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Breaking the Cycle of Crime with Opportunities, Alternatives & Resources

Home
About OAR
Services by Area
Get Involved
Accountability
Client Resources
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Home
About OAR
Services by Area
Get Involved
Accountability
Client Resources
Pay Program Fees

Breaking the Cycle of Crime with Opportunities, Alternatives & Resources

Home
About OAR
Services by Area
Get Involved
Accountability
Client Resources
Pay Program Fees

Home
About OAR
Services by Area
Get Involved
Accountability
Client Resources
Pay Program Fees

Volunteer Application

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Name *

First

Last

Home Phone *

Office Phone

Date of Birth *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Gender *

Ethnicity *

Are you a citizen of the United States? *

Yes
No

If yes, please bring your driver’s license or birth certificate to the Volunteer Information Session. If no, please provide documentation of your status in the US.

Which county are you applying to volunteer in? (Check all that apply) *

Fairfax
Loudoun
Prince William

Do you feel you would be able to work objectively with any type of offender? *

Yes
No

If no, please explain.

Have you ever volunteered and/or been employed in the Criminal Justice System? *

Yes
No

If yes, where, and what did you do?

Do you know anyone who is currently incarcerated in a local Adult Detention Center? *

Yes
No

If yes, please explain.

Highest Level of Education Completed:

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GED/High School:

Degree:

Degree:

College:

Field of Study:

Field of Study:

Professional certifications:

Other Education/Training:

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Present Employer:

Name of Supervisor:

Position Title:

Business Phone:

Dates of Employment:

Business Address:

Address Line 1

Address Line 2

City

State

Zip Code

Have you volunteered previously at another organization? *

Yes
No

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Name of Organization:

Name of Organization:

Dates with Organization:

Dates with Organization:

Do you have any health conditions or allergies that could impair your proficiency in your work? *

Yes
No

If yes, please explain:

Do you speak any languages other than English? *

Yes
No

If yes, please list:

Please check all that apply:

Speak Fluently
Read Fluently
Write Fluently

Please provide three references that do not include relatives. Reference #1: *

First

Last

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Relationship: *

Phone: *

Email: *

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Reference #2: *

First

Last

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Relationship: *

Phone: *

Email: *

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Reference #3: *

First

Last

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Relationship: *

Email: *

Phone: *

Address:

Address Line 1

Address Line 2

City

State

Zip Code

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Emergency Contact Information: *

First

Last

Cell Phone: *

Home Phone:

Work Phone:

Email *

Relationship: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

I hereby affirm that the information provided by me on this form is true and complete. *

First

Last

Today's Date: *

Upload Your Resume (Optional)

Click or drag a file to this area to upload.

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Save and Resume Later

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *

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