Volunteer Application Form

We welcome Court Ordered Community Service volunteers under certain circumstances. We do not accept certain charges and others may be accepted on a case by case basis. We ask that you complete this form completely and honestly. We WILL be verifying the information with your probation officer and may perform our own background check. By completing this application you are agreeing to our screening processes and checks. We will notify you within one week if your application is being accepted or declined. Thank you for your interest in volunteering with us.

Name and address

Please include your first and last name, and full address.

First name:

Last name:

Street 1:

City:

State:

* Zip: *

Date of birth:

Contact Information

Please provide a primary phone number and email address.

Emergency Contact Information

In case of an emergency, who should we contact?

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

* OK to call here

Relationship:

Offence Information

Additional Offense Information

In the box below, please state the offense location (state or county), and state which county probation is being served in.

Probation Officer Information

Please enter your probation officer's full name and phone number.

Availability

Please indicate the days that you are able to volunteer.

Volunteer Information

Age:

Skills and Experience

Please mark all that apply.