Skip to Main Content
Loading
Loading
Government
Departments & Offices
Services & Resources
External Services
How Do I...
Visitors
Search
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Administration
Clerk's Office Forms
County Online Forms
Courts
Drain
Friend of the Court
Human Resources
Register of Deeds
Sheriff's Office
Sheriff's Office Encrypted
Specialty Courts
Treasurer
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sheriff's Victim Services Unit Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Title
Mr.
Mrs.
Ms.
First Name
*
Middle Name
*
Last Name
*
Date of Birth
*
Date of Birth
Address
*
City
*
State
*
Zip Code
*
Home Phone
Mobile Phone
Work Phone
Email Address
*
Do you have your own transportation?
*
Yes
No
In Case of Emergency, Notify Name
In Case of Emergency, Notify Phone
Employment Status
*
Employed
Retired
Self-Employed
Unemployed
Place of Employment
Title/Duties
Number of Years Employed
Supervisor
Regular Working Hours
Previous Employer
Reasons for Leaving
Volunteer Experience
Where and activities performed.
Education
High School
Professional / Technical
College
Graduate School
Have you ever been convicted of a crime?
*
Yes
No
If Yes, State Nature of Offense, When and Where Occurred
1) Reference (non-related) Name, Address, Phone Number
2) Reference (non-related) Name, Address, Phone Number
3) Reference (non-related) Name, Address, Phone Number
How did you hear about Victim Service Program?
Are you able to commit yourself to being on-call on a given day per-week?
*
Yes
No
If No, Please Explain Your Limitations and Length of Time/Commitment That You Are Able to Make
Will you be able to attend in-service training sessions at the Sheriff's Office, in addition to your regularly scheduled volunteer time?
*
Yes
No
Every effort is made to accommodate the preference of applicants. However, the size of the Victim Service Unit necessitates scheduling volunteer assignments over the course of the work-week.
*
Please check each time(s), and day(s), you would be able to volunteer.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Holidays
Days
Afternoons
Evenings
Why would you like to work with the Victim Service Unit?
*
What additional skills and strengths would you like to develop as an outcome of your experience with this program?
*
As a volunteer you will be working with clients of many different ethnic and social-economic backgrounds. Sometimes clients may have values or beliefs quite different from your own. Please describe why this will or will no present a difficulty or adjustment to you as a service provider.
By clicking the submit button you are agreeing to a background check with the Sheriff Department.
Leave This Blank:
Submit
* indicates a required field
Juvenile Court
Agendas & Minutes
Employment
Online Payments
Tax Information
Courts
Sheriff
Maps / GIS
Notify Me®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow