City of Victoria Form Center

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Community Service Questionnaire

  1. Name of contact to set up community service
  2. Minimum Age Requirement
  3. For minors (under 18), Is parent/guardian required? *
  4. i.e.: Theft, violent crimes, etc.
  5. Contact information
    Please fill out the below information to include: who should someone contact for community service and the best contact for verification.
  6. Include First and Last Name of person to verify community service hours
  7. Include First and Last Name of alternative contact to verify community service hours
  8. General Community Service Information
    Please fill out duties or tasks performed, hours of operation, and any additional pertinent information.
  9. Detail Types of duties or tasks performed
  10. To include general hours of operation as well as volunteer hours if different from hours of operation, or minimum length of time someone can volunteer (example minimum of 2 hours)
  11. Please include any additional information you feel is important such as: training requirements or application process.
  12. Please include any additional information you feel is important to share with the court such as flyers regarding your services, waiver forms, or applications.
  13. Please include any additional information you feel is important to share with the court such as flyers regarding your services, waiver forms, or applications.
  14. Leave This Blank:

  15. This field is not part of the form submission.