Youth Connections Unlimited is a 501(c)(3) non-profit organization dedicated to working with “high risk” young people.

 

Your tax deductible donation would be greatly appreciated in helping us work with young people and can be mailed to:

Youth Connections Unlimited
3053 Freeport Blvd. #418
Sacramento, CA 95818

 

Volunteer in Probation Application

For more information call: David Taft, 916-835-1147 or email




(Social Security number, other names used and date of birth are used for
background check purposes only)
 
 Drivers License #
Emergency Contact Person
Emergency Contact Phone Number

Automobile Insurance Information

It is necessary for you to have the following insurance coverage for your protection should you transport another person: Sufficient public liability and property damage insurance at least equal to the requirements of the financial responsibility laws of the State of California (Vehicle Code Section 16430)

 

 

Background Information

Conviction of a crime is not necessarily a bar to becoming a volunteer. Each case is considered separately based upon volunteer requirements.

If yes to above question, please enter the DATE, OFFENSE, CITY and STATE and DISPOSITION. Conviction of a crime is not necessarily a bar to becoming a volunteer. Each case is considered separately based on volunteer requirements. 
Date Offense City & State Disposition

 

 


 

   

 

References

Please provide the names, addresses, and phone numbers of two people for reference purposes. One must be a person who is neither a relative nor someone living with you.

Reference #1

 

   
     
     
       
Reference #2

 

   
     
 
   

 

Volunteer Permission

a reference for volunteering in Probation from the above listed personal references (#1 & #2).
Signature  

  Date
 

Volunteer Information

 2. What days and hours are you available? Please list the DAYS and TIMES for these days you can volunteer.
Day of Week From (indicate hour) To (indicate hour)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I am interested in volunteering for:
 
  • Leadership Athletics Education Programs (LEAP)
    • Specify:
       
  • Foster Grandparent (YDF)
     
  • Chaplaincy (YDF)
  • Youth Connections Mentor/Tutor
    • Specify:
       
  • Student Intern
     
  • Other

Volunteer Expectations

(Please initial that you acknowledge and will abide by each expectation.)

Health clearance requirements

Please indicate the following:

Volunteers In Probation Commitment

I hereby agree to offer my services as a volunteer with the Sacramento County Probation Department. I further agree that if any services involve transportation of any person, I will carry adequate liability insurance on my vehicle and use seatbelts. If assigned to the YDF, I will complete the Multi-Disciplinary training provided by the Probation Department (Youth Detention Facility). I will submit monthly reports to the Probation Department regarding my assigned responsibilities and will keep all information concerning probation clients CONFIDENTIAL. I further grant permission for the Probation Department to conduct background, criminal, and vehicle record checks, which is standard procedure for all new employees and volunteers.
I hereby certify that all statements made on this application form are true to the best of my knowledge. I understand that untruthful or misleading answers are cause for rejection of my application or dismissal.

 

 

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