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2. 
4. Police Department Volunteer Registration

   Registering to become a volunteer is a great way to get involved with the West Melbourne Police Department. After completing the form below, you will be contacted by a representative from the West Melbourne Police Department to discuss the types of events and activities you would like to volunteer for as well as next steps for completing the registration process. All volunteers will be subject to a standard background check prior to being accepted as a registered volunteer.

6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
    -- Select One --AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
15. Zip
17. Phone Number
18. Email Address
20. Additional Information

    Please provide details on availability and desired volunteer opportunities.

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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