Form Center • Volunteer Application

Thank You for Your Interest

Sheriff's Office
Law Enforcement Center
15015 62nd Street North
Stillwater, MN 55082
Phone: 651-430-7601
Email: sheriff@washingtoncountymn.gov
Volunteer Interest*
1. Mounted Patrol
2. Chaplain Corps
3. Reserves
1. Explorers
2. Jail Programs
1. Internship
2. Radio/Communications
If interested in volunteering in our Radio Communications Unit, a current FCC Amateur Radio License is required. Please provide your FCC Amateur Radio callsign:*
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Applicant Information

Applicant Information
First Name*
Last Name*
Middle Name*
Date of birth*
Date of birth
Current Address*
Phone Number*
Email Address*
City*
State*
Zip*
Driver's License Number*
State*
Number of volunteer hours requested*
Date available to start*
Date available to start
List any scheduling conflicts
Previous Address
Previous Name(s) If Any
Check here if none
1. No previous last name
2. No previous address
City
State
Zip
Are you a citizen of the U.S.?*
If no, are you authorized to work in the U.S.?
Have you ever worked or volunteered for Washington County?*
Have you ever been convicted of a crime other than traffic?*
*Please explain:
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Education

Education
High School*
Address*
Dates Attended*
Dates Attended Start Date
—
Dates Attended End Date
Did you graduate?*
GPA
College
Address
Dates Attended
Dates Attended Start Date
—
Dates Attended End Date
Did you graduate?
Graduation date?
Expected graduation date?
Degree
Other (Please Specify)
Address
Dates Attended
Dates Attended Start Date
—
Dates Attended End Date
Did you graduate?
Expected graduation date?
Degree
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Employment History

Current and Previous Employment History
Company
Phone
Address
Supervisor
Job Title
Salary
May we contact your supervisor for a reference?
Responsibilities
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Reason for Leaving?
Company
Phone
Address
Supervisor
Job Title
Salary
May we contact your supervisor for a reference?
Responsibilities
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Reason for Leaving?
Company
Phone
Address
Supervisor
Job Title
Salary
May we contact your supervisor for a reference?
Responsibilities
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Reason for Leaving?
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References

Academic and Professional References
Full Name*
Relationship*
Company*
Job Title*
Email*
Phone Number*
Alternate Phone Number
Full Name
Relationship
Company
Job Title
Email
Phone Number
Alternate Phone Number
Full Name
Relationship
Company
Job Title
Email
Phone Number
Alternate Phone Number
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Past Experience

Volunteer Experience
List experiences, skills, or abilities you have relating to the volunteer position you are seeking:*
List academic, previous volunteer or personal interests that you have relating to the volunteer position you are seeking:*
As a representative of Washington County Sheriff’s Office, what do you believe is your volunteer mission? *
Is there anything else you would like us to know about you?*
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Signature

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to an offer for a volunteer position, I understand that false or misleading information in my application or interview may result in my release from a position with the Washington County Sheriff’s Office.
Type your name to sign electronically*
Acknowledgment of signature*
1. I acknowledge
What is the next step in the volunteer process?
- Washington County Sheriff’s Office will review your volunteer application.
- You will be required to attend a volunteer orientation and submit your fingerprints for a criminal history check.
- You will be asked to sign an Authorization to Release Information in order to examine your suitability to serve as a volunteer for the Washington County Sheriff’s Office.
- If selected, you will also be required to obtain a volunteer identification photo.
Washington County does not discriminate on the basis of race, color, national origin, sex, religion, age, and handicapped status in employment or the provision of services.
Additional questions can be directed to the following employees based upon your areas of interest:
Mounted Patrol: Email Deputy Joe Szczepanski
Explorers Post: Email Detective Sara Peulen
Reserves and Water Recovery Unit: Email Sergeant Kevin Jadwinski
Chaplain Corps: Email Sergeant Michael Ramos
Jail/Offender Programs: Email Sergeant David Stumpner
Internships: Email Karin Manning
Radio/Communications: Email Public Safety Radio Systems Manager, Nate Timm
Citizens Academy: Email Karin Manning

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Email address

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