ADDRESS*:

ZIP CODE*:

HOME PHONE (area code first):

CELL PHONE (area code first):

E-MAIL ADDRESS:

DRIVER'S LICENSE # (include State)*:

DATE OF BIRTH (MM/DD/YYYY)*:

HOW WERE YOU REFERRED TO F.A.C.T.?: A FACT Volunteer Newspaper/Article Church Bulletin Volunteers in Policing Brochure TV/Radio SAPD WEB PAGE OTHER

WHAT IS YOUR INTEREST IN VOLUNTEERING WITH F.A.C.T.? (Be Brief):

HAVE YOU EVER BEEN CONVICTED OF A CRIME*
NO YES

IF "YES", PLEASE EXPLAIN:

ARE YOU CURRENTLY ON PAROLE OR PROBATION? *
NO YES
(A background check will be conducted on each applicant.
Any intentional misrepresentation will be grounds for immediate dismissal.)

AGREEMENT:
BY SUBMITTING THIS FORM, I HEARBY ACKNOWLEDGE THAT I HAVE COMPLETED THE ABOVE INFORMATION FULLY AND ACCURATELY. I UNDERSTAND AND GIVE MY PERMISSION, WITH RESPECT TO THE SAN ANTONIO POLICE DEPARTMENT, TO CONDUCT A BACKGROUND INVESTIGATION TO DETERMINE MY SUITABILITY FOR ADMISSION TO THIS PROGRAM? *

I AGREE TO THE CONDITIONS I DO NOT AGREE TO THE CONDITIONS