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Sheriff's Victim Services Unit Application
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This form has been modified since it was saved. Please review all fields before submitting.
Date of Birth
Date of Birth
Do you have your own transportation?
In Case of Emergency, Notify Name
In Case of Emergency, Notify Phone
Place of Employment
Number of Years Employed
Regular Working Hours
Reasons for Leaving
Where and activities performed.
Professional / Technical
Have you ever been convicted of a crime?
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?
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?
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.
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.
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