Skip to content
Skip to content
Home
Request CERT Assistance
Apps to Survive a Storm
Be Prepared
Basic Medical Kit
Training
Basic Training Vidoes
Community Emergency Response Team
Basic Training Manual (2019 Edition)
Participant Hazard Annex (2019 Edition)
Contact US
Resources
Members Login
Home
Background Check
Background Check
Background Check
Full Name
*
Required Field. Example: John Doe
Aliases or Other Names
Any aliases or nicknames you are know by. Seperate multiple names by commas.
Address
*
Pleaes provide full address: Street Address, City, State, and Zip
Date of Birth
*
Required: Please provide your date of birth. This information will be used in your background check.
Driver's License Number
*
Required Field. Please Provide your Driver's Licence Number. This information will be used in your background check.
State which issued your Drivers licence
Required Field.
Phone
Required Field
Email Address
*
Required Field.
I am consenting to background investigation by the Lincoln Park Police Department and I allow the Lincoln Park Police Department use of any information that I have provided in this form.
*
I am consenting to background investigation
by the Lincoln Park Police Department and I allow
the Lincoln Park Police Department use of any information that I have
provided in this form.
Required Field.
Submit My Application
Please do not fill in this field.
