Facebook Twitter Flickr YouTube
Client stories
Campus Photod

Camillus Events

 View All Events

Application for Community Service Hours

Use the form below only if you are a student and
requesting to sign up for Community Service Hours

Do not use this form to Volunteer as a result of a Court Order.
Click here to Sign-Up for Court-Mandated Service.

Please Enter Your Contact Information:
First Name
Last Name
Email
Home Phone
Cell Phone
Address
City
State
Zip
   Please add Me to the Camillus House Mailing List

Please Enter Your School Information:
No. of Hours Required
Hours Must be completed by (date)
Name of your School or Program?
School/Program Phone Number
Teacher/Supervisor's Name
What is the purpose of your service?

Please Enter Your Emergency Contact Information:
Name of Contact
Relationship to You
Contact Phone
Name/Phone of Alternate Contact

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move


 
CHC Collection Drives Emergency Housing Gifts President's Message
Serving the South Florida community since 1960, Camillus House is a non-profit organization that provides humanitarian services to men, women and children who are poor and homeless.