Community Service
PLEASE READ THIS MESSAGE IN ITS ENTIRETY

the Chainges fund exists to assist all in need, fulfill their community service requirements by various institutions. Please fill out this brief form so that we can efficiently assist you!

In order to ensure you request is handled in an orderly fashion, it is REQUIRED that you email/text copies of the following to chaingesinc@gmail.com:

-A Copy of your VALID State ID
-A Copy of any Service Requirement information

** All participants must agree to (4) community service hours in person within a year of our assisting you, as well as leave a review on Facebook.com/thechaingesfund or
https://goo.gl/maps/UohVkK4DsZVBsRmS8 **

You will be contacted within 24 hours with further details AFTER all information is received. Thanks for Making A CHAINGE.

DO NOT Contact Multiple Times to Expedite Your Service. DO NOT Send Donations Prior to Written Confirmation We Have Opportunities for You. There Will Be NO REFUNDS of Any Kind.

www.chainges.org
Email address *
First and Last Name *
Phone number *
Due Date *
MM
/
DD
/
YYYY
# of Hours Needed *
Referral, if applicable *
Do you have any schedule restrictions? *
If you answered yes, please explain.
By clicking this box, I (the above applicant) agree to the terms and conditions of this agreement, including but not limited, to our confidentiality and non-disclosure clause. *
Required
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