Volunteer Opportunities

Date

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Current Occupation

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CASEWORKER/PROBATION OFFICER:

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PERSONAL REFERENCE

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USE OF PUBLIC OFFENDER/COMMUNITY SERVICE WORKERS

Empowerment Resource Center (ERC) welcomes individuals seeking to fulfill court-ordered community service. As a nonprofit organization, ERC is frequently asked to serve as a worksite for the fulfillment of court-related community service. Doing so is a valuable public service that ERC can render. ERC receives the benefit of many in-kind personnel hours. ERC participation as a worksite, is therefore, encouraged subject to certain conditions.

1. The workers must be at least 18 years old, assigned or requested by the court to perform at least 40 hours of service

2. The worker must be able to provide official court documents explaining convictions, including the parole officer’s name and number, and DOC number (if applicable), attorney and/or counselor’s name and number.

3. Work assignments are not open for open discussion. The worker must perform the assigned duty or leave ERC premises. All community service hours must be scheduled in advance. Drop-ins are not accommodated.

Please Note: Individuals who have been convicted with any crime involving to or relating to child abuse or neglect, child pornography, child abduction, or any other violent offense, including kidnapping, rape or any sexual offense, or who have ever been ordered by a court to receive psychiatric or psychological treatment in connection with such crime or crimes are not eligible to perform community service at the Empowerment Resource Center.

COURT-ORDERED COMMUNITY SERVICE ACKNOWLEDGEMENT AND RELEASE

I,, have been given an opportunity to perform community service at Empowerment Resource Center in lieu of and/or in addition to being fined and/or incarcerated. In that regard, I have voluntarily agreed to perform such work as shall be assigned to me from time to time and to comply with such instructions and regulations as are communicated to me by authorized representatives of ERC. I acknowledge that such work is to be performed by me without compensation of any kind, financial or otherwise.

I hereby further agree, on behalf of myself, my family, heirs and dependents, to release and save harmless Empowerment Resource Center from any liability for any loss, injury, or damage suffered by me during or in connection with such work.

I also understand that, should my work performance be found to be unsatisfactory or unacceptable, my opportunity of fulfilling community service hours with ERC can be terminated and that this fact will be communicated to the court responsible for my sentence.

Date

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Witness

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