VOLUNTEER AWARD SPECIAL APPLICATION FORM NAME: ________________________________________________________________________ List or describe ways in which you have contributed to the community or have been actively involved as a volunteer. (Attach extra pages if necessary) Volunteer Contribution to If used as Dates / Hours Description of responsibilities Community part of 40 Length hours LISA AMANDA AGNES ROESLER MEMORIAL AWARD
VOLUNTEER AWARD SPECIAL APPLICATION FORM NAME: ________________________________________________________________________ List or describe ways in which you have contributed to the community or have been actively involved as a volunteer. (Attach extra pages if necessary) Volunteer Contribution to Community If used as part of 40 hours Dates / Length Hours Description of responsibilities LISA AMANDA AGNES ROESLER MEMORIAL AWARD
Special-Applications-2018-Word.docx