STOCKTON POLICE DEPARTMENT SENTINELS APPLICATION APPLICATION OF INTEREST

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SCKN POLICE DEPARTMENT APPLICATION OF INTEREST The Stockton Police Department thanks you for expressing an interest in the Sentinel volunteer program. The Sentinel provides a valuable service to the Police Department and the community. The Sentinel program offers citizens the opportunity to volunteer in the patrolling function of the department. Sentinels are trained to perform duties that do not require the presence of a sworn police officer. This allows sworn officers to perform other duties and enhance public safety. Typical duties of a Sentinel may include but are not limited to taking nonemergency reports, working special events, and patrolling businesses and neighborhoods. A Sentinel must be 18 years of age or older and pass a background check. Completing and returning the attached documents are the first steps in becoming a Sentinel for the City of Stockton. These documents will be reviewed and a department representative will contact you with additional information on the next phase of the application process. If you have questions please contact sentinels@stocktongov.com at (209) 937-8000. Please complete the attached forms and return them to: Stockton Police Department Attn: Sentinels Unit 22 E Market St, Stockton, CA 95202 Page 1

SCKN POLICE DEPARTMENT YOUR FULL NAME Section 1: Personal LAST FIRST MIDDLE OTHER NAMES, INCLUDING NICKNAMES YOU HAVE USED OR BEEN KNOWN BY ADDRESS CITY STATE ZIP MAILING ADDRESS IF DIFFERENT FROM ABOVE CONTACT NUMBERS CITY STATE ZIP ( ) - CELL HOME WORK ( ) - CELL HOME WORK EMAIL ADDRESS BIRTHDATE DO YOU POSSESS A VALID CALIFORNIA DRIVER S LICENSE? YES NO CLD NUMBER: CAN YOU OBTAIN ONE? YES NO CAN YOU SPEAK A LANGUAGE OTHER THAN ENGLISH? CAN YOU READ A LANGUAGE OTHER THAN ENGLISH? CAN YOU WRITE IN A LANGUAGE OTHER THAN ENGLISH? WHY DO YOU WANT BE A SENTINEL? Page 2

SCKN POLICE DEPARTMENT SECTION 2: EDUCATION WHAT HIGH SCHOOL DID YOU GRADUATE FROM? SCHOOL YEAR GED COLLEGE OR UNIVERSITY (INCLUDE DATES ATTENDED, MAJOR AND/OR DEGREE EARNED) CERTIFICATE OF TRAINING,LICENSES, OR PROFSSIONAL REGISTRATION SECTION 3: WORK EXPERIENCE PRESENT/MOST RECENT EMPLOYER CITY/STATE/ZIP: MAY WE CONTACT : YES NO JOB TITLE/ REASON FOR LEAVING: FORMER EMPLOYER CITY/STATE/ZIP: MAY WE CONTACT : YES NO JOB TITLE/ REASON FOR LEAVING: Page 3

SCKN POLICE DEPARTMENT SECTION 4: VOLUNTEER EXPERIENCE SECTION 5: REFERENCES Page 4

SCKN POLICE DEPARTMENT SECTION 6: BACKGROUND CHECK PERMISSION CONDUCT A BACKGROUND INVESTIGATION As an applicant for the Stockton Police Department Sentinel Program, I understand the Stockton Police Department will conduct a criminal history background investigation, including convictions, pending charges, and outstanding warrants. I understand that all available police and criminal records will be checked and the information will be used in determining eligibility for the Sentinels Unit. All information is to remain confidential as required by state and federal statutes. APPLICANT SIGNATURE DATE: I HERBY CERTIFY THAT ALL STATEMENTS AND ANSWERS ON THIS FORM ARE TRUE AND COMPLETE Signature of Applicant Date Return Application to: Stockton Police Department Attn: Sentinels Unit 22 E Market St, Stockton, CA 95202 Page 5