If you are in need of COURT APPOINTED community service hours, please complete this form.

*A COPY OF YOUR COURT PAPERWORK MUST BE PROVIDED.

*You must be 18 years of age or older with 25 HOURS or more to apply for court appointed community service.


Contact Information


Emergency Contacts

Please provide an emergency contact.


Availability

Please indicate the days and times you are available to work Community Service Hours.


Working at Animal Care & Control

Do you have any relatives who work at Palm Beach County Animal Care & Control? Answer yes or no.


Hours & Deadline

*Write the total number of court appointed community service hours that are required.
*Write the date in which these hours are to be completed.


Explanation

Please explain why you are required to do your court appointed community service hours. Be specific.


Probation Information

Please write the following:
*Probation organization name
*Officer name
*Officer phone number


Medical Concerns

If you have any medical or health issues that may interfere with your volunteering here, please explain so that we can do our best to accommodate you. If there are none, write NONE.


EMAIL FOR APPOINTMENT

After you submit this application, please email a copy of your court paperwork to our Volunteer team at PSD-ACC-Volunteer@pbcgov.org.


Rules of Conduct & Waiver of Liability

As a community service worker, I agree to the following RULES & PROCEDURES:

*Approval to work as a community service worker at Animal Care & Control is dependent on a law enforcement background check.
*SIGN IN/OUT DAILY: I will check in with the volunteer coordinator upon arrival. The coordinator or other staff member will sign me in and me my badge.
*ID BADGE: I will receive my badge from the volunteer coordinator or other staff member each day I arrive. I am responsible for wearing it while working, and I will return it at the end of my shift.
*BE PRODUCTIVE: Loafing, sleeping on the job, or other unproductive use of time is prohibited. I agree to perform all tasks thoroughly and accurately.
*ACT PROFESSIONAL: Horseplay, profanity, fraternizing, fighting, violence, or any other action interfering with work of other community service workers, volunteers, employees, or customers is prohibited. Working or reporting to work under the influence of drugs or alcohol is prohibited.
*DRESS CODE: T-shirts and jeans are recommended. Close toed shoes are required. No shorts that are 6 inches above the knee, jeans with holes/rips, or tank tops are allowed. Maintain a clean and professional appearance while completing their hours.
*LETTERS OF COMPLETION: Once you have completed 25 hours, you may receive a written letter stating how many hours you have completed by emailing the Volunteer Team at PSD-ACC-Volunteer@pbcgov.org. Letters will not be written for less than 25 hours as it is the minimum you must work in order to do Community Service at Animal Care and Control.
*I understand that I can only work during hours of opportunity:
(Monday-Friday 8:00am - 6:00pm; Saturday 8:00am - 5:00pm; Sunday 8:00am - 4:00pm).
I am not allowed on the facility prior to 8:00am or after we close to the public. I am not allowed on the facility on county holidays.
*I will work a minimum of 4 hours in a shift to receive credit for time worked.
*I will complete a minimum of 20 hours per month.

WAIVER OF LIABILITY & HOLD HARMLESS AGREEMENT

I understand and agree that volunteering at the Palm Beach County Division of Animal Care & Control may subject me to various risks and dangers and agree to protect, defend, reimburse, indemnify and hold Palm Beach County, its agents, officers, employees, and elected officials harmless at all times from and against all claims, liability, expenses, losses, costs, fines, damages or causes of action of every kind and character, including attorney's fees and costs, whether at trial or appellate levels or otherwise, arising during, as a result of, or in connection with my participation as a volunteer.

I hereby assume the risk of participating as a volunteer at the Palm Beach County Division of Animal Care & Control and hold Palm Beach County, its agents, officers, employees and elected officials harmless at all times from and against all claims, liability, expenses, losses, costs, fines, damages, or causes of action of every kind and character, including attorney's fees and costs, whether at trial or appellate levels or otherwise due to their acts, errors or omissions resulting in bodily injury, including death, or damage to my property incident to, or in connection with my participation in the volunteer program. Additionally, authorization is hereby given for emergency medical care rendered to me.

I agree to release, indemnify, and defend Palm Beach County and its officials, officers, employees, and agents from and against any claim that I, my parents or legal guardian, or any other person may have for any losses, damages, injuries, or death arising out of or in connection with my participation in this volunteer program.

I indicate by checking the box below that I have read the terms and conditions of participation and agree to abide by them. I have carefully read this agreement and acknowledge that I understand it. No representation, statements, or inducements, oral or written, apart from the foregoing written statement have been made. This agree shall be governed by the laws of the state of Florida. If any portion of this agreement is held invalid, the rest of the document shall continue in full force and effect.