Court Ordered Community Service Application

1. Individual Information

25% of survey complete.

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Name:

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Birthdate:

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Address:

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County:

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City:

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State:

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Zip:

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Email:

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Phone:

In case of emergency, please contact:

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Name:

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(H) Phone:

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(W) Phone:

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(C) Phone:

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Relationship:

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Have you ever been charged for a felony/misdemeanor?

Yes

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If yes, please explain.

Please provide information about your court appointed hours.

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Reason for order:

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County Court:

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Docket/Case#:

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Court Phone:

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Total # of hours required:

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I can start working on:

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My hours are due on:

Position Descriptions
• Yard work, mowing, weed wacking, weeding and mulching
• Sweep docks, under dock plates and in shipping and receiving areas
• Sweep and mop white lines in the warehouse and coolers
• Dust rails and racks
• Clean restrooms
• Dump and wash trash cans and recycle bins in warehouse area
• Vacuum and wash trucks, vans and company cars
• Sort incoming salvage
• Help pick orders with Foodbank staff
• Restack inventory if needed on racks, in cooler or freezer
• Other assigned duties