Arapahoe Rescue Patrol. Inc

Arapahoe Rescue Patrol

Spring 2020 Application

  • Current Address

  • Mailing Address

    Enter only if different than home address.
  • Contact Information

  • This information is key to making sure you can receive mission pages correctly.
  • Please enter an email you check regularly.
  • Applicant Information

  • If Applicable
  • If Applicable
  • What name you would like printed on your required name tag
  • Education

  • Employment

    Please fill out the following section only if you answered yes below.
  • Parent / Legal Guardian 1:
  • If Different
  • Parent / Legal Guardian 2:
  • If Different
  • Parent / Legal Guardian 3:
  • If Different
  • Parent / Legal Guardian 4:
  • If Different
  • References

    List at least one teacher, one school administrator, and one person in the community as references. You may list one other in addition to these three if you wish. Make sure those listed are aware that you are using them as a reference.
  • Reference 1:
  • Reference 2:
  • Reference 3:
  • Reference 4 - (Optional)
  • Experience

  • File Attachments

    Files must be .jpg or .png format. (Cannot be .pdf)
  • Membership Agreement and Parental Approval

  • Have you done anything in the past, or is there anything in your background that, if you are accepted, may discredit the Patrol?
  • “I hereby agree that, if I am selected for membership in the Arapahoe Rescue Patrol, Inc. I will take all the required training courses, secure the necessary equipment, and participate in all required trainings and all regular missions unless specifically excused. I agree to respect and follow the instructions of the Patrol Officers and the Rules and Regulations governing the Patrol. I also understand that upon submission of this application, I will be subject to a criminal background check and that any information provided on this application will be subject to verification. I understand that my electronic signature below is the legal equivalent of my handwritten signature.”
  • To the Applicant:

    Show this application to your parent/legal guardian. Have them read it carefully and discuss it with them. If they approve of your participation in the Arapahoe Rescue Patrol, Inc. have them sign below. Only one signature is required, however, both signatures should be affixed if possible. “I (We) understand that the Arapahoe Rescue Patrol, Inc. is an equal opportunity organization and I (we) have been informed that the Arapahoe Rescue Patrol, Inc. provides no adult chaperones on its activities. I (we) also understand that upon submission of this application, our son/daughter will be subject to a criminal background check to verify their identity and any information provided on this application. I understand that my electronic signature below is the legal equivalent of my handwritten signature.”
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