- Board Member Application
- Employment Information
- Volunteer Information
- Application Summary
Date of Birth
Contact Telephone Number
Contact Telephone Number Type
Business Contact Number
Business Fax Number
Business Email Address
If you have a Curriculum Vitae or Resume please attach it below
Max. size: 32.0 MB
Referred by: (Board Member(s):
Please list the names of any volunteer organizations you are/or have been a member of:
1st Organization & Position Held
2nd Organization & Position Held
3rd Organization & Position Held
Why are you interested in Crime Stoppers and how do you feel you can contribute?
List any special interests, skills or hobbies you have:
Have you ever been affiliated with Crime Stoppers in the past in any capacity?
If yes, please explain:
Additional Information Section:
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.