Norman Police/Animal Welfare Volunteer Application
Answer all questions completely and accurately. Parts I-IV and VIII, marked with an asterisk, are required. Parts V-VII are not required but would be helpful. Volunteers assigned to certain areas or tasks, for example volunteer coordinator, may subsequently be required to submit additional information. If any question is unclear, contact Sgt. Jacob Hunt at (405) 307-7128 or email at Jacob.Hunt@NormanOK.gov.
I. *Name and address (required)
First name:
*
Last name:
*
Middle name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Nickname:
Street 1:
*
Street 2:
Street 3:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Home phone:
OK to call me here
Cell phone:
*
OK to call me here
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
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1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
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1945
1944
1943
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1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
Gender:
Choose
Female
Male
*
Driver's license number:
*
Social Security Number:
*
II. *Personal References (required)
List one personal references. Exclude immediate family members or others listed in this application.
First name:
*
Last name:
*
Other phone:
*
OK to call here
III. *Emergency Contact (required)
First name:
*
Last name:
*
Cell phone:
OK to call here
Other phone:
OK to call here
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
IV. A. *Legal History (required)
Have you ever been convicted of a felony or are you currently charged with the commission of a felony? If yes, state what, when, and how:
IV. B. *Legal History (required)
Have you ever been convicted of a misdemeanor violent offense? If yes, state what, when, and how:
(Examples include, but are not limited to: assault, battery, domestic violence, stalking, etc.)
IV. C. *Legal History (required)
Have you ever been convicted of a misdemeanor drug or alcohol offense? If yes, state what, when, and how:
(Examples include, but are not limited to: driving under the influence, simple drug possession, drunk and disorderly, public intoxication, possession of drug paraphernalia, etc.)
IV. D. *Legal History (required)
Have you ever been convicted of a misdemeanor weapons offense? If yes, state what, when, and how:
IV. E. *Legal History (required)
Have you ever been convicted of a misdemeanor theft offense? If yes, state what, when, and how:
IV. F. *Legal History (required)
Have you ever been convicted of a misdemeanor animal cruelty offense? If yes, state what, when, and how:
V. Residence History (helpful)
Begin with most recent and go back 5 years. Include address, city, state, and zip.
VI. Work History (helpful)
Begin with most recent, list your employer(s) by name and address for the last 5 years.
VII. Statement of Interest/History (helpful)
Please articulate your desire to participate in the intern or volunteer program with the Norman Police Department. Describe any current or previous volunteer work, including but not limited to experience working with animals. Please include your career goals if applicable.
VIII. *Authorization for Release (required)
By submitting this application, I certify that facts given in this application are true and complete to the best of my knowledge. I hereby grant permission to the City of Norman to investigate any information included in this application. I understand that this application is not a contract of employment. I hereby release the City of Norman and its agents from all liability in making any investigation or inquiry relative to any information contained in this application. I understand that false, misleading or incomplete information, given or implied, in this application or related interview may result in disqualification from the process or termination of my intern or volunteer status. I understand that I am required to abide by all applicable rules and regulations of the City of Norman, the Norman Police Department, and the Norman Animal Welfare Center.
A photocopy of this release form will be valid as an original thereof, even though the said photocopy does not contain an original writing of my signature.
I Agree
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