Court-Ordered Community Service Application

Please complete this application to be considered.
If you are not 18 or over, please do not continue. We cannot accept volunteers under 18 for liability reasons. NCHS reserves the right to refuse a court-ordered community service volunteer for any reason.

First Name *
Last Name *
*	I am over 18 years old.
Address *
City *
State *
ZIP *
Phone *
Email *
Emergency contact name
Emergency contact number
Please provide your Probation Officer's name and phone number.
How many hours of community service are you looking to complete?
Please upload any court documents explaining convictions.
Please list your availability for fulfilling hours.
Is there anything else you would like us to know?

Thank you submitting your volunteer form.