Community Service Application
This application is for individuals wanting to complete court-ordered or mandatory service hours. If you are not able to complete this form, please email jordan.slappey@athenshumanesociety.org
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What is your offense/charge you are needing hours for?
*
What is your offense/charge you are needing hours for? If you do not see your charge listed, we currently do not accept that charge.
*
Please Select
DUI
Minor in Possession of Alcohol
Traffic Tickets, Speeding
School Disciplinary Hours
Misdemeanor
Other (Subject to review)
Please upload a copy of your charge sheet
*
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Probation Officer's Name
*
First Name
Last Name
Probation Officer's Number
*
Please enter a valid phone number.
Please Read the Liability Waiver and Sign below:
Please upload a signed copy of our consent and liability form
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Sign to Acknowledge Liability Waiver
*
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