Volunteer With Shomrim Marine Park

Welcome to Shomrim Marine Park

Volunteer application

1Contact Information

2Personal Information

3Motor Vehicle Info

4Signature

Position you are applying for *

First Name *

Last Name *

Nickname

Date of Birth *

Email *

Mobile Phone *

Address *

Home Number

Degrees, certificates and licenses you hold

Company Name

Job Title

Supervisor Name

Supervisor Phone

Have you ever been arrested or charged with a crime? *

Yes No

If yes, list all arrests, convictions and pending charges Community, emergency and law enforcement organizations you belong to

Shul

Rabbi

Who referred you?

Who do you know in Shomrim?

Year

Make

Model

Color

License Plate

Registered State

Signature of Liability

I hereby state that all the information I have provided is true. I authorize Shomrim Marine Park and its affiliates to conduct a background check on me. I understand that volunteering is at my own risk and that membership is at the discretion of the organization.

Sign below *

Clear

I agree to the statement above *

Please fill in all required fields.

THANK YOU!

Your application was received. A coordinator will be in touch.

VOLUNTEER

Welcome to Shomrim Marine Park

THANK YOU!