Orphans’ Court Guardianship Volunteer Program

Due to the sensitive nature of these positions, the Court will require a criminal background check on all qualified applicants.

Name

Address

Address or Location

Phone Number

Date of Birth

Highest level of education completed

Employment Status

Current or former occupation/profession

Employment History: Include employer name, job title and dates of employment

Volunteers must provide their own transportation. Select type of transporation

What interests you about the Volunteer Guardianship Program?

List previous and current volunteer positions (include name of organization)

List any life experience related to this volunteer position (For example: taking care of an elderly person or person with physical and/or intellectual disabilities)

Include any additional information related to this volunteer position

References

Reference 1

Name *

Relationship *

Phone *

Reference 2

Name *

Relationship *

Phone *

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