Community Service Form

Community Service Form

If you are an individual needing to complete court-mandated volunteer hours, please complete the form below.

We will review your information and be in touch as soon as possible.
Volunteer Name*

First NameLast Name
Date of Birth*

MonthDayYear
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How many hours of service do you need to complete?*
Please enter the total number of hours required
Please briefly describe the nature of your offense*
When do you need your hours completed by?

MonthDayYear
What day(s) of the week are you available to complete your hours?

TuesdayWednesdayThursdayFridaySaturdayOther
Additional Comments*
Thank you for your interest in volunteering with South County Habitat for Humanity. We will be in contact
Should be Empty: