Community Service Request Form Court Mandated Community Service Volunteer Request Form First Name Last Name Date of Birth Number of Hours Required Date the hours must be completed by Phone Number of Applicant Email of Applicant Reason for Community Service? Crime that you have been charged or convicted of: I understand by submitting this form that MADACC may not accept my request for community service hours. I also understand that if I am accepted and I am a no-show at any time I will be dropped from the program. I understand that volunteering at MADACC is a privilege and not a right and MADACC has the right to refuse any applicant at any time. I understand if I am applying with less than two-weeks until my date of necessary completion MADACC will not consider my application. I understand that I will be contacted within three business days from this application and be notified of my ability to move forward with the volunteer process or if I am ineligible for community service work at MADACC. Yes, I understand Submit If you are human, leave this field blank.