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KON Community Service Form
Volunteer Hours for Kappa Omicron Nu
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Student Name
*
Your answer
Student Email
*
Your answer
Name of Community Organization or Non-Profit
Your answer
Address and Phone Number of Organization
Your answer
Date and Total Hours of Service (must complete a minimum of 5 hours of service each semester)
Your answer
Specific Duties/Services Performed:
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Supervisor's Name and Phone Number
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