Fillable Form 30312: FULTON COUNTY JUVENILE COURT VOLUNTEER APPLICATION (Fulton County Government)

Fill Online, Printable, Fillable, Blank Form 30312: FULTON COUNTY JUVENILE COURT VOLUNTEER APPLICATION (Fulton County Government) Form

Use Fill to complete blank online FULTON COUNTY GOVERNMENT (GA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 30312: FULTON COUNTY JUVENILE COURT VOLUNTEER APPLICATION (Fulton County Government)

On average this form takes 24 minutes to complete

The Form 30312: FULTON COUNTY JUVENILE COURT VOLUNTEER APPLICATION (Fulton County Government) form is 4 pages long and contains:

  • 0 signatures
  • 36 check-boxes
  • 78 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Fulton County Government

BROWSE FULTON COUNTY GOVERNMENT (GA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
FULTON COUNTY JUVENILE COURT | 395 PRYOR ST, SW | ATLANTA, GA 30312 | 404-612-4402
The mission of the Fulton County Juvenile Court is: first, to protect children and the community in
matters brought before the court, to rehabilitate children, and to restore families; and second, to create
opportunities for the community, partners, and stakeholders to actively engage in this mission.
Date:
A. CONTACT DATA
Name:
LAST FIRST (MI)
Email Address:
Home Telephone Number:
Mobile Telephone Number:
Home Address:
CITY STATE ZIP
Mailing Address:
(IF DIFFERENT)
CITY STATE ZIP
Emergency Contact: Primary Telephone:
Relationship to Applicant:
B. EMPLOYMENT DATA
Current Employer: Position/Title:
Work Address:
Work Telephone Number: May we contact you at work?
FULTON COUNTY JUVENILE COURT
VOLUNTEER APPLICATION
Fulton County Juvenile Court
395 Pryor Street SW
Atlanta, Georgia
30312
Office: 404-612-4402
FULTON COUNTY JUVENILE COURT | 395 PRYOR ST, SW | ATLANTA, GA 30312 | 404-612-4402
C. EDUCATION & EXPERIENCE
Highest Level Completed: High School College Post-Graduate Masters or Doctorate
Please list and describe any current or previous volunteer/community service involvement:
Dates:
Organization:
Responsibilities:
Dates:
Organization:
Responsibilities:
Dates:
Organization:
Responsibilities:
D. INTERESTS & AVAILABILITY
How did you hear about the Fulton County Juvenile Court Volunteer Program?
Why do you wish to volunteer with the Fulton County Juvenile Court?
Please list any relevant skills that will help determine placement (Examples: computer/software
knowledge, certifications, etc.):
Please indicate which programs or areas of service you are interested in:
___________ Citizen Review Panel
___________ Community Restorative Board
___________ SMART Moves (Chess Club)
___________ TLC (The Learning Club)
Specify the days and hours you are available to volunteer:
Monday Tuesday Wednesday Thursday Friday Saturday
FULTON COUNTY JUVENILE COURT | 395 PRYOR ST, SW | ATLANTA, GA 30312 | 404-612-4402
E. CRIMINAL BACKGROUND INFORMATION*:
*All questions in this section must be answered
1. Have you ever been convicted of a criminal offense? Yes ______ No _____
2. Have you ever been convicted of a crime involving child neglect, abuse, or endangerment?
Yes ______ No _____
3. Have you ever been convicted of a crime involving the use or sale of illegal drugs?
Yes ______ No _____
4. Do you presently hold a valid Georgia Driver’s license? Yes ______ No _____
5. Has your driver’s license ever been suspended or revoked? Yes ______ No _____
6. Do you have any pending offenses? Yes ______ No _____
7. Do you have any pending charges in juvenile court? Yes ______ No _____
If you answered “Yes” to any of the above questions, please provide additional details.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
F. REFERENCES
Please list three people who you know well and can attest to your character, skills and
dependability. Include your current or last employer.
Name/Organization
Relationship
Phone Number
Email
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that the
answers given in this application are true and complete to the best of my knowledge. I certify that I have and will
answer all questions throughout the selection process to the best of my ability and that I have not and will not
withhold any information that would unfavorably affect my application to volunteer with the Fulton County Juvenile
Court. I understand that information contained on my application will be verified and that any misrepresentations or
omissions may be cause for my immediate rejection as an applicant for a volunteer position with the Fulton County
Juvenile Court or my dismissal from the Volunteer Program.
SIGNATURE DATE
FULTON COUNTY JUVENILE COURT | 395 PRYOR ST, SW | ATLANTA, GA 30312 | 404-612-4402
FULTON COUNTY JUVENILE COURT
VOLUNTEER
RELEASE OF INFORMATION & CONFIDENTIALITY AGREEMENT
The mission of the Fulton County Juvenile Court is: first, to protect children and the community in
matters brought before the court, to rehabilitate children, and to restore families; and second, to create
opportunities for the community, partners, and stakeholders to actively engage in this mission.
I hereby authorize Fulton County Juvenile Court and any law enforcement agency to receive criminal
history record information and state central registry information pertaining to me which may be in files of
any federal, state, or local criminal justice agency and to investigate my background to determine my
fitness as a potential volunteer. This information may be requested and received on a continual basis
during the period of time that I am an active volunteer for the Fulton County Juvenile Court.
As a volunteer with the Fulton County Juvenile Court, I understand that I must maintain the privacy and
confidentiality of any and all case or client information. I recognize the value and sensitivity of confidential
information and understand that it is protected by law. I agree to keep all such information confidential for
an indefinite period of time, even after I am no longer a volunteer with Fulton County Juvenile Court. I
agree to follow the above rules of confidentiality. I understand that failure to do so will result in immediate
dismissal as a volunteer.
**The following information must be legible and complete.
Full Name:
LAST FIRST MIDDLE
Home Address:
CITY STATE ZIP
MALE FEMALE / / - -
SEX DATE OF BIRTH (MM/DD/YY) SOCIAL SECURITY NO.
Please check one:
American Indian / Alaska Native Asian Black / African American
Hispanic / Latino Native Hawaiian / Pacific Islander White / Caucasian
SIGNATURE DATE
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 30312: FULTON COUNTY JUVENILE COURT VOLUNTEER APPLICATION (Fulton County Government)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document