A3-P3 Student Scholarship Recipient Activity Commitment Fulfillment Form printable pdf download

A3-P3 Student Scholarship Recipient Activity Commitment Fulfillment Form

A3-P3 STUDENT SCHOLARSHIP RECIPIENT

ACTIVITY COMMITMENT

FULFILLMENT FORM

This is to certify that I, ___________________________________________, have fulfilled

(Print Name of Student/P3 Scholarship Recipient)

my commitment to give back to the A3-P3 Community as per Scholarship Agreement by:

_____

Working at A3 Autzen Fall Recycling Fundraiser

Date(s) worked:

________________________________________________

_____

Assisting at a P3 monthly meeting (setting up, taking down, clean up)

Date(s) worked:

________________________________________________

_____

Assisting at a P3-sponsored functions or events (please specify):

Raffle Baskets set up and sales

A3 Wear set up and sales

Event & Location:

________________________________________________

Date(s) worked:

________________________________________________

Thank you,

Verified:

____________________________________

_________________________________

Signature

(Student/Scholarship Recipient)

(A3 Staff or P3 Representative)

Submit completed form to any P3 Leadership representative.

615 Main St. Springfield, OR 97478 | (541) 744-6728 • FAX: (541) 744-6713

A3-P3 Student Scholarship Recipient Activity Commitment Fulfillment Form