Student Service Hours Form

Please complete the following form so that the Office of Volunteer Services can keep a record of your volunteer hours. When you have completed this form, press the "submit" button. Your name will automatically be added to the drawing for two $35 Target gift cards. Thank you for your effort and involvement!

First Name:       Last Name:
Email: @meredith.edu     Graduation Year:
First Service Experience
Agency/group that received your service:
Service Provided:
Hours Served: Semester Served: Fall Spring
Was this service:
For a class?
Through a campus organization?
Through a service organization?		  
Second Service Experience  
Agency/group that received your service:
Service Provided:
Hours Served: Semester Served: Fall Spring
Was this service:
For a class?
Through a campus organization?
Through a service organization?		  
Third Service Experience  
Agency/group that received your service:
Service Provided:
Hours Served: Semester Served: Fall Spring
Was this service:
For a class?
Through a campus organization?
Through a service organization?		  
Fourth Service Experience  
Agency/group that received your service:
Service Provided:
Hours Served: Semester Served: Fall Spring
Was this service:
For a class?
Through a campus organization?
Through a service organization?		  
Fifth Service Experience  
Agency/group that received your service:
Service Provided:
Hours Served: Semester Served: Fall Spring
Was this service:
For a class?
Through a campus organization?
Through a service organization?		  
 
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©2006 Meredith College | 3800 Hillsborough Street, Raleigh, NC 27607-5298
VISTA Coordinator for Civic Engagement Programs: Phone: (919)760-8836