JR SAV RECRUIT APPLICATION
Sheriff's Auxiliary Volunteers of Navajo County
BEFORE FILLING OUT THIS APPLICATION, A JR. APPLICANT MUST HAVE THEIR PARENTS/GUARDIANS PERMISSION TO COMPLETE THE FORM
Jr.'s please fill this out with your parent/guardian
Basic Jr SAV Information
Contact
Date of application
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
E-mail
*
If the Jr. SAV applicant does not have an email, please provide the parents/guardians email address
Home phone
*
-
Area Code
Phone Number
Cell phone (Note: if the Jr. Applicant does not have a cell phone, please provide the parent/guardians phone number.)
*
-
Area Code
Phone Number
Local address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing address if different from above
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parents Information
Please provide your parent or guardian information
Name parent/guardian 1
*
First Name
Last Name
Mother/Father/Guardian
Name parent/guardian 2
First Name
Last Name
Mother/Father/Guardian
Email
*
example@example.com
Cell phone parent/guardian 1
*
-
Area Code
Phone Number
Cell phone parent/guardian 2
-
Area Code
Phone Number
Address if different from above information
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Identification
This information is kept private and only used for background checks only.
Social security number
If the Jr. applicant does not have a Social Security number, please leave it blank
Date of birth
*
-
Month
-
Day
Year
This must be used for background checks only
State drivers license number or State ID
If the Jr. applicant does not have a state ID, please leave it blank
Height
*
In feet & inches
Weight
*
In lbs
Eye color
*
Brown
Blue
Green
Hazel
Black
Other
Chose the color nearest your eyes
Hair color
*
Brown
Blond
Black
Red
Multi Colored
Other
Please chose the color you have designated on your drivers license
Have you ever been arrested, charged or convicted of a crime?
*
Yes
No
If YES, give us the details of each arrest or charge including the original charge, final charge and dates
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Education, Skills & Experience
List your educational level
Schooling
*
Yes
No
Still in school
Graduated
Other
Completed Elementary School
Completed Intermediate School
Completed High School
Completed any college courses
Certification Program
What do you think your teachers would say about you?
*
If we asked your teachers about what kind of student you are, what would they say?
Please give us any additional details about any additional training you have that you would like us to know about. (optional)
If you have any training that may be relevant, please put that in this section
Why do you want to be a Jr. SAV Officer
Explain
Please tell us why you would like to become a Jr. SAV Officer?
*
This section is optional
What types of interests do you have? (Likes, Hobbies, Athletics, Goals, Etc.)
Let us know what you like and/or what you are interested in
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How did you hear about the Jr. SAV Program
Tell us how you found out about us
Please check all the apply
*
Friend, Relative or Neighbor
Flyer or brochure
Printed news paper
Radio or Television
Internet or Social Media
Other
Please list the name of the referring party
Other
What types of activities are you interested in?
Let us know some of the things you would be interested in
What areas of the Sheriff's Auxiliary are you interested in? (please check all that apply)
*
Crime prevention
House/Business watch & Patrol
Communication/HAM Radio Operator
Search & Rescue
Medic - First Aid
Animals
Administrative Services
Public Information Presentations
Drones/Piloting
Crime Scene/CSI
Marketing, Advertising, Art, Graphics
Physical Training
Working with peers
Traffic Control/Road Closures
Community Events (Parades, Festivals, Fairs)
Recruiting other Jr. or Seasoned SAV's
Other
Other
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Emergency Information
In case of an emergency, who do we contact?
Emergency contact name 1
*
First Name
Last Name
Phone number 1
*
-
Area Code
Phone Number
Work Phone 1
*
-
Area Code
Phone Number
Emergency contact name 2
First Name
Last Name
Phone number 2
-
Area Code
Phone Number
Work number 2
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Medical Conditions we need to be aware of
Please list or provide any medical or emergency problems that could arise during training or active duty.
Conditions
Please write none, if there are no conditions
A.D.A. Compliant
AMERICANS WITH DISABILITIES ACT
This organization is fully compliant with the Americans with Disabilities Act. If you have any limitations that you would like us to be aware of, or accommodations that we would need to provide, please let us know.
This is optional
NOTE:
The Jr. SAV program is not capable at this time, to accept youth that need accommodations that require a specialized staff person, parent or a nurse/attendant. However, we do have a "support fan club" where the youth can cheer on the Jr. SAV's. The youth would receive an item they can wear to help support the Jr. SAV's in their community. Please contact our Citizen Care Unit for further details (928) 432-3062 or SAVofNCINfo@gmail.com for further information.
Emergency purposes only
(*OPTIONAL)
Name of my physician
First Name
Last Name
Phone Number
-
Area Code
Phone Number
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Finalization & Signature
Please attach a picture of yourself.
Browse Files
*Optional
Cancel
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I hereby certify that all the statements in this application are true and correct to the best of my knowledge. I further agree and understand that any misstatements or omissions of material facts herein will cause forfeiture on my part of all rights as a volunteer with the Navajo County Sheriff’s Office.
*
Signature
*
Please use your mouse to sign this form
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