Submit RCPO Application

It is agreed by the applicant herein that he/she hereby releases, and holds faultless, Radnor Township, and/or Radnor Citizen Police Organization from any personal injury or property damage that he/she may suffer while participating as a member of RCPO.

It is also understood that any deliberate falsification of this applicant will result in immediate expulsion from the organization.

By submitting this form, you are agreeing to a background check performed by the Radnor Township Police Department.

First Name required

Last Name required

Email required

Phone (Home)

Phone (Cell)

Address required

Town / City required

Zip / Post Code required

Area(s) of Interest

Citizen Police Academy

Community Emergency Response Team

Townwatch

Special Programs & Operational Support

Other

Introduction

Experience

Criminal offence? required

Yes

No

Information about conviction

Tell us about any convictions / offences

Agree required

Yes

No

It is agreed by the applicant herein that he/she hereby releases, and holds faultless, Radnor Township, and/or Radnor Citizen Police Organization from any personal injury or property damage that he/she may suffer while participating as a member of RCPO. It is also understood that any deliberate falsification of this applicant will result in immediate expulsion from the organization. By submitting this form, you are agreeing to a background check performed by the Radnor Township Police Department.