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GPS Off-Campus Volunteer Verification Form Please return this completed form to the Professional Development Department for consideration. Full Sail University. Building 3300. Suite 142. Winter Park. FL. 32792. Fax. 407.215.9518

Name:

_________ Student ID: _________________________

E-mail Address: _____________________________________________ Program: ___________________________ Organization Name: ________________________________________________________________________________ Brief Description of Organization: ____________________________________________________________________

__________________________________________________________________________________________ 

Have you ever turned in a GPS Volunteer Verification Form for this venue/organization before?

YES

NO

If you answered yes to the first question, did you turn in the Form within the past 12 months?

YES

NO

Was this work in any way related to your employment, to your job?

YES

NO

Do you plan on using this volunteer work for your classes (i.e. in any portfolios or for a class project)?

YES

NO

Hours Contributed: _____________________________

Date(s) Contributed: ______________________________

Description of Contribution (please be as specific as possible): _____________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Name of Volunteer Contact: _________________________________________________________________________ Position within Organization: ________________________________________________________________________ E-mail Address: _________________________________________

Telephone Number: ______________________

***Signing this form verifies that this student has completed these volunteer hours and services.*** ________________________________________________________________ Volunteer Contact Signature

_________________________________ Date

***Signing this form verifies that all the information listed above is true and correct.*** ________________________________________________________________ Student Signature

_________________________________ Date


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