Volunteer Application

*At this time, only those ordered hours by the City of Broken Arrow Court will be considered. For more information, go here: http://www.baneighbors.org/judicial-partnership/

Contact Information

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Person to Notify in Case of Emergency

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Medical Information

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Availability to Work

Special Skills or Qualifications

Please List Three Personal References

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Previous Volunteer History

By submitting this form, you are agreeing to the following statement: "I affirm that the facts set forth in this application are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal."