2. 

3. Sheriff's Office

   Law Enforcement Center
   15015 62nd Street North
   Stillwater, MN 55082
   Phone: 651-430-7601
   Email: sheriff@co.washington.co.mn.us

5. Volunteer Interest*

   1. Mounted Patrol
   2. Chaplain Corps
   3. Reserves

   1. Explorers
   2. Water Recovery Unit
   3. Jail Programs

   1. Internship
   2. Radio/Communications

7. Applicant Information

9. First Name*
10. Last Name*
11. Middle Name*
12. Date of birth*
    Date of birth
14. Current Address*
15. Phone Number*
16. Email Address*
18. City*
19. State*
20. Zip*
22. Driver's License Number*
23. State*
24. Number of volunteer hours requested*
25. Date available to start*
    Date available to start
27. List any scheduling conflicts
31. Previous Address
32. Previous Name(s) If Any
33. Check here if none

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

48. Education

50. High School*
51. Address*
53. Dates Attended*
    Dates Attended Start Date

    —

    Dates Attended End Date
54. Did you graduate?*
    -- Select One --YesNo
55. GPA
59. College
60. Address
62. Dates Attended
    Dates Attended Start Date

    —

    Dates Attended End Date
63. Did you graduate?
    -- Select One --YesNo
65. Graduation date?
67. Expected graduation date?
69. Degree
73. Other (Please Specify)
74. Address
76. Dates Attended
    Dates Attended Start Date

    —

    Dates Attended End Date
77. Did you graduate?
    -- Select One --YesNo
78. Expected graduation date?
79. Degree

81. Current and Previous Employment History

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

    —

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

     —

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

     —

     Dates Employed End Date
127. Reason for Leaving?

129. Academic and Professional References

131. Full Name*
132. Relationship*
134. Company*
135. Job Title*
137. Email*
138. Phone Number*
139. Alternate Phone Number
143. Full Name
144. Relationship
146. Company
147. Job Title
149. Email
150. Phone Number
151. Alternate Phone Number
155. Full Name
156. Relationship
158. Company
159. Job Title
161. Email
162. Phone Number
163. Alternate Phone Number

165. Volunteer Experience

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

175. Disclaimer and Signature

177. 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. 

179. Type your name to sign electronically*
180. Acknowledgment of signature*

     1. I acknowledge

184. 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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186. Submit

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