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Community Service Application
Application to perform community service at EVE (End Violent Encounters)
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* Indicates required question
Date
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DD
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MM
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YYYY
Full Name
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Your answer
Address
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Your answer
Cell Phone
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Your answer
Email
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Your answer
Are you 18 or older?
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Yes
No
What is your availability?
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Your answer
How many hours do you need to complete? By what date?
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Your answer
What is the name of your probation officer?
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Your answer
Are you currently receiving services from EVE?
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Yes
No
Have you received services from EVE in the past?
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Yes
No
Do you take any medication that could affect your work?
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Yes
No
Do you have any special needs that require accommodations?
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Yes
No
If yes, please explain the accommodation or type N/A:
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Your answer
Have you had any previous volunteer experiences?
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Yes
No
If yes, where did you volunteer? Describe responsibilities or type N/A:
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Your answer
EVE is sensitive to the fact that some individuals are victimized by the legal system. Answering yes to the following question will not automatically disqualify you as a potential volunteer.
Have you ever been convicted of a felony, or do you have charges pending? If so, please describe or type N/A:
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Your answer
DUE TO THE NATURE OF OUR WORK AND FOR THE SAFETY OF STAFF, CLIENTS AND VOLUNTEERS, A CRIMINAL BACKGROUND CHECK MUST BE COMPLETED. Please answer the following:
Consent to run background check.
Previous Last Name(s) if applicable: (If none, type "none" in answer box.)
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Your answer
Date of Birth
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DD
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MM
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YYYY
Sex
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Male
Female
Other:
By typing your name below you hereby authorize EVE to obtain information pertaining to any charges and/or convictions you may have had for federal and state criminal violations.
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Your answer
By typing your name below you agree that if you have lived or resided outside the State of Michigan during the past ten (10) years that you have never been convicted of a felony or identified as a perpetrator.
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Your answer
By typing your name below you agree to provide EVE with information regarding any felony conviction you have received outside the State of Michigan.
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Your answer
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