Court of Common Pleas Volunteer Application

	Please provide all requested information.
	Date:
	Full Legal Name:
	Date of Birth:
	Mailing Address:
	Daytime Phone:
	Work Experience:
	Prior Volunteer Experience:
	Why do you wish to volunteer?
	Personal Interests and Hobbies:
	Special Skills:
	Education:
	Have you ever been convicted of a criminal offense other than a minor traffic offense?
		Yes No
	If Yes, please describe.
	How many hours per week are you available to volunteer?

	Please list two references:	(Please include Address and Telephone Number)
	Thank you for your interest in becoming a volunteer for the Court of Common Pleas. Lynn B. Anthony, the Deputy Court Administrator, will be in contact with you by telephone.