Home or Zone Address (required):
Find your Zone here: https://gis.beverlyhills.org/VBH/MyJICBHZone_FinderApp/
Profession or special skill sets:
Are you a current member of Neighborhood Watch?
Are you a Block Captain?
Please indicate your preferred emergency notification method:
What is your interest in this program (select one or more)?
Skill set assessment (please select any that apply to you):
If you interested in the roles of Neighborhood Coordinator, Zone Coordinator, and North / South Coordinator, please provide two references and a short explaination of your qualifications in the comment box below.
Reference #1 Name:
Reference #1 Email:
Reference #2 Name:
Reference #2 Email:
Summary of qualifications:
We welcome additional comments:
**Contact information submitted through this website will be collected and stored by the City of Beverly Hills. Those indviduals who submit an interest form may be contacted by a member of City staff or by a resident leader of the JUST IN CASE BH program prior to any emergency situation.