SPOKANE C.O.P.S. BUSINESS WATCH REPRESENTATIVE APPLICATION

A BASIC BACKGROUND CHECK WILL BE RUN ON THE BUSINESS WATCH CONTACT PERSON.

Please indicate your nearest local C.O.P.S. Shop*

Name of Business*

Business Watch Contact First Name*

Business Watch Contact Middle Initial*

Business Watch Contact Last Name*

Contact's Position*

Contact's Date of Birth*

Contact's Phone Number*

Contact's Email*

Business Address*

Business Phone*

City*

State*

Zip Code*

Owner of Business*

Phone*

Email*

Person to contact during business closed hours*

Phone*

Email*

Has contact person ever been convicted of a crime in a court of law, civilian or military?*

Yes

If yes, please explain:

Does your business run a criminal background check on all employees?*

Why does your business want to be a part of Business Watch?*

As an applicant to be a Spokane C.O.P.S. Business Watch representative, I hereby authorize Washington law enforcement agencies to conduct a background investigation to determine my qualifications for participating in this program. I understand that such a background investigation is being conducted solely to make sure members of Busines Watch are law abiding citizens and cleared for providing such services. All information is to remain confidentia as required by state and federal law.

I Understand

Date

SPOKANE C.O.P.S. BUSINESS WATCH REPRESENTATIVE APPLICATION

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