Volunteer Service Acknowledgment Form
Please complete this form to document and acknowledge your volunteer service. All information will be used to verify your contribution and for recognition purposes.
Volunteer Full Name
*
First Name
Last Name
Volunteer Email Address
*
example@example.com
Volunteer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization/Department Name
*
Service Start Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Service End Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Hours Completed
*
Description of Volunteer Service Performed
*
Supervisor Full Name
*
First Name
Last Name
Supervisor Email Address
*
example@example.com
Supervisor Feedback or Comments
Signature of Volunteer or Supervisor
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: