Clark County Indiana Government Portal

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(*)

YesNoInvalid Input

Do you have a valid driver’s license?(*)

YesNoInvalid Input

Do you have transportation available?(*)

YesNoInvalid Input

Did you graduate from high school?(*)

YesNoInvalid Input

Or did you obtain a GED?

YesNoInvalid Input

School and year graduated or received GED(*)

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Have you ever been convicted of a misdemeanor or felony?(*)

YesNoInvalid Input

Have you ever been involved as a party in a probate court case?(*)

YesNoInvalid Input

Have you been the subject of a child abuse, domestic violence, or adult protection investigation?(*)

YesNoInvalid Input

Captcha

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