Crestview Police Foundation Registration Form

Crestview Police Foundation Registration Form

Thank you for your interest in the Crestview Police Foundation. We're excited that you have chosen to be a part of our mission to support local law enforcement and foster partnerships that improve police/community relations. Upon your successful completion of this application a member will contact you with additional details.
Full Name*

First NameLast Name
Business Name

Street Address Line 2

CityState / Province

Postal / Zip Code
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Driver's License Number XXXX
Issuing State XXXX*
Have you ever been convicted of a Felony? If no, type N/A in the box. If yes, please explain below...
BACKGROUND: Please briefly explain why you want to join the Crestview Police Foundation:
Shirt Size
Emergency Contact

NamePhone Number
Please review your statements carefully and read the statement below before signing this application:

I hereby certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to questions in this document. I understand that any such omission or false statement on this application shall be sufficient cause for rejection of enrollment or dismissal from the Crestview Police Foundation.

I further understand that the Crestview Police Department will conduct a thorough background investigation that may include, but not be limited to, any criminal history, employment history and perso
Signature*

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