Board Member Application

  • Board Member Application
  • Employment Information
  • Volunteer Information
  • Application Summary

Personal Information

Contact Telephone Number Type

Employment Information

If you have a Curriculum Vitae or Resume please attach it below

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Volunteer Information

Please list the names of any volunteer organizations you are/or have been a member of:

About Section

Have you ever been affiliated with Crime Stoppers in the past in any capacity?

PLEASE READ THE FOLLOWING BEFORE SIGNING

I understand that my application will be discussed by the present members of the Brant-Brantford Crime Stoppers Board of Directors. I authorize the Brantford Police Service and/or Ontario Provincial Police to obtain the information they may have concerning any convictions or criminal offenses relating to me and to divulge any such information to the Brant-Brantford Crime Stoppers board. If accepted I would be willing to take an Oath of Secrecy and maintain the confidentiality of all Crime Stoppers information. I understand that if I am accepted to the Board I will be required to attend all Board of Directors meetings and Working Committee meetings in accordance with the governing bylaws as set by Brant-Brantford Crime Stoppers. I agree to actively participate in fundraising ventures for the program if the Board accepts me.

I HAVE READ THE ABOVE AND AGREE TO ABIDE WITH THE CONDITIONS AS SET OUT THEREIN: