BECOME A MEMBER

To become a volunteer, please complete the application below and submit it for review.

Upon receipt of your application, you will be notified via email to submit information for a criminal background check (this only takes a few moments to complete).

Membership Requirements:

Must be 18 years or over.
Must complete and pass a criminal background check Must attend or participate in a minimum of (2) two regular business meetings, special meetings, committee meetings, events or any combination thereof per year.
Must not violate any of the SNPF Code of Conduct.

MEMBERSHIP APPLICATION

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PERSONAL INFORMATION

Last Name:

First Name:

Gender:

Are you over 18 years or older?

Address:

City:

State:

Zip Code:

Home Phone Number:

Cell Phone Number:

Email Address:

Occupation:

Employer:

Employer Address:

Manager:

Employer Phone Number:

Manager Email Address:

Are you proficient in any foreign language?

If so, what language(s)?

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COURT RECORD

Have you ever been arrested, charged, or summoned with any offense including but not limited to criminal violations, disorderly persons offenses, or ordinance violations?

Yes

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If the above answer is “yes” please complete the below information

Date:

Location:

Charge:

Disposition:

Details:

Date:

Location:

Charge:

Disposition:

Details:

Do you have any prior involvement or experience with Domestic Violence, either as a victim or the accused?

Yes

Field label

If the above answer is “yes” please complete the below information below.

Date:

Location:

Charge:

Disposition:

Details:

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DRIVING RECORD

Do you have a valid driver's license?

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REASON FOR APPLYING FOR A VOLUNTEER POSITION

What, if any, has been your experience in Domestic Violence?

How did you hear about us and why do you want to volunteer for the foundation?

Do you grant consent for the Stephanie Nicole Parze Foundation to conduct a background check?

Yes

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If you do not grant consent to a background check, please know that your application will not be considered for a volunteer position with the Foundation.

I understand that my volunteer application is contingent upon the results of my background check. I also understand that willfully withholding information or making false statements on this application will be basis for dismissal from the Stephanie Nicole Parze Foundation. I agree to these conditions and I hereby certify that all my statements made by me on this application are true and complete, to the best of my knowledge.

Opt-In

By checking this box, I attest that I have read the SNPF Code of Conduct

Signature of Applicant:

Date:

EMERGENCY HOTLINES

Sexual Abuse: 1-800-656-4673

Domestic Violence: 1-800-799-7233

NJSP Missing Persons Unit
609-882-2000 x2554

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