Open High School Volunteer Hours Form
Open High School Volunteer Hours Form
600 S. Pine Street FAX (804)780-4865
Richmond, VA 23220 Phone (804) 780-4661
Attn: Ryan Eldridge
Student Name: ____________________ Graduation Year: _________________
Date: _______________ Number of Hours: ______________
*A log of dates/times/duties MUST be included for more than 3 days or more than 20 hours. A log is provided on the other side of this form.
Organization: ____________________________________
Address: ____________________________________
____________________________________
Phone: ____________________________________
Description of Duties: ____________________________________
____________________________________
____________________________________
Official’s Name: ____________________________________
Signature: ____________________________________
Date: ____________________________________
For Open High Volunteer Coordinator Use Only
Received: __________ Entered: __________
Initials: __________ Initials: __________
Volunteer Hours Log
|Date |Times AM/PM |Duties |
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|Total: | | |
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