Community Service-Volunteer Hours Confirmation Form printable pdf download

Community Service-Volunteer Hours Confirmation Form

South Texas College - Dual Enrollment Academy Programs

Community Service-Volunteer Hours

Confirmation Form

Thank you for allowing our students the opportunity to enrich their lives with your

organization.

To be filled out by the organization:

Individual/Organization Name: ____________________________________________________

Address of organization: _________________________________________________________

Student Name: ______________________________ Grade: _____________________________

Service Activity: ________________________________________________________________

Contact Person/Supervisor: _______________________________________________________

Title: _________________________

Contact Number: ______________________________

Dates of Service: ________________

Hours of service provided by student: __________

Brief description of service: _______________________________________________________

______________________________________________________________________________

I certify that this student has completed the service hours recorded above towards their

service learning requirement.

Signed: _________________________________

Date: __________________

Community Service-Volunteer Hours Confirmation Form