2. Volunteer Interest*

   1. Mounted Patrol
   2. Chaplain Corps
   3. Reserves
   4. Explorers
   5. Water Recovery Unit
   6. Jail Programs
   7. Internship
   8. Radio/Communications
   9. Citizens Academy

4. Applicant Information

6. First Name*
7. Last Name*
8. Middle Name*
9. Date of birth*
   Date of birth
11. Current Address*
12. Phone Number*
13. Email Address
15. City*
16. State*
17. Zip*
19. Driver's License Number*
20. State*
21. Number of volunteer hours requested*
22. Date available to start*
    Date available to start
24. List any scheduling conflicts
28. Previous Address
29. Previous Name(s) If Any
30. Check here if none

    1. No previous last name
    2. No previous address
32. City
33. State
34. Zip
38. Are you a citizen of the U.S.?*
    -- Select One --YesNo
39. If no, are you authorized to work in the U.S.?
    -- Select One --YesNo
40. Have you ever worked or volunteered for Washington County?*
    -- Select One --Yes*No
41. Have you ever been convicted of a crime other than traffic?*
    -- Select One --Yes*No
43. *Please explain:

47. Education

49. High School*
50. Address*
52. Dates Attended*
    Dates Attended Start Date

    —

    Dates Attended End Date
53. Did you graduate?*
    -- Select One --YesNo
54. GPA
58. College
59. Address
61. Dates Attended
    Dates Attended Start Date

    —

    Dates Attended End Date
62. Did you graduate?
    -- Select One --YesNo*
63. Expected graduation date?
64. Degree
68. Other (Please Specify)
69. Address
71. Dates Attended
    Dates Attended Start Date

    —

    Dates Attended End Date
72. Did you graduate?
    -- Select One --YesNo
73. Expected graduation date?
74. Degree

78. Current and Previous Employment History

80. Company
81. Phone
83. Address
84. Supervisor
86. Job Title
87. Salary
88. May we contact your supervisor for a reference?
    -- Select One --YesNo
90. Responsibilities
91. Dates Employed
    Dates Employed Start Date

    —

    Dates Employed End Date
92. Reason for Leaving?
96. Company
97. Phone
99. Address
100. Supervisor
102. Job Title
103. Salary
104. May we contact your supervisor for a reference?
     -- Select One --YesNo
106. Responsibilities
107. Dates Employed
     Dates Employed Start Date

     —

     Dates Employed End Date
108. Reason for Leaving?
112. Company
113. Phone
115. Address
116. Supervisor
118. Job Title
119. Salary
120. May we contact your supervisor for a reference?
     -- Select One --YesNo
122. Responsibilities
123. Dates Employed
     Dates Employed Start Date

     —

     Dates Employed End Date
124. Reason for Leaving?

128. Academic and Professional References

130. Full Name*
131. Relationship*
133. Company*
134. Job Title*
136. Email*
137. Phone Number*
138. Alternate Phone Number
142. Full Name
143. Relationship
145. Company
146. Job Title
148. Email
149. Phone Number
150. Alternate Phone Number
154. Full Name
155. Relationship
157. Company
158. Job Title
160. Email
161. Phone Number
162. Alternate Phone Number

166. DISCLAIMER AND SIGNATURE

     I certify that my answers are true and complete to the best of my knowledge. 

     If this application leads to an offer for a volunteer position, I understand that false or misleading information in my application or interview may result in my release from a position with the Washington County Sheriff’s Office. 

168. Type your name to sign electronically*
169. Acknowledgment of signature*

     1. I acknowledge
173. List experiences, skills, or abilities you have relating to the volunteer position you are seeking:*
174. List academic, previous volunteer or personal interests that you have relating to the volunteer position you are seeking:*
176. As a representative of Washington County Sheriff’s Office, what do you believe is your volunteer mission? *
177. Is there anything else you would like us to know about you?*

181. What is the next step in the volunteer process?

     • Washington County Sheriff’s Office will review your volunteer application. 
     • You will be required to attend a volunteer orientation and submit your fingerprints for a criminal history check. 
     • You will be asked to sign an Authorization to Release Information in order to examine your suitability to serve as a volunteer for the Washington County Sheriff’s Office. 
     • If selected, you will also be required to obtain a volunteer identification photo.

     Washington County does not discriminate on the basis of race, color, national origin, sex, religion, age, and handicapped status in employment or the provision of services.

     Additional questions can be directed to the following employees based upon your areas of interest:

     Mounted Patrol: Deputy Joe Szczepanski joseph.szczepanski@co.washington.mn.us

     Explorers Post: Detective Sara Peulen sara.peulen@co.washington.mn.us

     Reserves and Water Recovery Unit: Sergeant Kevin Jadwinski kevin.jadwinski@co.washington.mn.us

     Chaplain Corps: Sergeant Mike Benson mike.benson@co.washington.mn.us

     Jail/Offender Programs: Sergeant David Stumpner david.stumpner@co.washington.mn.us

     Internships: Sergeant Rebecca Broome rebecca.broome@co.washington.mn.us

     Radio/Communications: Public Safety Radio systems Manager nate.timm@co.washington.mn.us

     Citizens Academy: Public Information Manager laura.perkins@co.washington.mn.us

     
     

     
     

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183. Submit

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