San Bernardino County Sheriff's Department

Preliminary Application for Volunteers

PLEASE PRINT AND FILL OUT THIS FORM AND MAIL TO:

 Volunteer Forces Unit, 655 E. 3rd St. San Bernardino, CA 92415

Station/Division applying for:  Station 40 / Aviation Explorers   (Check program below)

[ ] Citizen Volunteer/Citizen Patrol* [ ] Search and Rescue - Peace Officer**

[ ] Line Reserve** (Peace Officer Only ) [ ] Search and Rescue - Citizen Volunteer*

[ ] Explorer Scout program [ ] Mounted Posse - Peace Officer**

[ ] Specialized Unit (specify which) [ ] Mounted Posse - Citizen Volunteer*

* Citizen Volunteers must be at least 18 years old

** Reserve Peace Officers must be at least 21 years old and a U.S. citizen at time of appointment,

or an eligible candidate for citizenship

1. Name __________________________________________________________________

Mailing ________________________________________________________________

Address ________________________________________________________________

Home Phone: _______________________ Work Phone: ________________________

Social Security # ________ - _______ - _____________

CA Driver's License # ___________________________ Expires _________________

2. Have you ever applied to this Department for a position before? [ ] Yes [ ] No

If yes, explain: _______________________________________________________________________

3. Have you ever been [ ] Arrested [ ] Convicted of a Felony [ ] Convicted of a Misdemeanor?

Have you ever been fingerprinted? [ ] Yes [ ] No

4. Education (Circle highest grade completed)

High School: 9 10 11 12 College: 13 14 15 16

Do you have: [ ] High School Diploma [ ] GED Certificate

Reserve Training [ ] Level I [ ] Level II [ ] Level III [ ] Module D [ ] Basic Academy

Signature ________________________________________ Date ___________________