PCSD Civilian Advisory Review Board

Civilian Advisory Review Board Application

Full Name (First, Middle, Last) *

Mailing Address (Number, Street, City, Zip) *

Phone (Primary) *

Phone (Secondary)

Email Address *

Employer *

Position/Title with Employer *

Why do you wish to serve on the Pima County Sheriff's Department Civilian Advisory Review Board? *

Other Boards and/or Commisions on which you currently serve:

Past Community Service:

What experience or qualifications do you have relating to the function of this organization and the board?

The Civilian Advisory Review Board requires a commitment of time. Activities include, but are not limited to, monthly meetings, community outreach, working with departments in the agency, participating in community forums, and other duties designated by the chairperson or the Sheriff. Do you have the time to dedicate to this position? *

Yes No

What is your highest level of education? *

What was your major or field of occupation?

Have you ever been arrested, charged, or convicted of a crime? *

Yes No

If you answered yes, was it a misdemeanor or felony? Please explain:

Other information or comments:

Please list at least 2 references. Include Name, address, and phone number. *

PCSD Civilian Advisory Review Board

Civilian Advisory Review Board Application

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