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Community Service Application

(Worcester, Wicomico and Somerset Counties only)

 


    Personal Information


    Name: *




    Email: *


    Cell Number:


    Date of Birth: *


    Emergency Contact Information


    Name:




    Cell Number:


    Relationship:


    Probation Information


    Probation Officer's Name:




    Probation Officer Telephone Number:


    Extension:


    Probation Officer Email:


    Case ID Number:


    Please explain the reason you have to do court-ordered Community Service, specifying the charge or violation you went to court for. *


    Was the crime committed in Maryland? *


    If no, please specify the location where the crime was committed (City & State):


    The amount of hours needed: *


    Completion Deadline Date:


    Please upload a copy of your photo ID: * (File size limit: 5MB)


    Please upload documentation for court appointed community service: * (File size limit: 10MB)

    Availability


    Please specify your available days:

    MondayTuesdayWednesdayThursdayFridaySaturdaySunday


    Store Location you prefer: *


    Hours you prefer:


    Date that you can start: