Community Service Volunteer Application

Community Service Volunteer Application
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nature of Offense*
You must provide the nature of your offense. Your information is private and secure.
Number of Required Hours*
Completion Due Date*

MonthDayYear
Date
Court Contact Name*
Court Contact Email *
example@example.com
Click here to read our Volunteer Handbook. You must agree to abide by this Handbook before continuing.
I have read and agree to the LVHS Volunteer Handbook.*

I have read and agree.
If you are over the age of 18, click here to read our Adult Volunteer Waiver. You must agree to abide by this Waiver before continuing.
I have read and agree to the Adult Volunteer Waiver.*

I have read and agree.I am a minor.
If you are under the age of 18, click here to read our Minor Volunteer Waiver. You must agree to abide by this Waiver before continuing.
I have read and agree to the Minor Volunteer Waiver*

I have read and agree.I am over the age of 18.
File Upload

Cancelof
My Products*
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Volunteer Registration FeeThis registration fee helps support our volunteer program and our mission to help animals!
$10.00

Total

$0.00
Should be Empty: