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Community Service Verification Form

This document is a community service verification form for a student to record an organization's name, contact details, dates and hours served, total hours completed, and description of the community service performed along with a signature from a contact at the organization.

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1K views

Community Service Verification Form

This document is a community service verification form for a student to record an organization's name, contact details, dates and hours served, total hours completed, and description of the community service performed along with a signature from a contact at the organization.

Uploaded by

api-246395527
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Community Service Verification Form

Student Name: ________________________________________________________________________

Name of Organization: __________________________________________________________________

Organization Phone Number: ____________________________________________________________

Address: _____________________________________________________________________________

____________________________________________________________________________________

Dates /Hours Served at this Agency: _______________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Total Hours Completed: __________________

Description of Community Service: ________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

______________________________________________________
Signature of Contact Person

______________________________________________________
Name of Contact Person (Please Print)

______________________________________________________
(Phone Number) of Contact Person

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