Portland Court Voluntold

Select one:

I am a New Client     I am a Returning Client     I want to Reschedule     I want Information only    

First Name: Middle Name: Last Name:

Address: City: State: Zip Code:

Primary Phone (###-###-####):    Phone Type: -- Select phone type -- Personal cell Personal landline Work phone Message phone   Best time to call:

Email:

About your community service:

Please list your case number(s): (if more than one, use a semicolon (;) between each)

What are you charged with? (Click all that apply) Violation     Misdemeanor     Felony

Briefly, List Charge Details: (examples: DUII, TriMet: no fare, disorderly conduct, littering, prostitution)

Hours Needed:     Court Date (mm/dd/yyy):

Agency: -- Select Agency -- Community Court (Multnomah Co.) Project Clean Slate (Multnomah Co.) Multnomah County District Court Washington County District Court Other   

If other, list name of agency:

If other, list agency contact name:

If other, list agency contact phone and/or email:

To schedule:

Days Available (please check all that apply):

Monday    Tuesday    Wednesday    Thursday    Friday    Saturday    Sunday (special events only)

Desired Shifts: (Hold down Ctrl (Windows) or Cmd (Mac) to select multiple shifts).

-- Select shifts -- Washington Park: Monday, 7:30 am - 3:30 pm (8 hours) Peninsula Park: Monday, 6:30 am - 2:30 pm (8 hours) Washington Park: Tuesday, 7:30 am - 3:30 pm (8 hours) Washington Park: Wednesday, 7:30 am - 3:30 pm (8 hours) Peninsula Park: Wednesday, 6:30 am - 2:30 pm (8 hours) Washington Park: Thursday, 7:30 am - 3:30 pm (8 hours) Peninsula Park: Friday, 6:30 am - 2:30 pm (8 hours) Natural Areas: Saturday, 8:30 am - 12:30 pm (4 hours)

Transportation: (Check all that apply)

Walk     Bicycle     Bus     MAX     Drive     Rides     Skateboard

List special needs or challenges here (physical, transportation, communication, schedule, planned absences):

Allow 1-2 business days for processing.