Waco ReStore Community Service Application
Personal Information
First Name *
Your answer
Last Name *
Your answer
Birth Date *
applicants MUST be 18 years of age or older
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Daytime Phone *
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Cell Phone
Your answer
What is the best way to contact you? *
Community Service Information
How did you learn about our Community Service Program *
Your answer
How many hours are you required to perform? *
Your answer
By when are you required to complete these hours? *
Your answer
Please provide contact information for your probation officer, attorney, counselor, or whomever is responsible for overseeing your hours. *
provide email, address, and/or phone number
Your answer
Do you have ANY health/physical/medical restrictions that may prevent you from completing assigned tasks in the ReStore warehouse or outside on the ReStore grounds? *
If yes, please explain
Your answer
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