Volunteers In Police Service Application

 Step 1 of 1

Please fill out the form below to apply for the VIPS program.

* Denotes a required field

Personal Information

Birth Date*
 Birth Date
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ZIP Code 
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Second portion of ZIP Code is optional.
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Home Telephone*
-- ext
Other Telephone 
-- ext
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Do you possess a valid drivers license?*
 
 


This position involves lifting up to 50 lbs., standing for extended periods of time, and operating a motor vehicle.

Can you perform these functions without reasonable accommodation?*
 

Emergency Contact Information

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Home Telephone*
-- ext
Other Telephone 
-- ext

Employment History

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Supervisor's Phone Number*
-- ext
*
May we contact supervisor?*
 
 
 
Supervisor Telephone 
-- ext
 
May we contact Supervisor? 
 
 
 
Supervisor Telephone 
-- ext
 
May we contact Supervisor? 
 
Have you ever been convicted of a crime?*
 
Do you prefer any specific type of volunteer assignments? 
 
 

Skills and Interests

How did you hear about VIPS?*
Check all that apply 


I volunteer my services through the Davenport Police Department Volunteers In Police Services program. I authorize agents of the Davenport Police Department to conduct a security background investigation to determine whether or not I am qualified for a position in the V.I.P.S. program. If selected, I will abide by all laws, ordinances, and policies of the City of Davenport, the Davenport Police Department, and the VIPS program. I understand that I am not an employee of the City of Davenport or its Police Department and receive no compensation or benefits for my services. I further understand that I may become aware of confidential, sensitive, or criminal intelligence information during my time as a volunteer and that I will not divulge this information to anyone outside the Davenport Police Department as required by law.