Court Ordered Community Service

This form is to be completed by persons who have been assigned to Girls Place to complete court ordered community service hours by the Alachua County Department of Court Services Community Services program. If this does not apply to you, please hit the "back" button on your internet browser and complete the appropriate form. Completion of this application, does not guarantee that you will be approved to complete your community service hours at Girls Place. Some convictions may disqualify you from participating at this location. Typically court-ordered community service hours are completed between 10am-2pm on approved days and may consist of cleaning, raking, trash clean-up, and general manual labor activities primarily taking place outside.

Name*
First Last
Phone*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Are you 18 years or older?*
- Yes
- No
Case Number assigned by court*
What was your offense?*
Volunteer hours can be completed Monday- Friday at the following times. Please click the days below that you ARE AVAILABLE to volunteer.*
- Monday (10am-2pm)
- Tuesday (10am-2pm)
- Wednesday (10am-1pm)
- Thursday (10am-2pm)
- Friday (10am-2pm)
Hours may not be completed when the children are here. Tasks will include cleaning inside and outside the building and organizing.
How many hours do you need to complete?*
What is the date your hours must be completed?*
Date Format: MM slash DD slash YYYY

Please keep in mind that we cannot accommodate last minute requests to complete hours.
Please list any conditions (ailments or requirements) that could hinder you from perfoming taks such as cleaning, raking or lifting heavy items. If none, answer "NONE".*