Multnomah County Sheriff's Office Volunteer Application
In order to proceed in the application process, you must provide COMPLETE information, including your criminal history (if applicable) and all contact information for your references. In addition to this form all of the following documents are required prior to moving on to the next step for MCSO Records Clearance: MCSO Records Check Authorization, Release of Information (for accessing references), and 2011 Emergency Notification Contact.
Volunteer Information
First name:
*
Last name:
*
Middle name:
*
Street 1:
*
Street 2:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Home phone:
*
OK to call me here
Work phone:
OK to call me here
Cell phone:
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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Year
2023
2022
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2020
2019
2018
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2015
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2012
2011
2010
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1923
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1920
1919
1918
*
US Citizen:
Choose
No
Yes
Social security number:
*
Please list ALL other names that you have used or been known as here.
Driver's License & Insurance Coverage Verification
Please provide the following information to document that you hold a valid driver’s license and auto insurance.
Driver's license number:
*
Insurance company:
*
Please note the policy holder's name if not yourself as well as the policy # and insurance agent's contact information.
Employment
Please list your last four (4) positions or a five (5) year employment history; list the most recent position first. Include your direct supervisor's name if different from Employer.
1
2
Employer name:
Employer name:
First name:
First name:
Last name:
Last name:
Street 1:
Street 1:
Street 2:
Street 2:
Street 3:
Street 3:
City:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Zip:
Work phone:
Work phone:
Email address:
Email address:
3
4
Employer name:
Employer name:
First name:
First name:
Last name:
Last name:
Street 1:
Street 1:
Street 2:
Street 2:
Street 3:
Street 3:
City:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Zip:
Work phone:
Work phone:
Email address:
Email address:
Please indicate your length of employment for each entry above.
Education
Education:
Choose
Associate degree
College degree
Doctoral degree
High school/GED
Masters degree
Some college
Trade/Vocational school
*
List all Colleges, Nursing, Military, Trade, Business, or other schools attended. Please include dates of attendance and attach a copy of your DD-214 if Military.
Criminal History
Have you ever been arrested or convicted of a crime? If yes, please list arrests, charges and/or convictions with the approximate dates and locations of occurrences.
COMPLETE information is required and failure to provide such may result in a denied application.
Supervised Release
Are you on any type of supervision such as probation (including unsupervised and/or bench probation), parole, pre-trial, or electronic monitoring? If yes, please list here.
Pending Cases
Do you have any pending court issues, including civil matters? If yes, please list here.
Driving Record
Has your driver’s license ever been suspended or revoked? If yes, please list date(s) and reason(s).
Personal References
Please list two (2) personal references you have known at least one (1) year and who are not related to you or living with you. No two (2) references will be accepted from the same address.
1
2
First name:
*
First name:
*
Last name:
*
Last name:
*
Street 1:
*
Street 1:
*
Street 2:
Street 2:
City:
*
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Zip:
*
Home phone:
*
Home phone:
*
Work phone:
OK to call here
Work phone:
OK to call here
Cell phone:
Cell phone:
Email address:
Email address:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
*
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
*
Volunteer Information Center
MCSO provides an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access MCSO VIC.
Please enter a password that:
Is between 6 and 30 characters long
Password:
Confirm password:
I Agree
I understand and agree that submitting this application form does not automatically register me as a Multnomah County Sheriff's Office volunteer.
I hereby swear or affirm that there are no willful misrepresentations, omissions, or falsifications of the preceding statements.
I authorize a criminal history and driving record check and an investigation of all statements made in this application. I understand that misrepresentation, falsifications, or omissions of facts in any documents I submit or statements I make as a part of this process, is cause for rejection of my application and/or termination of my Multnomah County Sheriff’s Office volunteer status.
I Agree
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