Court Appointed Community Service Application This application is only for Court-mandated Community Service Workers who are looking to volunteer at HVCC.If you are looking for more information, please contact our office at 860-872-9825. Once you have completed and submitted the form on this page, one of our dedicated staff will reach out to you with our current offerings.Please note: THIS IS FOR COURT APPOINTED COMMUNITY SERVICE ONLY. Name * First Name Last Name Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Emergency Contact First Name Last Name Emergency Contact Telephone Number * (###) ### #### Number of Hours Needed * When do you need your hours completed by? * Availability * Monday Morning Monday Afternoon Tuesday Morning Tuesday Afternoon Wednesday Morning Wednesday Afternoon Thursday Morning Thursday Afternoon Friday Morning Employment Status * Employed Not Employed Self Employed Nature of Offense * References * Please list 3 references if possible. Thank you!
