Adult Volunteer Application Form - Teen Court Of Greater Baton Rouge
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1T
C
G
B
R
EEN
OURT OF
REATER
ATON
OUGE
A Program of the Baton Rouge Bar Foundation
A
V
A
DULT
OLUNTEER
PPLICATION
Name:(first, middle, last) ____________________________________________________________
Address: _________________________________________________________________________
City: ____________________________________________ State: _____ Zip: ________________
Daytime Phone: ______________________ Evening Phone: ______________________________
Cell Phone:______________________________ Date of Birth: ____________________________
E-mail address:____________________________________________________________________
Emergency contact name and telephone number(s):
________________________________________________________________________________
Please list three references with addresses and phone numbers:
1._______________________________________________________________________________
2._______________________________________________________________________________
3._______________________________________________________________________________
ADULT VOLUNTEER POSITIONS: Please check all areas of interest.
_____ JUDGE - must be an attorney, presides over jury trials.
_____ JURY MONITOR - sits in on jury deliberations.
_____ TEEN ATTORNEY ASSISTANT - must be a law student or attorney, assists teen attorneys
with case preparation.
_____ COMMITTEE MEMBER - assists with program development and oversight.
_____ WORKSHOP OR LRE PRESENTER – using Streetlaw and other materials,
gives interactive presentations to teen defendants.
_____ TRAINING SESSION PRESENTER - assists an experienced trainer with preparing teen
volunteers and defendants to serve as attorneys, jurors and bailiffs.
Do you have any charges pending or have you ever pled “guilty” or “no contest,” been convicted, placed
on deferred adjudication, community service, or probation to a felony or misdemeanor offense in civil or
military court? ____yes____no
If yes 1. Arrested date:_________ Location:_____________ Charge:____________________
Result:_______________________________________________________________________
2. Arrested date:_________ Location:_____________ Charge:____________________
Result:_______________________________________________________________________
CONFIDENTIALITY AGREEMENT:
I certify that the above statements are complete and accurate. I further understand that as a Teen Court volunteer, I am
required to keep all Teen Court case information confidential. I authorize the Teen Court of Greater Baton Rouge to
conduct a criminal background check prior to my being considered for a volunteer position.
____________________
____________________________________________
Date
Signature of Teen Court Volunteer Applicant
Teen Court of Greater Baton Rouge is funded by a grant from the Louisiana Office of Juvenile Justice
(formerly the Office of Youth Development), a grant from the Louisiana Bar Foundation’s IOLTA
program and from the Baton Rouge Bar Foundation. This project is also supported in part by Grant No.
2009-JF-FX-0059 awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of
Justice Programs, U.S. Department of Justice. Points of view or opinions in this document are those of
the author and do not necessarily represent the official position or policies of the U.S. Department of
Justice.
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