- Membership
Application
-
-
- SUN
CITY CENTER SECURITY PATROL, INC.
- 1005
PEBBLE BEACH BLVD N SUN
CITY CENTER, FLORIDA 33573
- TELEPHONE:
(813) 634-6324
-
-
- NAME__________________________________________________________TELEPHONE_____________________________________
-
- ADDRESS__________________________________________________________D/BIRTH______________________________________
-
- DRIVER'S
LICENSE #___________________________________STATE_________EXPIRATION
DATE____________________________
-
- DRIVING
RESTRICTIONS__________________________________________________________________________________________
-
- ACCIDENTS
LAST 3
YEARS________________________________________________________________________________________
-
- PHYSICAL
DISABILITIES___________________________________________________________________________________________
-
- PREVIOUS
EXPERIENCE__________________________________________________________________________________________
-
- RADIO
EXPERIENCE (CB, HAM,
ETC.)______________________________________________________________________________
- CAN
YOU SERVE 12 MONTHS A YEAR?
-
__ YES
-
__ NO LIST THE
MONTHS YOU CAN SERVE:___________________________________________
-
- I
CERTIFY THAT I currently have a valid drivers license.
If for any reason I no longer have a valid driverS license, it is
MY responsibility to immediately notify the SCC Security Patrol Office IN
WRITING and I will immediately cease to drive SCC Security Patrol Cars. In
accordance with the By-Laws, I understand that my membership in the Patrol
may be terminated at any time for cause and that should I be terminated, I
must turn in my badge.
-
- SIGNATURE:____________________________________________________________________DATE:___________________________
-
- -
- - - - - - - - - - FOR OFFICE USE ONLY
ACTION AND DATE - - - - - - - - - - -
-
- APPLICATION
RECEIVED_____________________________
CAPTAIN ____________________ NOTIFIED________________
-
- CONTACTED
FOR ORIENTATION______________________
STATUS (PART TIME, PERMANENT) ______________
-
- ____________________________________________________
TEAM ASSIGNMENT
_______ GROUP #________
-
-
- CORE/DISPATCH
TRAINING COMPLETED ON __________
DRIVING ORIENTATION COMPLETED ON ________________
-
- DATA
ENTERED IN COMPUTER ________________________
-
- REC’D:
BADGE ________ HAT ________ HNDBK ________
-
-
- DATE
APPROVED BY CHIEF OF
PATROL___________________________________________________________________________
-
-
-
- SSCSP
3/28/01
- APPLICAT.WPS