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Application - Search and Rescue Volunteer

  1. First, MI Last

  2. Have you ever applied with our agency before?
  3. Do you have Search & Rescue experience?
  4. Have you ever been:
  5. Arrested?
  6. Convicted of a felony?
  7. Convicted of a misdemeanor?
  8. Authorization for a Background Check*

    I hereby authorize the Peoria County Sheriff’s Office to conduct a background investigation concerning my work reputation, medical, physical, and criminal records, including information of a confidential or privileged nature.

  9. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. Leave This Blank:

  11. This field is not part of the form submission.