Chaplain Services Volunteer

Chaplain Services Volunteer

INTEREST CARD
Thank you for your interest in volunteering with TCSO. It is important to us to involve the community in addressing the needs of our inmate population. When applying, please note that we will seek to place you in a position that utilizes your unique skills as well as the needs of the agency and of an ever-changing population.

Please note the below interest card is more thorough than some, because our volunteers must enter the jail facility.

Upon review of your submission, if we find you to be a strong candidate, you will be contacted to complete the official Inmate Programs Volunteer Application. The application process also includes a background check.

* In the Questionnaire portion of this interest card, if someting does not apply, please type "N/A" in the field.
Applicant Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Emergency Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Church/Institution Information
Name of Church/Institution
Your title/position with the Church/Institution:
Address of Church/Institution (not a P.O. Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Point of Contact at Church/Institution (person who can verify that you represent your faith community)

First NameLast Name
Phone Number of Point of Contact at Church/Institution
Please enter a valid phone number.Format: (000) 000-0000.
Questionnaire
Are you volunteering as an individual or with a group?
If group, please state the name agency, church, organization, etc.
Your position/title within the group:
Name of Group's Point of Contact

First NameLast Name
Phone Number for Group's Point of Contact
Please enter a valid phone number.Format: (000) 000-0000.
Tell us why you want to volunteer in our jail facility.
Have you ever applied with TCSO as an employee or volunteer?
If yes, what date?

MonthDayYear
Date
Do you know or are you related to anyone who works for TCSO?
If yes, state the employee's full name and if they are currently or previously employed by TCSO.
Do you know or are you related to anyone who is currently incarcerated for any reason?
If yes, state the relationship, crime charged, city/state and the result of the charges (jail/prison time, parole, probation, etc.)
Have you ever visited an inmate either in person or by video at the Travis County Central Booking Facility, Travis County Jail or Travis County Correctional Complex?
If yes, state the relationship of the person you visited and date(s) of visit.
Are you currently under indictment for/charged with any criminal offense?
If yes, what were the charges?
Have you ever been arrested and/or taken to jail?
If yes, state the date(s), charges, location, and the results of the charges (jail/prison time, parole, probation, etc.).
Have you ever been convicted of any offense above the grade of a Class C Misdemeanor (fine only charges that are typically handled in municipal court, i.e. speeding tickets)?
Have you ever been or are you currently on court-ordered community supervision, probation, parole or deferred adjudication for any offense? Please note all deferred adjudication cases will be included on your criminal history.
Have you ever used any illegal controlled substances, non-prescribed, dangerous drugs, marijuana or excessive alcohol in the last five years?
If yes, state the substance, date(s), and frequency of use.
Have you ever bought, furnished or sold any controlled substances, non-prescribed, dangerous drugs, including marijuana?
Have you ever been discharged from any city, state, federal or private corrections institute or law enforcement agency as on officer or civilian for disciplinary reasons, resigned to avoid suspension or discharged/resigned during a disciplinary investigation?
Certification

I understand that I must complete this interest card truthfully to the best of my knowledge. I acknowledge that failure to provide truthful and complete answers may be grounds to deny my participation in this program. I also grant consent for the Travis County Sheriff’s Office to complete a background and warrant check prior to being approved to participate in this program.
Signature

Clear
Should be Empty:

Chaplain Services Volunteer

Applicant Information

Emergency Contact Information

Church/Institution Information

Questionnaire

Certification