Burlington County s.p.c.a
Law Enforcement Division
3135 Route 206 South; Suite 5
COLUMBUS, NJ 08022
1.800.582.5979
Membership Application
Applicant Information
Last Name ______M.I.___ First Name ______
Address______APT. ___
City______County______Zip______
DOB______Age ___ Height____ Weight___ Hair Color___ Eyes_____
Email Address______SSN______
Drivers License #______State____ Exp. Date ______
Home Phone #______Cell Phone #______
Position Applying For ______
Have you ever worked for this company? ____ If yes, when?______
Have you ever been convicted of a felony? ____ Have you ever been charged with an animal cruelty offense?
If yes, explain: ______
Education
High School______Address______
From______to______Did you graduate? ______Diploma ______
College______Address______
From______to______Did you graduate?______Degree ______
Other______Address______
From______to______Did you graduate?______Degree ______
References
Please list two personal and one professional reference.
Full Name______Relationship______
Company______Phone______
Address______
Full Name______Relationship______
Company______Phone______
Address______
Full Name______Relationship______
Company______Phone______
Address______
Experience
Please list all related experience to the position applying for.
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in
my release.
Signature______Date______
The membership of the Society's Law Enforcement Division shall consist of active members only. Burlington County SPCA general members may apply for admittance into the Law Enforcement Division.
The names of all applicants for Law Enforcement Division membership shall be referred to the Chief's Office for processing. Applications shall be reviewed by the Chief or his designee and processed as needed. All other applications will be held on file until such time as an opening arises. Law Enforcement Division Membership is a privilege, not a right and as such the Chief reserves the right to deny membership based on findings of a thorough and complete background check.
It is to be understood by the applicant that all positions are performed on a volunteer basis and that no monetary payment or remuneration shall be received while performing BurlcoSPCA duties.
Law Enforcement Division applicants shall be subject to a full and complete background investigation. All reasons for non acceptance shall be disclosed at the completion of the application process. Simply submitting an application for membership to the Law Enforcement Division does not guarantee admittance. Successful applicants will be notified of their admittance into the Law Enforcement Division and a conditional offer of employment shall be tendered. Training will occur at a date to be determined by the Chief.
Any Humane Law Enforcement Officer, Agent or member, may be removed from the Law Enforcement Division for cause, which shall be deemed to be any material digression from the BCSPCA S.O.P. or rules and regulations by being summoned to appear for a hearing before a Badge Committee. The findings of the committee will be submitted to the Chief for final adjudication without further hearings or appeal. Law Enforcement Division for cause, which shall be deemed to be any material digression from the BCSPCA S.O.P. or rules and regulations by being summoned to appear for a hearing before a Badge Committee. The findings of the committee will be submitted to the Chief for final adjudication without further hearings or appeal.
Anyone given notice of such meeting and allegations who fails to attend said meeting shall automatically be removed from the Law Enforcement Division.
By signing this document I acknowledge that I have read and understand therequirements for membership in the Burlington County SPCA Law Enforcement Division and that I have received a copy of the BCSPCA By-Laws. I also agree to pay for and have a background check conducted in order to verify my information.
Signature______Date______
PLEASE SEND THIS COMPLETED APPLICATION TO:
Burlington County SPCA Humane Police
Attention: Membership Committee
3135 Route 206 South; Suite 5; Columbus NJ 08022
You will be contacted and an interview will be conducted at our headquarters.
APPROVED □ DENIED □
Reason for denial: ______
Chief Officers signature: ______
BCSPCA