VSP Applicant: 
Prefix
* First Name
MI
* Last Name
* Organization
* Title
* Address Line 1
Suite/Apartment Number
* City
* State
* Zip
* Email
* Contact Phone

* Date of Hire:  

* County:  

Municipality:  

* Judicial Circuit  

* Employed With:  

For Credentialing Fied, Please choose either:

"Basic VSP": Within 1 year of your start date you must complete the 15 hour basic training curriculum as outlined in "REQUIRED" for basic credentialing.

"Notifier / Support Staff": You must complete the 2 hour Notifier/Support Staff training track every other year.
Credentialing:  

Agency Supervisor Information (Please Click Add Additional Person - Required Field) 
Prefix
* First Name
MI
* Last Name
Title
* Organization
* Email
* Work Phone

Notice: OVSEC certification does not constitute licensure and is not to be construed as a warranty of the "applicant's" ability to deliver services. The applicant retains sole liability for any consequences stemming from deliberate falsehoods, misrepresentations, or forgeries in this application, and OVSEC makes no guarantee that the information in this application is accurate or complete