community service application form

Full Name:(Required)
Email Address:(Required)
Address:(Required)
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Nature of legal charge:(Required)
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Please enter a number from 1 to 500.
Which Habitat Charlotte Region ReStore was assigned?(Required)
Preferred orientation day:(Required)
NOTE: Please do not attend an orientation until we officially confirm your application.
NOTE: Please attach/upload an image of your court document. A picture from a cellular phone is acceptable as long the image can be read.
Accepted file types: png, jpg, pdf, gif, Max. file size: 100 MB.
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