Please complete this application form if you are interested in completing court ordered community service hours. Once you complete the form, click the Continue button at the bottom.


Name and address


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



School/Employer

Please indicate the days and times you are usually available to volunteer.



Assignment of Community Service:


In Case of an Emergency Contact:


Agreement to Perform Community Service


Agreement to Perform Community Service

I, the undersigned, do hereby waive any and all claims against the City of Maricopa and its employees for any injuries or damages I may sustain while in the performance of ordered community service hours. I further acknowledge that the completion of said hours is solely my responsibility and not the responsibility of the City of Maricopa or its employees.

Furthermore, I agree to abide by the rules as outlined in the assignment confirmation that I received or will receive. I understand that failure on my part to meet any of the listed requirements may result in the loss of my community service assignment with the City of Maricopa.