your employer?

Yes

Education

High School

Completed

Not Completed

If not completed, please indicate highest level obtained.

University Program

Completed

Not Completed

University Program Name

If not completed, please indicate highest level obtained.

College/Institute Program

Completed

Not Completed

College/Institute Program Name

If not completed, please indicate highest level obtained.

Other Education

Reference Information

List two references who may be contacted. References may be of a personal, business, educational, or volunteer nature (no family members).

Name

Relationship

Phone Number

Name

Relationship

Phone Number

Applicant Information

Please check any of the following that are of interest to you. Acceptance may be subject to vacancy.

Programs *

Please note: not all programs listed may be active in your local detachment area and may be managed by an associated volunteer program, not the RCMP. Acceptance may be subject to vacancy. Please contact the North Shore Community Policing Office for details.

Suitability Questionnaire

Please describe why you would like to become a volunteer with the RCMP. *

What are your expectations for your experience as an RCMP volunteer. *

Please describe any volunteer or work experience you have that may be relevant. *

Please describe any special skills, training, interests, or hobbies that may be relevant. You may list any organizations, clubs, etc. to which you belong that you feel are relevant to this application. *

Conditions, Release, and Waiver

As a volunteer, I fully understand and agree to the following: *

The RCMP will carry out a security screening to a level and degree as required by my volunteer position and activities. I may be required to provide additional information to facilitate this security screening.

In will respect and be guided by the expectations found in the Values and Ethics Code for the Public Sector, the RCMP Organizational Values and Ethics Code, and Conflict of Interest.

My participation in any and all RCMP volunteer programs and activities is at the discretion of the RCMP and the RCMP can terminate my participation at any time.

Please check each statement to acknowledge you have read and understand it.

ATTENTION: Any false information given in this application will be grounds for denial, or, if accepted, immediate dismissal. *

I give permission to the RCMP to obtain all information necessary to qualify me as a volunteer with the RCMP Volunteer Program that I am applying for.

It is understood that the RCMP will have a final authority in the approval or rejection of the application. This decision will be final. I may request an explanation for the decision but, depending on the circumstances, the criteria and method of arriving at the decision may not be subject to disclosure.

By submitting this form, I acknowledge that I have read, understand, and agree to the above conditions, release, and waiver.

I also authorize the RCMP to contact the references provided concerning my suitability as a volunteer.

I acknowledge I was given the opportunity to ask questions and received satisfactory answers to these questions.

RCMP Volunteer Application

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