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NHS Volunteer Form
Use this form to document your community service and volunteering.
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Organization/Event/Activity
*
Your answer
Date(s) of Event/Activity
*
MM
/
DD
/
YYYY
Description
*
Include the goal of the organization you participated in, your role and the impact the activity had on others.
Your answer
Number of Hours
*
You may round to the nearest quarter hour.
Your answer
Please give me the name of an adult who can verify your hours.
*
This should be a person directly responsible for organizing and/or supervising the volunteer event/activity.
Your answer
A copy of your responses will be emailed to the address you provided.
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