Court-Ordered Service Downloadable Content Download Volunteer/Court-Ordered Service Form Online Form Please enable JavaScript in your browser to complete this form. - Step 1 of 5Volunteer InformationFull Legal Name *Email *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *NextRelation to Washington CountyAre you related to a current Washington County employee? *YesNoName of Employee *Relationship to Employee *PreviousNextEmergency ContactEmergency Contact Name *Emergency Contact Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact Phone *Emergency Contact Relationship *PreviousNextCourt-Ordered ServiceCourt-Ordered Service *YesNo Name Signature Relationship Reason for Court-Ordered Service *Total Community Service Hours *Ever Convicted of a Felony? *YesNoList Conviction(s) with Dates *PreviousNextPLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: By submitting this application, I agree to a basic background check that may result in my inability to serve as a WC volunteer. I understand that, if approved: * I may be allowed to perform tasks within county facilites. * I understand that I will not be paid by WC and agree to perform my volunteer service free of charge. Authorization *I hereby authorize Washington County to conduct a basic background check.Volunteer Signature * Clear Signature Date *Submit
