Adult Guardianship Program

Please complete this application to apply for a volunteer position with the Clark County Adult Guardianship Program.

Please Note: Fields noted with a (*) are required fields.
Your Name(*)
Please let us know your name.

Date of Birth(*)
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Address(*)
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City(*)
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State(*)
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Zipcode(*)
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Primary Phone(*)
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Secondary Phone
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Your Email(*)
Please let us know your email address.

What is the best day/time to contact you?(*)
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Are you a U.S. Citizen(*)
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Do you have a valid driver’s license?(*)
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Do you have transportation available?(*)
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Education

Did you graduate from high school?(*)
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Or did you obtain a GED?
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School and year graduated or received GED(*)
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Have you ever been convicted of a misdemeanor or felony?(*)
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Have you ever been involved as a party in a probate court case?(*)
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Have you been the subject of a child abuse, domestic violence, or adult protection investigation?(*)
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