Volunteer Information

VOLUNTEER SECURITY CLEARANCE FORM

* Required Fields

Contact Information

First Name

Last Name

Cell Phone

Security Clearance Information

Please supply your Security Clearance Info (this is secure)

Date of Birth
(mm/dd/yyyy)

Social Security #
(xxx-xx-xxxx)

ID Type (Must be valid and be with you when you enter the prison)

ID #

State of Issue

Country of Passport (if applicable)

First Name on ID

Last Name on ID

This is the perfect time to double check
the expiration date on your ID! :)

Have you ever been arrested or incarcerated?

If yes, please explain. This information will assist us in processing your security clearance

If you have any prior incarceration history or any arrests, there will be extra steps. Informing us now gives us the best chance to get you cleared on time.