Volunteer

Interested in volunteering with MCOP? Complete the form below to get started!

Name *

First

Last

Phone *

Email *

City *

State *

Zip *

Do you consider yourself low income? *

High School Name *

Graduated Date/Year *

College Name

Why would you like to volunteer with MCOP? *

Have you ever been employed at our agency? If yes, when? *

How did you learn about this opportunity? *

When are you available to volunteer? Please list days & times. *

Please list the places you volunteered and the dates. *

Please list the volunteer duties your performed. *

Have you ever been convicted of a felony? If yes, please explain. *

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. *

I UNDERSTAND THAT THE INFORMATION BELOW 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 BELOW INFORMATION FOR THE SOLE PURPOSE OF OBTAINING INFORMATION REGARDING A CRIMINAL CONVICTION.

Legal Name *

First

Last

Maiden Name

First

Last

Other Names

Please list all previous names used (first, last).

Date of Birth *

Race *

Gender *

Signature *

Please type your full legal name