Volunteer

Did you know MCOP offers these community programs?

EmailMeForm

Name
First Last
Phone
### - ### - ####
Present Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How long at present address?
VOLUNTEER POSITION
APPLYING FOR:
HOW DID YOU LEARN OF THIS OPPORTUNITY?
HAVE YOU EVER BEEN EMPLOYED AT THIS AGENCY IF YES, WHEN?
WHAT HOURS WOULD YOU BE AVAILABLE TO VOLUNTEER?
HAVE YOU EVER BEEN CONVICTED OF A FELONY? IF YES, PLEASE EXPLAIN.
EDUCATION
HIGH SCHOOL / DATE GRADUATED
COLLEGE
COURSES COMPLETED
YEARS ATTENDED
VOLUNTEER HISTORY
DATES / PLACE YOU VOLUNTEERED FOR
DUTIES PERFORMED
CRIMINAL HISTORY CONSENT FORM

As a prospective volunteer of Monroe County Opportunity Program, I understand that it is this organizations policy to secure conviction criminal history information as part of their volunteer screening process using the information provided below.
Name
First Last
Maiden Name
First Last
Names Previously Used (first, last)
BIRTHDATE
RACE
GENDER
I UNDERSTAND THAT THE ABOVE INFORMATION IS REQUIRED BY THE CENTRAL RECORDS DIVISION OF THE MICHIGAN STATE POLICE AND/OR THE OHIO STATE POLICE DEPARTMENTS. I FURTHER UNDERSTAND THAT A CONVICTION RECORD DOES NOT NECESSARILY PREVENT EMPLOYMENT. I AUTHORIZE MONROE COUNTY OPPORTUNITY PROGRAM TO UTILIZE THE ABOVE INFORMATION FOR THE SOLE PURPOSE OF OBTAINING INFORMATION REGARDING A CRIMINAL CONVICTION.