SSOP Responder Application Form

SSOP Responder Application Form

Thank you for your interest in joining the SSOP Community Safety Responders. Please complete this application form in full and submit it along with the required supporting documents. Incomplete applications will not be processed.
Full Name

First NameLast Name
ID Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Next of Kin information
Full Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employment & Qualifications
Occupation
Employer Name
Employer Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Skills & Training
Qualifications
Any Law Enforcement or Emergency Response training
Basic Emergency First Aid Responder
Crime Scene Management
Incident Command
Basic Tactical Training
Other relevant skills or training:
Vehicle Information
Vehicle Make
Model
Colour
Registration Number
Background Information
Have you ever been convicted of a criminal offence?
Do you consent to a criminal background check ?
Do you have a valid driver’s license?
Do you have your own vehicle?
Do you own a Firearm?
Firearm Make & Model
Serial Number
Agreement & Consent
Do you agree to abide by the SSOP Patrollers Agreement, Code of Conduct, and Constitution?
Do you agree to act respectfully, professionally, and in compliance with all South African laws while performing your duties?
Do you understand the monthly investment of R280.00 Ex VAT for the Smart PTT Radio for SSOP & that you must pay this monthly in advance by no later than the 1st of the month.
Do you agree to submit incident reports for all incidents attended?
Do you consent to the collection and processing of your personal data for SSOP Patrollers purposes?
References
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Upload ID , Drivers License , Firearm License

Cancelof
Declaration
I, the undersigned, declare that all information provided in this application is true and correct. I understand that any false information may result in the termination of my application or membership with SSOP Responders. I agree to undergo the necessary interviews, background checks, and probationary training as outlined in the SSOP Responder Constitution and Agreement.
Full Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty:

SSOP Responder Application Form

Next of Kin information

Employment & Qualifications

Skills & Training

Vehicle Information

Background Information

Agreement & Consent

References

Declaration