Volunteer Programs Application

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Email
Home phone
Cell phone
Driver's License #*
Date of Birth*
U.S. Citizen*
- Yes
- No
Are you currently employed?
- Yes
- No
Current Employer
Work phone
Select Program of Interest*
Currently, one program is available.
For security reasons, all applicants are subject to criminal background checks. Please review the release below and check the "Consent" box below to acknowledge you understand and accept this.
Consent*
Select to agree to criminal background review
I hereby authorize release to the Bedford County Sheriff's Office permission to review my criminal background reports as part of the application process for the Volunteer Programs.
CAPTCHA