Community Service Requests

Community Service Requests

As a community service volunteer, you are required to notify your site supervisor of the following information on the first day that you volunteer by submitting this form to them. If you do not submit this form, we can not sign or provide community service hours acknowledgement. Please note on the form who the Site Supervisor was. In addition, we ask that you fill out the volunteer waiver form prior to your community service so we have time to conduct a sex offender and criminal background check.

To receive a formal letter of acknowledgement for the hours contributed, contact Debra Stacey at [email protected] or call 401-732-6407. Your letter request must be made after your hours are completed. Please allow one week for the letter to be created.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Amount of hours needed *

Reason for Community Service *

If this is for school, are you over the age of 16? *

Yes No

If this is for a court order, please fill out the remaining questions

Are you currently on probation? *

Yes No

Do have limitations based on your conviction? *

Yes No

Email *

Phone Number *

Please explain your limitations *

What was your conviction? * Please note that sex offender and crimes of fraud or embezzlement will not be offered for community service *

Probation/Parole Officers Name *

First

Last

Habitat for Humanity of West Bay and Northern RI is happy to have many different roles in volunteering. Some volunteering roles may be limited based on the crime you were convicted of. No court ordered volunteers are permitted to handle money or do pickups of donated/purchased items.

Phone Number *

Volunteer Signature *

First

Last

Date *

Site Supervisor *

First

Last

Date *

Submit

Company

Support