This form is for court-ordered community service hours only.
Court-Ordered Community Service Application
Bread of Life Missions does not accept all court-ordered offenses and reserves the right to not accept all applications. Community service volunteers only receive credit for hours personally worked.
Name
*
Phone
*
Email
*
This address will receive a confirmation email
Address
*
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AA
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AE
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AL
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AZ
BC
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DC
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GA
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ID
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IN
KS
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LA
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MH
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NB
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PA
PE
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QC
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YT
How many community service hours are you required to perform?
*
By when are you required to complete your hours?
*
Please name the offense for which you have been assigned community service hours by the court. Please be as brief as possible.
*
Name of overseer
*
Which court assigned your community service hours?
*
Overseer Phone Number
*
Submit
Description
Court-Ordered Community Service Application
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