Rattler Record Instructions
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1RATTLER RECORD INSTRUCTIONS
PLEASE READ and FOLLOW these instructions when completing this form.
Incomplete forms will not be processed
. Do not use an alias or nickname.
Please print your full name
Item 1.
Student ID Number is nine (9) digit (hours will not be recorded if this section is blank or incorrect)
.
Item 2
Classification (example: Jr.; Sr.; 5
th
yr; etc.). Major (School & College as applicable)
Item 3.
Date(s)
be recorded bi-weekly/or by month (example: bi-weekly 8/28-9/3/06; or 9/1-30/06).
Item 4.
Service Provided (example: tutor; office asst.; recreation asst.; technical aide; teacher’s aide; etc.).
Item 5.
Agency Name (example: school; park; hospital; nursing home; area; etc.).
Hours total must be listed for each period (date) on appropriate line numerically. Volunter Hours must be
whole or half hours.
Item 6.
Item 7.
Signature and Telephone Number
for verification of hour.
Item 8.
Student Signature, this section must be completed. Your signature confirms your volunteer hours are listed
Correctly. See Student Code of Conduct, Rule 6C3-2.012 (10) (F).
Item 9.
Telephone Number should include area code (list a number where you can always be reached).
Item 10.
You must have a minumum of 20 Volunteer Hours in-order for your form to be processed.
COMPLETED RATTLER RECORD FORMS MUST BE SUBMITTED TO THIS OFFICE
Florida A&M University
OFFICE of STUDENT ACTIVITIES
H. Manning Efferson Student Union Building
Tallahassee, FL 32307
Phone (850) 599-3400 – Fax (850) 561-2515
FLORIDA A&M UNIVERSITY
DIVISION of STUDENT AFFAIRS
OFFICE of STUDENT ACTIVITIES
RATTLER RECORD
(VOLUNTEER SERVICE HOURS DEADLINE IS THE FRIDAY BEFORE FINALS FOR EACH SEMESTER HOURS ARE EARNED.)
ACADEMIC TERM:
FALL
SPRING
SUMMER
1. Student Name:
Student ID#:
:
E-Mail
2. Classification
Major:
3. Date
4. Service Provided
5. Agency
6. Hrs.
7. Supervisor’s Signature/Tele. Number
Total Hours
:
9. Tele. No.:
8. Student Signature
**************************
FOR OFFICE USE ONLY
**************************
:
:
Date
Total Hours Approved
OSA Approval
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