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3. Application

   Volunteer Public Safety Ambassador Program

5. Thank you for your interest in the City of Berea’s Volunteer Public Safety Ambassador Program. This is a pilot program for 2022.  As such, we are limiting the number of volunteers to 15. However, as the program develops, we will need more volunteers, so please complete the application even if you are not in the initial volunteer group.

   What do Public Safety Ambassador volunteers do?

   Public Safety Ambassador volunteers serve as additional “eyes and ears” in our parks and at public events by providing a visible and non-enforcement safety presence. Volunteers monitor our parks and serve as ambassadors to other park users. Public Safety Ambassadors can do this while walking, jogging, or by wheelchair or riding a bicycle, where bikes are permitted. Volunteers must be at least 18 years of age. Individuals, regular exercisers, families, students and seniors are all welcome to join. Volunteers are asked to log a minimum of 4 hours per month from April through October. Periodic meetings are also held to keep Public Safety Ambassadors knowledgeable about what’s going on in the City of Berea.

   Public Safety Ambassadors are NOT enforcement officers.  In fact, they will be instructed to refrain from interacting with those violating the law.  Unfortunately, police officers cannot be everywhere, so the PSAs are simply eyes and ears and will be instructed to notify the police if they observe problems.  

   PSAs may also help with our special events, by volunteering to work at the gates or watching the crowd for medical emergencies or other similar problems.

   How can I get involved?

   It’s easy! Just complete the application on this page. Public Safety Ambassadors must be at least 18 years of age, commit to at least six months as an Ambassador, successfully pass a background check and complete training. Initial training takes approximately two hours and will be scheduled with staff from the Department of Public Safety.

   Questions?

   For more information about the Public Safety Ambassador program, contact bereapsa@cityofberea.org.

    

7. First Name
8. Last Name
10. Address
12. City
13. State
14. Zip Code
16. Phone Number
17. Email Address
19. Reason for volunteering
20. T-Shirt size*
    -- Select One --SMLXLXXLXXXL
22. Are you able to volunteer a minimum of 4 hours per month?

    1. Yes
    2. No
23. General availability (Check all that apply)*

    1. Mornings
    2. Afternoons
    3. Early Evenings
    4. After 8 p.m.

25. I understand that I am NOT an employee of the City of Berea and that any duties I perform are as a volunteer. I agree to follow the policies and procedures outlined for this program. I understand that I am required to undergo a criminal background check and that certain convictions will rend me ineligible to volunteer. (See webpage for list of disqualifying convictions). I also understand that submission of this application alone does not constitute acceptance into the program. 

27. 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.

    1. I agree.
29. Electronic Signature
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

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