(please submit one entry form for each activity)
College
Chapter Name:
__________________________________________________
Name of
Person Completing Form: __________________________________________
Event:
_____________________________________________
Event
Date: ________________ Time Spent (in hours)
_____________________
Number of
Student Volunteers: _______
Please List
Names of All Participating Student Volunteers:
Activity
Description:
(Be
thorough in your description of your activities and attach additional sheets if
necessary.)
Signature
Event Coordinator:
___________________________ Date: ____________
(To be signed by
participating agency personnel, event coordinators, or your faculty sponsor.)