Community Partnership and Outreach Team Application Home » Departments » Police Department » Community Engagement » Community Partnership and Outreach Team Application Page Content To ensure the integrity of all potential Block Captains and the overall Community Partnership and Outreach Program, a basic Criminal HIstory Check, Drivers License Check and a Warrant Check is conducted on all Block Captain Applicants. The personal information obtained about the applicant is kept strictly confidential and secure. First Name Middle Name Last Name Date of Birth (MM/DD/YYYY) Race American Indian or Alaska Native Asian Asian Indian Black or African-American Chamorro Chinese Filipino Japanese Korean Native Hawaiian or Pacific Islander Samoan White Middle Eastern or North African Hispanic or Latinx Other or Multiracial Sex Woman/girl Man/boy Transgender Woman/girl Transgender Man/boy Gender non-conforming or non-binary Other Street Address Driver's License Number Phone Number E-mail address I, hereby allow the Ann Arbor Police Department to conduct a Criminal History Check, a Michigan Driver's License check and a full Warrant Check for the purposes of insuring the integrity of the Community Partnership and Outreach Program. For questions, please call 734-794-6900, ext. 49526 or email [email protected].