Volunteer Application

Florida Department of Corrections

Form DC5-601A : Volunteer Application

Personal Information

It is important to provide correct details which can be verified during background checks. Please use the correct official name per verifiable government issued ID.

All fields marked with an * are required.

First Name

Last Name

Middle Name

Suffix

Alias First Name

Alias Last Name

Alias Middle Name

Alias Suffix

Alias First Name 1

Alias Last Name 1

Alias Middle Name 1

Alias Suffix 1

Address 1

Address 2

City

State

Zip Code

Primary Phone

Secondary Phone

Email

Emergency Contact(max length 255)

Emergency Phone

DOB (mm/dd/yyyy)

State of Birth

Country Of Birth

ID Type

ID Value

DL #

DL State

Volunteering Type

Job Title(max length 255)

Work Location(max length 255)

VolunteerServicesProvided (Hold Ctrl key to make multiple selections)

What are your skills and abilities that may be of value as a correctional volunteer? (max length 500)

Gender

Ethnicity

HairColor

EyeColor

Feet

Inches

Weight