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Volunteer Application for Court Ordered Service
Please fully complete and submit for approval.
Casey Barbknecht, Director of Volunteer Services
Date of Birth
Description of Community Service
Name of Court
Court Contact Person
Date hours were assigned
Date hours are due to the court
Total number of hours to be completed
Do you plan to complete all your hours at Bernie's Book Bank?
How many hours do you plan to complete at Bernie's Book Bank?
Attach copy of your supporting court documents and/or tickets
Please list any paperwork or documentation you will need at the completion of your hours below:
Court or school form completed and signed
Letter on Bernie's Books Bank letterhead stating hours have been completed
Bernie's Book Bank Service validation form (to be turned in and completed every shift)
Please check available times to volunteer:
Are you able to stand for a period of 3 or more hours?
Do you have any physical limitations? If so please describe:
Community Service Guidelines
This is an application and does not guarantee approval. All court ordered community service must be approved prior to scheduling.
This application must be completed by the individual requesting service.
Please answer all questions and complete application in full.
Applications must be submitted with copies of all supporting court documents detailing the nature of the offense and/or copies of traffic tickets