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Jail Volunteer Application
Name
*
First
Last
Date of Birth:
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone #
*
Work Phone #
Employer
Years Employed
Employer Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Have you ever been convicted of any offense other than traffic violation?
*
Yes
No
When were you convicted?
*
Where were you convicted?
*
City
State / Province / Region
ZIP / Postal Code
Charge you were convicted for?
*
Have you ever been a member of a gang?
*
Yes
No
Are you related to any inmate currently confined in Angelina County Jail?
*
Yes
No
Inmate name
*
Relationship to you
*
Are you visiting any inmate currently confined in Angelina County Jail?
*
Yes
No
Do you have any criminal charges pending?
*
Yes
No
Location
*
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Charge
*
Date of offense
*
Are you now or have you ever been on probation or parole?
*
Yes
No
PLEASE USE THIS SECTION TO INDICATE AREA OF VOLUNTEER SERVICE DESIRED
*
Education Program Volunteer
Substance Abuse Volunteer
Religious Program Voluteer
Religious Faith