On Campus Student Volunteer Contact Form

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On Campus Mom Foundation

Email *

Form Completion Date:

YYYY

Name: *

Telephone Number: *

Projected Graduation Year: *

I reside in the following location: *

Dorm on Campus

Off Campus Apartment

Required

Dorm or Apartment Name: *

I am interested in serving during the following period: *

Summer 2023

Fall 2023

Spring 2024

As Often As Needed

Required

I am active on the following social media platforms:

Please check all that apply

Facebook

Instagram

Snapchat

Other:

Required

Community Service Recording and Reporting:

It is the responsibility of the student volunteer to keep an accurate record of time use to perform tasks or events/projects participated in. A Time Record Report Form should be submitted to the foundation with the submission of time involved in relationship to participation so the foundation can release a letter of community service performed by the student.

A Time Record Report Form will be transmitted to the student with each accepted assignment or event.

A copy of your responses will be emailed to the address you provided.

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