PVSA Hours Submission Form
Fill out the entire google form properly to have your hours tracked.
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First Name, Last Name *
Grade Level *
Personal Email *
Phone Number *
How many hours would you like to record for a particular activity/volunteering opportunity (specify how many hours for each unique opportunity if there are multiple) AND the date/weeks you did them.

Example:
Alzheimer volunteering - x hours (01/10/2023)
Tutoring - x hours (02/07/2023 - 02/010/2023)
Creating cards - x hours (10/20/2023)

*
Give a *DETAILED (Paragraph or more)* for what you did during the volunteering. If you are listing multiple hours from different places make sure to write multiple descriptions and specify which description goes with which activity. 

Example:
Alzheimer volunteering - .......
Tutoring - ........
Creating cards - ......

*
By typing "Agree" below you are confirming that all of the information above is accurate and true. If any information above is found to be false, your ability to receive PVSA through GSSAS might be delayed or rejected.

*
Any other questions or concerns?
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