Shop with a Cop Volunteers Application

Shop with a Cop Volunteers Application

Helping families in need this Christmas
Requirements & Eligibility

Calling all first responders, fire fighters, police officers, sheriff deputies, OHP, dispatch, City/County Officials or even retired police/first responders to apply to assist children in shopping for christmas gifts this year. If you are interested in volunteering for your community, please fill out the application below. Must be 18 years or older to apply.
Name

First NameLast Name
DOB

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
What form of first responder/job title?
Have you ever been convicted of a felony?

YesNo
What days of the week are you available to volunteer?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Do you have reliable transportation to a local store in Antlers?

YesNo
Please read the following carefully before signing below:

I certify that the information contained in this application is correct to the best of my knowledge and understand that any mis-statement or omission of information will disqualify me as a volunteer. I authorize the City of Antlers to contact prior employers and run a background check to cover such areas as my character and general reputation.
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Date

MonthDayYear
Date
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