On Site Interview Form

Volunteer Name *

Date *

Month

Day

Year

Who conducted interview the interview? *

Did the interviewer and volunteer share contact information (Name, Phone, E-mail, Address)? *

Yes

No

Who is the volunteer's supervisor? *

Who does the volunteer report to (if different person)?

Name of unit *

Name of Unit Supervisor *

The Unit Supervisor approves of this placement *

Is there space for the volunteer to use while on site (if applicable)? *

Yes

No

What days will the volunteer work? *

What times will the volunteer work? *

What day will the volunteer start? *

Month

Day

Year

Approximately when will the volunteer end their placement?

How often will the volunteer be evaluated on their progress? *

What is the procedure to follow if the volunteer will be absent? Call/leave message or? *

What meetings with the volunteer attend? *

When are they? *

What training does the volunteer need? *

How will it be obtained? *

What are the volunteer's responsibilities/job description? *

Will the volunteer need a county email address? *

Yes

No

Will the volunteer need a telephone number or voicemail? *

Yes

No

Will the volunteer drive a county vehicle or their own vehicle for business purposes? *

Yes

No

Will the volunteer accompany staff on field visits? *

Yes

No

Card Reader Access Needed *

List building(s) where access is needed or provide the name of another individual who has the same access you need.

Did you discuss the dress code? *

Yes

No

Does the volunteer need access to the Juvenile Detention Facility? *

Yes

No

Will the volunteer go to the Assessment & Evaluation Unit at Juvenile Detention? *

Yes

No

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