Volunteer Verification Form
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1Volunteer Verification Form
This form is to be submitted with the Associate Degree Nursing application.
Name:
(please print)
Email:
BC Student ID #:
Student Signature
Date
Information below to be completed by representative/individual overseeing the volunteer event.
Name of Organization:
Type of work the student engaged in:
Date(s) of Service Completed:
Total Hours Completed:
Signature of Volunteer Representative/Supervisor
Date
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