"Volunteer Application" - Kentucky

Volunteer Application is a legal document that was released by the Kentucky Department of Corrections - a government authority operating within Kentucky.

Form Details:

  • The latest edition currently provided by the Kentucky Department of Corrections;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Kentucky Department of Corrections.

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V
A
OLUNTEER
PPLICATION
Name: ___________________________________________________________________________
DOB: ______________
SSN: ____________________________
Height: ________
Hair color: _______________
Eye color: _________________
Address: _________________________________________________________
City: _______________________
State: ______
Zip: __________
Home phone: _______________________
Other phone: ________________________
Place of Employment: ________________________________________________________
Employer Address: __________________________________________________________
Employer phone: _____________________________
Have you ever been convicted of a felony? __________
(This does not automatically disqualify you from service)
If so, please give final charge and dates: ________________________________________________
_________________________________________________________________________________
Have you ever been on probation or parole? __________
If so, have you been released from supervision? _________
Do you have family members or friends currently on probation or parole? ________
If so, please list: ___________________________________________________________________
Have you worked with felony offenders before? _______ Where? __________________________________________
Have you volunteered before (other than with felony offenders)? _______
Where? _____________________________________
What did you do? __________________________________
Do you have any special education or training that qualifies you to volunteer in particular areas? __________________
_________________________________________________________________________________________________
Are you certified, licensed, or ordained to provide special services to offenders? ___________ (Please provide copies)
Are you volunteering as part of a group or organization? _____ Name: ______________________________________
What roles are you willing to fill as a volunteer? __________________________________________________________
Please provide three references that can verify previous volunteer service, qualifications, or character:
Name: __________________________________________________
Contact number: _____________________
Name: __________________________________________________
Contact number: _____________________
Name: __________________________________________________
Contact number: _____________________
I do certify by my signature that the above information is correct. I understand that falsification of any
information provided on this application will disqualify me from volunteer service with the Division of
Probation and Parole . I further understand that a criminal history check will be conducted as part of the
application process per Department of Corrections Policy and Procedure.
Applicant signature: _____________________________ Witness: __________________________________
Date: __________________
Date: ________________
V
A
OLUNTEER
PPLICATION
Name: ___________________________________________________________________________
DOB: ______________
SSN: ____________________________
Height: ________
Hair color: _______________
Eye color: _________________
Address: _________________________________________________________
City: _______________________
State: ______
Zip: __________
Home phone: _______________________
Other phone: ________________________
Place of Employment: ________________________________________________________
Employer Address: __________________________________________________________
Employer phone: _____________________________
Have you ever been convicted of a felony? __________
(This does not automatically disqualify you from service)
If so, please give final charge and dates: ________________________________________________
_________________________________________________________________________________
Have you ever been on probation or parole? __________
If so, have you been released from supervision? _________
Do you have family members or friends currently on probation or parole? ________
If so, please list: ___________________________________________________________________
Have you worked with felony offenders before? _______ Where? __________________________________________
Have you volunteered before (other than with felony offenders)? _______
Where? _____________________________________
What did you do? __________________________________
Do you have any special education or training that qualifies you to volunteer in particular areas? __________________
_________________________________________________________________________________________________
Are you certified, licensed, or ordained to provide special services to offenders? ___________ (Please provide copies)
Are you volunteering as part of a group or organization? _____ Name: ______________________________________
What roles are you willing to fill as a volunteer? __________________________________________________________
Please provide three references that can verify previous volunteer service, qualifications, or character:
Name: __________________________________________________
Contact number: _____________________
Name: __________________________________________________
Contact number: _____________________
Name: __________________________________________________
Contact number: _____________________
I do certify by my signature that the above information is correct. I understand that falsification of any
information provided on this application will disqualify me from volunteer service with the Division of
Probation and Parole . I further understand that a criminal history check will be conducted as part of the
application process per Department of Corrections Policy and Procedure.
Applicant signature: _____________________________ Witness: __________________________________
Date: __________________
Date: ________________