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Court-Mandated Community Service Application

Complete this form to apply to complete court-ordered community service. GiveNKind must approve your application before you may register for a volunteer session. GiveNKind does not accept charges involving violence or retail theft.

GiveNKind reserves the right to decline a request for court-ordered community service.

Contact Information

Name *

First Name

Last Name

Date of Birth *

(mm/dd/yyyy)

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

SERVICE HOURS INFORMATION

County/police department that assigned your court-mandated service *

Name of Community Service Officer *

Prefix

First Name

Last Name

Suffix

Phone number of Community Service Officer *

Email of Community Service Officer *

Verify Email *

Total number of community service hours you have been assigned *

What is the nature of your offense? *

Date hours were assigned *

(mm/dd/yyyy)

Date hours must be completed *

(mm/dd/yyyy)

COURT DOCUMENTS

Upload a copy of your court documents and/or tickets *

Upload additional court documents and/or tickets, if needed

Read and Sign

The information I provided is true and correct to the best of my knowledge.

If my application is approved, I understand that GiveNKind has the right to end my volunteer service at any time. Reasons for dismissal may include:

Missing scheduled volunteer sessions
Suspected of being under the influence of drugs or alcohol during a volunteer session
Inappropriate or aggressive behavior, including profanity

Type your name below if you understand and agree with the above.

Type Your Name (if you agree with the statement above)