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Citizen's Outreach Program Application

  1. Enter Your Last Name

  2. Enter Your First Name

  3. Enter Your Middle Name

  4. Enter Your Street Address

  5. Enter Your City

  6. Enter Your State

  7. Enter Your Zip Code

  8. Enter Your Phone Number

  9. Enter Your Date of Birth with the following format:

    MM/DD/YYYY

  10. Enter Your Sex

  11. Enter Your Race

  12. Enter Your Email Address

  13. Background Authorization

    I understand that a criminal history check and a warrant check will be conducted as part of the application process. I hereby authorize any law enforcement agency, agencies of the government of the United States of America, and agencies of the State of Ohio to release to the Bowling Green Police Division any and all information, which said agencies have about me, for the limited purpose of aiding the Bowling Green Police Division in evaluating my eligibility for participation in the Citizen Outreach Program.


    This release extends to any and all information, which said agencies have about me, whether public, personal, or confidential. I understand that I will not receive and am not entitled to know the contents of confidential reports received from these agencies, their agents and representatives.  Any person furnishing information shall be released from any liability of every nature arising out of the furnishing and inspecting of such documents, records, and other information, and this release shall be binding on my legal representatives, heirs and assigns.


    A representative of the Bowling Green Police Division will contact you to complete the necessary information needed for the background check. 


  14. Agreement*

    I agree to the above Background Authorization

  15. Leave This Blank:

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