Welcome to Crimestoppers Kingston / 1000 Islands

Application for Membership
Crime Stoppers Board of Directors

NOTE: Submitting an application does not guarantee acceptance to the Board of Directors.


If no Board vacancy exists, would you like to be a volunteer? Yes No
Given Name:
Maiden Name:
Date of Birth: (mm/dd/yy)  
Postal Code:
Home Phone #:
Cell Phone #:
Place of Birth: (city, province)
Employed By:

Do you now hold public office?: Yes No
Are you a sworn police officer?: Yes No
Have you ever been associated with any other Crime Stoppers program?: Yes No
If yes, program name:?
Name of Sponsor:

I understand that my application will be discussed by the present members of the Board of Directors.  I also authorize the police to make enquiries as may be deemed appropriate.  I understand that if I am accepted to the Board, I will be required to attend all Crime Stoppers Board of Directors and /or Working Committee meetings.  If required, I am willing to work on at least one working committee.  If requested to act as a spokesperson, I understand that it will be under the direction and guidance of the Chair and/or the Civilian Coordinator.  I will maintain confidentiality of all Crime Stoppers case information and records.  I understand that I will be called upon from time to time to participate in fundraising events for Crime Stoppers if I am accepted to the Board.

By checking on this box, I hereby agree that the above has been read and I will abide by the conditions set out therin.



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