COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. CLAY COUNTY FAMILY COURT : JUDICIAL SUBPOENA TRANSITIONS Plaintiff(s) VOLUNTEER APPLICATION (Print application and mail to: Transitions 351 E. Kansas, Liberty, MO 64068) -against: : Name: __________________________________________________________________ : (last) (first) (middle) (maiden) Defendant(s) : ...................................................... Address: ________________________________________________________________ If less than 3 years previous address __________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Home phone: __________________________ Work phone: ______________________ TO Pager or Cell phone: _____________________ May we contact you at work? _________ GREETINGS: Employment (Present and/or last position) and excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all business , the Honorable at the Court located at County of _______________________________________________________________ Employer: in room , on the day of , 20 , at o'clock in the noon, and at any recessed orAddress:________________________________________________________________ adjourned date, to testify and give evidence as a witness in this action on the part of the (city) (state) (zip) Phone: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ___________________ Dates Employed: from_________ to____________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Position held: ______________________ Supervisor: ___________________________ Witness, Honorable , one of the Justices of the Briefly Court in list your job responsibilities:of County, day __________________________________________ , 20 _______________________________________________________________________ _______________________________________________________________________ (Attorney must sign above and type name below) Volunteer Experiences Attorney(s) for Organization: ____________________________________________________________ Address: ________________________________________________________________ Office and P.O. Address Phone Number: _______________________ Supervisor: ________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. Briefly describe a rewarding experience you had during the time that you volunteered for this : JUDICIAL SUBPOENA organization: _____________________________________________________________ Plaintiff(s) ________________________________________________________________________ -against: ________________________________________________________________________ : Organization: ____________________________________________________________ : Defendant(s) : . .Address:. ________________________________________________________________ ....... ............................................ (city) (state) (zip) Phone Number: _______________________ Supervisor: _______________________ THE PEOPLE OF THE STATE OF NEW YORK Briefly describe a rewarding experience you had during the time that you volunteered for this TO organization:_________________________________________________________ _______________________________________________________________________ GREETINGS: _______________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Special Skills , the Honorable at the Court located at County of inDescribe the skills, talents, and/or special training you at room , on the day of , 20 , possess that youin the o'clock believe would be an assetrecessed noon, and at any or adjourned date, to testify and give evidence as a witness in this action on the part of the to the Transitions Program: __________________________________________ _______________________________________________________________________ _______________________________________________________________________make you liable to Your failure to comply with this subpoena is punishable as a contempt of court and will the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Brief Questions About Yourself Witness, Honorable Court in County, , one of the Justices of the Can you make a commitment to this Program for at least one year?__________________ day of , 20 If no, please explain: ______________________________________________________ Do you have the following? (Attorney must sign above and type name below) Your own transportation: ____________ Liability Insurance: _____________________ Attorney(s) for Valid Driver’s License: ____________________________________________________ What is your highest level of education? _______________________________________ Office and P.O. Address What are some your Hobbies/Interests? _______________________________________ How did you hear about the Clay County Transitions Program? ____________________ Telephone No.: Facsimile No.: Would you like us to keep your employer abreast of yourE-Mail Address: and achievement? volunteer service Yes No Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Personal References Plaintiff(s) Calendar No. : JUDICIAL SUBPOENA Please list two (2) professional and/or personal (not including relatives) references with complete -against: address and phone number. (REFERENCES WILL REMAIN CONFIDENTAL) : # 1 - Name: _____________________________________________________________ : Defendant(s) Address: ________________________________________________________________ : ...................................................... Phone Number: _______________________ Relationship: ______________________ # 2 - Name: OF THE STATE OF NEW YORK THE PEOPLE ______________________________________________________________ Address: ________________________________________________________________ TO Phone Number: _______________________ Relationship________________________ GREETINGS: I assert WE COMMAND YOU, that all business is, to the best of my knowledge,and each of you attend before that the information contained herein and excuses being laid aside, you true and correct. I understand application void. Court , the Honorablefalsification herein will render myat the located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the _______________________________ Signature of Applicant _____________________________ Date Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. CLAY COUNTY FAMILY COURT : JUDICIAL SUBPOENA TRANSITIONS VOLUNTEER PROGRAM Plaintiff(s) -against- : Permission to Contact References and : Complete Background Investigation : I hereby give permission to the Clay County TRANSITIONS PROGRAM to inquire about my Defendant(s) : . .qualifications. and/or. character .by:. . . . . . . . . . . . . . . . . . . . . . . ........... ..... ........ .. • Contacting Personal References named in Volunteer Application • Contacting present and/or past employers THE PEOPLE OF THE STATE OF NEW YORK • Contacting present and/or past organizations for which I have performed volunteer services TO • Completing a background check with the Missouri Child Abuse/Neglect Hotline Central Registry Further, I understand that the Clay County Transitions Program will complete a background GREETINGS: investigation on me through the Clay County Sheriff’s Department or other appropriate and necessary law enforcement agency. business and excuses being laid aside, you and each of you attend before WE COMMAND YOU, that all , the Honorable at the Court locatedCRIMINAL RECORD INVESTIGATION at County of INFORMATION NEEDED FOR in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Last name: _______________________________ First name: failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Your _______________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Middle Name: ____________________________ result of your failure to comply. Race: __________________________ Gender: _______________________________ the Witness, Honorable , one of the Justices of Court in County, day of , 20 Date of Birth: ___________________ Social Security #: ________________________ State of Birth: ______________ Driver’s License #: ____________________________ (Attorney must sign above and type name below) Aliases or other names used: ________________________________________________ Attorney(s) for Office and P.O. Address ___________________________ Signature of Applicant __________________________ Date Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com