Crime Stoppers Outreach Ambassador Application

Crime Stoppers Outreach Ambassador Application
As an Outreach Ambassador, you will play a crucial role in helping Crime Stoppers of El Paso increase awareness and promote its program. Your responsibilities will include representing Crime Stoppers at various public and safety events, engaging with the community, and providing information about the program's services.

Additionally, you will assist in distributing promotional materials, answering questions, and encouraging community involvement in crime prevention efforts.
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Employer*
Occupation*
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number
Please enter a valid phone number.
How did you hear about us?*
Please Specify if Selected Other
Why Do You Want to Join Crime Stoppers as an Outreach Ambassador?*
Driver License/ID #*
State of Driver License/ID*
The listed disqualifiers will result in immediate removal of consideration for this role:

1. Conviction of any offense of a Class A Misdemeanor or Higher.

2. Currently having an outstanding warrant for arrest.

3. Any convictions of any offense involving Family Violence.

4. Currently the subject of, or included “party” of a criminal investigation that has not been adjudicated.

Applicant must be 18 years of age to apply.

I understand that my signature authorizes Crime Stoppers of El Paso to verify all information contained in this application. I authorize the El Paso Police Department to conduct a criminal history check on myself as a requirement to be an Outreach Ambassador. I further acknowledge and consent to images (photographs) taken during this program and understand that these images may be used in future advertisements, promotional materials, or online forums.
Signature*
Date*

MonthDayYear
Date
Date*
Special Accomodations:
Please let us know of any special accommodations required due to any disability or illness.

Emergency Contact Info:*

	Full Name	Address	Contact Number	Relationship
1
2

Should be Empty: