Commissioner Application

Community Police Review Board Applicant Questionnaire
Questions about volunteering on the Community Police Review Board? Contact the Human Rights Office at (812) 376-2532 or e-mail us at humanrights@columbus.in.gov.
Are you a resident of Bartholomew County? *

Yes No
How long have you lived in Bartholomew County?
For example, "7 years" or "5 months"

Before applying to volunteer, please take a moment to review the enabling resolution for this committee, which follows below. Specific information regarding committee membership can be found on pages 1-3.
Current Resolution for the Community Police Review Board
You acknowledge that you have read this document and understand the expectations by initialing (or your mark) in the box provided.

Name *

First Name Last Name
Email *
example@example.com
Phone Number
Please enter a valid phone number.

Please indicate phone type entered
Best time to call:

Mornings Afternoons Evenings

Are you currently employed? (This includes self employment.) *

Yes No
Occupation

Work address

Street Address

Street Address Line 2

City State

Zip Code

Primary residence address *

Street Address

Street Address Line 2

City

Postal / Zip Code

We appreciate your interest in volunteering!

The purpose of these questions is to get to know you better as an applicant and potential member of this committee.

If you require a reasonable accommodation due to a disability or limited English proficiency, you may request a verbal interview by contacting the Columbus Human Rights Commission at (812) 376-2532 or humanrights@columbus.in.gov.
1. Briefly tell us about yourself (can be anything such as your past experience, employment, volunteerism, education, interests, etc.).
2. Tell us why you are interested in becoming a member of the Community Police Review Board?
3. Briefly describe your skills and abilities (that you have gained either professionally, personally, or through some other means) that you could bring to the Committee. See below if you would like to submit an attachment such as a resume.
File Upload

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4. Community Police Review Board meetings are open to the public, are recorded/live streamed, and are scheduled quarterly on the 4th Thursday of the month at 6:00 p.m. On average, meetings last until 7:00 p.m. Does this time fit into your schedule?

Yes No
5. The Columbus Police Department would like for individuals who are involved with this committee to be educated on the duties of a police officer and have some hands-on training. As part of your service, are you willing to schedule a ride-a-long with the CPD, willing to take the Columbus Citizen's Academy Course, or willing to engage in some other type of recommended training?

Thank you for your interest in volunteering with the Community Police Review Board!

Unfortunately, since you indicated that you are not a Bartholomew County resident, you are currently ineligible for consideration as a committee member. If you should ever relocate to Bartholomew County, please consider applying. Call us at (812) 376-2532 or email us at humanrights@columbus.in.gov if you have any questions.

- Human Rights Staff

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Community Police Review Board Applicant Questionnaire

We appreciate your interest in volunteering!

Thank you for your interest in volunteering with the Community Police Review Board!

Please confirm the information entered is correct.