Shomrim of Michigan Application Form

The Shomrim of Michigan Community Safety Patrol is a volunteer, community based neighborhood watch group comprised of residents of the Oak Park & Southfield area.

Shomrim of Michigan provides community education on security issues and serves when needed as a visible deterrent and extra eyes and ears throughout the community, communicating all suspicious activity directly to local Police departments.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Cell Phone Number *

Email Address *

I agree: *

I have a valid Michigan Driver's license

I have valid Michigan vehicle insurance

I will not leave my vehicle at any time during my patrol shift to investigate a suspicious individual, circumstance or emergency situation. In the event that my assistance at an emergency situation is required, I will notify and receive permission from the Watch Commander prior to leaving my vehicle.

I will not carry any weapons, including guns, mace, peper spray, bats, sticks, nunchucks, or any other weapons.

I understand that all applications are pending until reviewed and approved by the board and lead security officer.

Signature *

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