Application Form South Australia Police Volunteer Page 2
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4South Australia Police
RF2139
APPLICATION FORM
SOUTH AUSTRALIA POLICE VOLUNTEER
Volunteer Programs and Reasons for Joining
Have you previously applied for a volunteer position within SAPOL?
Yes
No
Please tick the program(s) you wish to volunteer with:
Historical Society
Police Chaplain
Puppy Program
Blue Light
School Programs
Community Policing
Role Player
Events
Youth Programs
Please State – Branch Name:
and / or Local Service Area:
Public Relations (Police Stations)
Victim Support
Tour Guide
Please State – Branch / Area:
Number of hours available for volunteering:
(Note: maximum 16 hrs per week)
Neighbourhood Watch SA
Area Name & Number:
Please explain in your own words, your reasons / motivation for wishing to become a SAPOL volunteer including relevant skills or
previous experience :
Training/Skills/Qualifications/Experience relevant to volunteer role
References
Please provide details of two (2) referees to support your application who have known you for sufficient time and able to support your claims. Relatives are not suitable.
Please supply a day time telephone number for each referee.)
Name
Occupation
Telephone Number(s)
1.
2.
List the rank, name, posting and address of any police officer(s) from whom an opinion concerning your suitability may be obtained;
Rank
Name
Posting
Address
Medical Information
Do you have any disability or medical condition which may prevent or impede you from being able to safely perform any
tasks/activities that might be required of you as a SAPOL Volunteer?
Yes
No
If yes, please provide details. Include details of any assistance / adjustments that might assist you to carry out volunteers tasks / activities.
Revised: 22/09/2016
Page 2 of 4
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