Community Service/volunteerism Verification Form
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1COMMUNITY SERVICE/VOLUNTEERISM VERIFICATION FORM
STUDENT:
________________________________________________
GRADUATION YEAR:
__________________________
VOLUNTEER DATE(S):
________________________________________________
TOTAL HOURS:
___________________________
DUTIES:
_______________________________________________
ORGANIZATION:
________________________________________________
______________________________________________
__________________
Organization Representative Signature
Date
_______________________________________________
__________________
Student Signature
Date
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