Volunteer Sign-Up

Please complete the form below to begin the process of becoming a crime stopper volunteer

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number

(###)

###

####

Date of Birth

MM

DD

YYYY

Cell Phone Number

(###)

###

####

Have you even been convicted of a criminal offence?

Do you consent to a criminal records check?

Are you will to keep Crime Stopper in formation confidential in the course of your volunteer duties?

Legal Notice

I authorize the Windsor Police Service and/or the Ontario Provincial Police to disclose and release any and all personal information to their appointed designate, including any and all information they may have, regarding my criminal record, and/or any other knowledge or information in the records of the Windsor Police Service or any other police service for the purpose of assessing my suitability for volunteering with Windsor & Essex County Crime Stoppers, Inc. I affirm that the information that I have provided is true and complete. Please include any questions below: