Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Family Court

Transitions Volunteer Application - Missouri

Transitions Volunteer Application Form. This is a Missouri form and can be used in Family Court 7th Circuit (Clay County) Local Circuit Courts .
 Fillable pdf Last Modified 4/26/2005
Get this form for FREE as a print-only pdf

CLAY COUNTY FAMILY COURT TRANSITIONS VOLUNTEER APPLICATION (Print application and mail to: Transitions 351 E. Kansas, Liberty, MO 64068) Name: __________________________________________________________________ (last) (first) (middle) (maiden) Address: ________________________________________________________________ If less than 3 years previous address __________________________________________ Home phone: __________________________ Work phone: ______________________ Pager or Cell phone: _____________________ May we contact you at work? _________ Employment (Present and/or last position) Employer: _______________________________________________________________ Address:________________________________________________________________ (city) (state) (zip) Phone: ___________________ Dates Employed: from_________ to____________ Position held: ______________________ Supervisor: ___________________________ Briefly list your job responsibilities: __________________________________________ _______________________________________________________________________ _______________________________________________________________________ Volunteer Experiences Organization: ____________________________________________________________ Address: ________________________________________________________________ Phone Number: _______________________ Supervisor: ________________________ <<<<<<<<<********>>>>>>>>>>>>> 2 Briefly describe a rewarding experience you had during the time that you volunteered for this organization: _____________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Organization: ____________________________________________________________ Address: ________________________________________________________________ (city) (state) p) (zi Phone Number: _______________________ Supervisor: _______________________ Briefly describe a rewarding experience you had during the time that you volunteered for this organization:_________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Special Skills Describe the skills, talents, and/or special training you possess that you believe would be an asset to the Transitions Program: __________________________________________ _______________________________________________________________________ _______________________________________________________________________ Brief Questions About Yourself Can you make a commitment to this Program for at least one year?__________________ If no, please explain: ______________________________________________________ Do you have the following? Your own transportation: ____________ Liability Insurance: _____________________ Valid Drivers License: ____________________________________________________ What is your highest level of education? _______________________________________ What are some your Hobbies/Interests? _______________________________________ How did you hear about the Clay County Transitions Program? ____________________ Would you like us to keep your employer abreast of your volunteer service and achievement? Yes No <<<<<<<<<********>>>>>>>>>>>>> 3 Personal References Please list two (2) professional and/or personal (not including relatives) references with complete address and phone numb.e r(REFERENCES WILL REMAIN CONFIDENTAL) # 1 - Name: _____________________________________________________________ Address: ________________________________________________________________ Phone Number: _______________________ Relationship: ______________________ # 2 - Name: ______________________________________________________________ Address: ________________________________________________________________ Phone Number: _______________________ Relationship________________________ I assert that the information contained herein is, to the best of my knowledge, true and correct. I understand falsification herein will render my application void. _______________________________ _____________________________ Signature of Applicant Date <<<<<<<<<********>>>>>>>>>>>>> 4 CLAY COUNTY FAMILY COURT TRANSITIONS VOLUNTEER PROGRAM Permission to Contact References and Complete Background Investigation I hereby give permission to the Clay County TRANSITIONS PROGRAM to inquire about my qualifications and/or character by: Contacting Personal References named in Volunteer Application Contacting present and/or past employers Contacting present and/or past organizations for which I have performed volunteer services Completing a background check with the Missouri Child Abuse/Neglect Hotline Central Registry Further, I understand that the Clay County Transitions Program will complete a background investigation on me through the Clay County Sheriffs Department or other appropriate and necessary law enforcement agency. INFORMATION NEEDED FOR CRIMINAL RECORD INVESTIGATION Last name: _______________________________ First name: _______________________________ Middle Name: ____________________________ Race: __________________________ Gender: _______________________________ Date of Birth: ___________________ Social Security #: ________________________ State of Birth: ______________ Drivers License #: ____________________________ Aliases or other names used: ________________________________________________ ___________________________ __________________________ Signature of Applicant Date
Link/Embed this Document
URL
Embed


Popular Searches

  1. order to show cause
  2. probate
  3. Notice of Appearance
  4. motion to dismiss
  5. motion
  6. subpoena duces tecum
  7. termination of parental rights
  8. ORDER
  9. Summon
  10. subpoena

Bookmark and Share