Volunteer Alexandria | CSV Volunteer Application

Voluntariado Alejandría | Solicitud de Voluntariado CSV

The Community Service Volunteer Program is for those that are required by the court to complete community service as part of their sentence, referred by their attorney or probation officer to complete community service before their court date, or paying off court costs with community service.

Please submit the application below to start the placement process. Thanks!

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CSV Volunteer Application

Fields marked with an asterisk (*) are required.

PERSONAL INFORMATION

Salutation

First Name

Middle Initial

Last Name

Mobile Phone

Date of Birth

*Please complete the Parent/Guardian section if you are under 18 years old.

Parent/Guardian Info

Parent/Guardian Name

Parent/Guardian Phone Number

Best phone number to reach your parent or guardian.

Parent/Guardian Email

Please complete this field if you are under 18.

Gender

Ethnicity

Languages Spoken

Other Languages Spoken

Are you homeless?

Do you have any limitations?

Limitation Type

Describe

In order to best match you with an agency please describe.

Upload a Photo

Supported files: jpeg, jpg, png

Upload PDF file or attachment (court-issued documents)

ADDRESS

Street Address

City

State

State Abbreviation

Postal/Zip Code

WORK INFORMATION

Employment Status

Describe your Work

In order to best match you with an agency please describe.

TRANSPORTATION

What transportation will you use?

Other Transportation

In order to best match you with an agency please describe.

COURT: CASE-RELATED INFORMATION

Number of Hours to be Served

Case #

Charge

Charge Type

Other:Describe

In order to best match you with an agency please describe.

Required Completion Date

Date when hours have to be completed

Scheduled Court Date

Pre-Trial/Sentence/CourtCosts

Court Type

Other: Enter Court Name

Alcohol Involved

Drugs Involved

Weapons Involved

Kind of Weapon

Other: Explain

In order to best match you with an agency please describe.

Theft

Amount/Value

USD

Estimate

Substance Abuse Problems

Previous Charges

Any History of Violence

Yes: Explain

In order to best match you with an agency please describe.

Are you performing community service in lieu of court fees?

LEGAL REPRESENTATION

Role

First Name

Last Name

Phone

Street Address

City

State

State Abbreviation

Postal/Zip Code

Add Another Legal Rep

Role

First Name

Last Name

Phone

Street Address

City

State

State Abbreviation

Postal/Zip Code

AVAILABILITY FOR SERVICE

Date you are available to start volunteering

Select Days you are Available

Submit

Contact

2202 Mount Vernon Ave., Suite 200

Alexandria, VA 22301

P: 703-836-2176

Email Us

Quick Links

©2024 Volunteer Alexandria, an affiliate of the Global Network, member of the Alexandria Council of Human Services (ACHSO), Partnership for a Healthier Alexandria, Hunger Free Alexandria, and the Alexandria LGBTQ+ Task Force | All rights reserved

CSV Volunteer Application

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