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2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Mailing address, if different than above:
13. Phone Number
14. Alternate Number
16. Gender:
18. California Driver's License No.:
20. Do you have prior military service?

    1. Yes
    2. No
22. If so, what branch?
24. As an adult, have you ever been convicted of a misdemeanor or felony offense other than a minor traffic violation?

    1. Yes
    2. No
26. If yes, explain:
28. Education: Did you graduate high school?

    1. Yes
    2. No
30. If no, highest grade completed:
32. Please describe the type of service you are interested in providing as a Search and Rescue Volunteer for the Lake County Sheriff's Department:
34. Once we receive your application, a background investigator will be in contact with you.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field