The information you provide will be used to check volunteer clearance status and expedite the volunteer approval process. Thank you!
Applicant Legal First Name ✻
Applicant Legal Last Name ✻
I am applying to volunteer with the following program: ✻
I am applying to be a volunteer in the following county: ✻
Date Live Scan Completed ✻
Name of agency/business where Live Scan was done ✻
City where Live Scan was done ✻
ATI # (located on the bottom of the Live Scan form) ✻
