Form JD-AP-8 Judicial Volunteer/Intern Program Application for Volunteer Service - Connecticut

Form JD-AP-8 or the "Judicial Volunteer/intern Program Application For Volunteer Service" is a form issued by the Connecticut Judicial Branch.

Download a PDF version of the Form JD-AP-8 down below or find it on the Connecticut Judicial Branch Forms website.

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STATE OF CONNECTICUT
AVAILABILITY
JUDICIAL VOLUNTEER/INTERN PROGRAM
DAYS
APPLICATION FOR VOLUNTEER SERVICE
VOLUNTEER APPLICATION
HOURS/WEEK
JD-AP-8, Rev. 8-14
PERSONAL INFORMATION
NAME
Email Address:
HOME ADDRESS (Street)
(City)
(State)
(Zip Code)
TELEPHONE NO.
(
)
PHONE NUMBER OF EMERGENCY
DATE OF BIRTH
PLACE OF BIRTH (List City & State)
NAME OF EMERGENCY CONTACT
CONTACT
(
)
PLEASE LIST ANY LANGUAGES YOU SPEAK FLUENTLY:
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
NO
DO YOU HAVE ANY CASES PENDING IN CT OR ANY OTHER STATE?
NO
IF YES, PLEASE EXPLAIN:
IF YES, PLEASE EXPLAIN:
INDICATE YEAR COMPLETED, TYPE OF TRAINING AND DEGREE AREA IF APPLICABLE.
EDUCATION
JUNIOR HIGH
SENIOR HIGH
VOCATIONAL
TRAINING
COLLEGE
POST
GRADUATE
PLEASE COMPLETE THE CHART BELOW, LISTING PRESENT OR MOST RECENT EMPLOYMENT FIRST.
DATES
NAME OF ORGANIZATION
POSITION HELD
EMPLOYMENT
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CHARACTER
CITY, STATE ZIP CODE
CITY, STATE ZIP CODE
REFERENCES
TELEPHONE NUMBER
TELEPHONE NUMBER
(
)
(
)
BACKGROUND INFORMATION
I authorize the Judicial Branch to conduct a verification of education records, criminal history records, and previous employment and to
contact personal references. I hereby authorize persons, schools, former employers and other organizations to release to the Judicial Branch
information that may be requested. I agree to discharge the Judicial Branch and its employees from any claims, damages and liabilities
arising from the retrieval, reporting or dissemination of information authorized by this release.
APPLICANT'S SIGNATURE
DATE SIGNED
INTERVIEWER
OFFICE
DATE
Please return the form to: Judicial Branch-External Affairs Division- Volunteer/Intern Program
Two Riverview Square 99 East River Drive, Room 701 East Hartford, CT 06108
STATE OF CONNECTICUT
AVAILABILITY
JUDICIAL VOLUNTEER/INTERN PROGRAM
DAYS
APPLICATION FOR VOLUNTEER SERVICE
VOLUNTEER APPLICATION
HOURS/WEEK
JD-AP-8, Rev. 8-14
PERSONAL INFORMATION
NAME
Email Address:
HOME ADDRESS (Street)
(City)
(State)
(Zip Code)
TELEPHONE NO.
(
)
PHONE NUMBER OF EMERGENCY
DATE OF BIRTH
PLACE OF BIRTH (List City & State)
NAME OF EMERGENCY CONTACT
CONTACT
(
)
PLEASE LIST ANY LANGUAGES YOU SPEAK FLUENTLY:
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
NO
DO YOU HAVE ANY CASES PENDING IN CT OR ANY OTHER STATE?
NO
IF YES, PLEASE EXPLAIN:
IF YES, PLEASE EXPLAIN:
INDICATE YEAR COMPLETED, TYPE OF TRAINING AND DEGREE AREA IF APPLICABLE.
EDUCATION
JUNIOR HIGH
SENIOR HIGH
VOCATIONAL
TRAINING
COLLEGE
POST
GRADUATE
PLEASE COMPLETE THE CHART BELOW, LISTING PRESENT OR MOST RECENT EMPLOYMENT FIRST.
DATES
NAME OF ORGANIZATION
POSITION HELD
EMPLOYMENT
NAME
NAME
STREET ADDRESS
STREET ADDRESS
CHARACTER
CITY, STATE ZIP CODE
CITY, STATE ZIP CODE
REFERENCES
TELEPHONE NUMBER
TELEPHONE NUMBER
(
)
(
)
BACKGROUND INFORMATION
I authorize the Judicial Branch to conduct a verification of education records, criminal history records, and previous employment and to
contact personal references. I hereby authorize persons, schools, former employers and other organizations to release to the Judicial Branch
information that may be requested. I agree to discharge the Judicial Branch and its employees from any claims, damages and liabilities
arising from the retrieval, reporting or dissemination of information authorized by this release.
APPLICANT'S SIGNATURE
DATE SIGNED
INTERVIEWER
OFFICE
DATE
Please return the form to: Judicial Branch-External Affairs Division- Volunteer/Intern Program
Two Riverview Square 99 East River Drive, Room 701 East Hartford, CT 06108

Download Form JD-AP-8 Judicial Volunteer/Intern Program Application for Volunteer Service - Connecticut

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