Community Service

Volunteers are what make our programs thrive! Without volunteers we will be unable to meet the needs of the community. Our community service program is available to the citizens of Los Angeles County. We accept volunteer and court appointment community service workers.

If you would like to volunteer in general or you need to receive Community Service hours for your school, Or.. 

If you have court ordered community service hours that you need to complete, please complete the following form.

After you have filled out your application, please email us at info@mentorsla.org. Someone will contact you within 24 hours.  Positions are filled on a first come-first served basis. In the event that you are accepted as a volunteer or community service worker, you will not be considered an employee of the organization and no wages or medical insurance will be provided. You will be responsible for transportation to the work site.  You will be given a number to call daily for community service assignment locations.

Official Community Service Registration Form

Please completely fill out the registration form. You will be contacted by our administrator in 24-48 hours.

Name:*

First

Last

Address:*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country

Emergency Contact Name:

First

Last

Emergency Contact Number:*

Disclaimer: Community Service Application Court Appointed Volunteers Community Service Work Program Acknowledgment and Release USE OF PUBLIC OFFENDER/COMMUNITY SERVICE WORK PROGRAM WORKERS As part of alternative sentencing programs, often called community service work programs (CSWP), many courts permit nonviolent public offenders to perform community service in lieu of and/or in addition to fines or incarceration. As a nonprofit organization, Men Taking Over Reforming Society, Inc. (M.E.N.T.O.R.S., Inc). is frequently asked to serve as a worksite for the fulfillment of court-mandated community service. Doing so is a valuable public service M.E.N.T.O.R.S., Inc. can render. In return, M.E.N.T.O.R.S., Inc. receives the benefit of many in-kind personnel hours. M.E.N.T.O.R.S., Inc. participation as a worksite is, therefore, encouraged subject to certain conditions. I. There must be a written agreement between the referring judicial system and M.E.N.T.O.R.S., Inc. unit to which workers are assigned. This agreement must specify the terms of the assignment, the job duties to be fulfilled by the CSWP worker (such duties being subject to usual M.E.N.T.O.R.S., Inc. regulations on access and protection of confidential information, handling of M.E.N.T.O.R.S., Inc. funds, driving of M.E.N.T.O.R.S., Inc. vehicles and other applicable considerations), the number of community service hours to be fulfilled, and the rights and obligations of both M.E.N.T.O.R.S., Inc. and the referring court system. M.E.N.T.O.R.S., Inc. must reserve the right to screen referrals and to refuse placement of and/or terminate the placement of any CSWP worker whose performance is deemed to be unsatisfactory or whose placement is found to be unsuitable. CSWP agreements should be processed and approved according to the appropriate territorial policy and guidelines. II. The judicial system referring CSWP workers to M.E.N.T.O.R.S., Inc. must provide accidental injury insurance covering the indi- vidual while he/she is working at M.E.N.T.O.R.S., Inc. [Note: CSWP workers are not M.E.N.T.O.R.S., Inc. employees and, therefore, are not covered by M.E.N.T.O.R.S., Inc.’s workers’ compensation insurance.] In the event that such coverage is not available, M.E.N.T.O.R.S., Inc. unit is responsible for Ensuring that equivalent accidental injury coverage is in place. The territorial risk management department will determine and must approve the type and amount of coverage to be provided. Premiums for the coverage will be paid either by the CSWP worker (subject to approval of the referring court) or by M.E.N.T.O.R.S., Inc. unit utilizing the CSWP worker. III. In the event that the referring court system provides general liability insurance coverage on the CSWP workers, M.E.N.T.O.R.S., Inc. should be named as an additional insured on the general liability insurance policy. A certificate of insurance evidencing this coverage should be secured from the referring court system and submitted to territorial headquarters. IV. The following statement is to be signed by each CSWP worker before starting the work assignment: Registration fee is $45 for less than 100 - $65 for more than 100 hours plus $1 additional dollar for every hour of work completed. All fees must be paid prior to signing timesheets.*

I agree

I do not agree

Volunteer Status:*

Court Ordered

Volunteer

Student

Phone:*

Date of Birth:*

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School/Company/Court Name:

Company Address:

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country

Company Phone:

Present Occupation:*

Academic/Professional Credentials:

List Special Skills:

Next

Number of Days/Hours to Serve:*

Caseworker/Probation Officer Name:

First

Last

Caseworker/Probation Officer Phone:

Date Service is to be Completed:*

Days Available:*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Radio:*

Student

Court Ordered

Fee Schedule*

Fees (up to100 Hrs)

Fees (Over 100 Hrs)

Court Information: Please input your judge; court address and phone number*

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