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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