Clay County Sheriff’s Office

Clay County, Florida

 

VOLUNTEER INTEREST FORM

 

PLEASE PRINT LEGIBLY

 

 

Full Name________________________________________________________

 

Street Address____________________________________________________

 

City, State, Zip____________________________________________________

 

Home Phone ________________________ Cell Phone ___________________

 

Date of Birth_________________________ Place of Birth__________________

 

Driver’s License Number ____________________________________________

 

Social Security Number _________  -  _____________  -  _________________

 

E-Mail Address ___________________________________________________

 

Please attach a copy of your Driver’s License and Social Security Card to this form.

 

 

 

 

________________________________        __________________________

              Signature                                   Date

 

 

 

Please return this form along with a copy of your driver’s license and social security card to:          

 

                  Bill Doolittle

Clay County Sheriff’s Office

                  P. O. Box 548

                  Green Cove Springs, FL  32043

 

If you have any questions, please call Bill Doolittle at (904) 213-6062