Volunteer Activities Confirmation Letter Template Page 2

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You may use this letter as a template to document your volunteer activities for dental
organizations
(submit on the organization’s letter head)
Date
Dear AGD Continuing Education Department
Please let this letter serve as confirmation of
volunteer activities in support of
(volunteer’s name)
.
(Organization’s name)
From
until
Dr. ____________ has generously
(beginning date, month/ year)
(end or current date, month/year)
donated his/her time/services to act as
for
.
(Position)
(Organization’s name)
--OR if more appropriate provide a list of offices held by candidate –
Listed below is a chronological summary of Dr. __________’s activities in
:
(Organization’s name)
EXAMPLE
1995-1996-
Local Board Member
1996-1997-
Local Secretary-Treasurer
1997-1998-
Local Vice President
1998-1999-
Local President
National Committee Member
1999-2000-
Local Board Member
National Committee Member
2000-2001-
Local Board Member
National Trustee
This letter also confirms that Dr. ______________ has not received any financial or “in-kind”
remuneration, other than possible reimbursement of actual expenses, in return for his/her
services
.
Please feel free to contact me if you require any additional information,
Sincerely,
Region XX, Regional Director

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