Volunteer Activity Validation Form If not registered in VMIS, please use one (1) sheet per organization. Last Name: First Name: Mailing Address: Street: City: State: Zip: Volunteer Activity Name and Address of Organization: Hours Start Date End Date Volunteer Position Official Validation We, the undersigned, do hereby verify that the above information is an accurate and truthful representation. _______________ ______________________________________________ Student Signature Date Printed Name of Supervisor / Volunteer Coordinator Email address of Supervisor / Volunteer Coordinator _______________ __________________________________________________ Signature of Supervisor or Volunteer Coordinator* Date *Supervisor signature is not required if VMIS record is attached.
Volunteer Activity Validation Form If not registered in VMIS, please use one (1) sheet per organization. Last Name: First Name: Mailing Address: Street: City: State: Zip: Volunteer Activity Name and Address of Organization: Volunteer Position Hours Start Date End Date Official Validation We, the undersigned, do hereby verify that the above information is an accurate and truthful representation. ______________________________________________ _______________ Student Signature Date Printed Name of Supervisor / Volunteer Coordinator Email address of Supervisor / Volunteer Coordinator __________________________________________________ _______________ Signature of Supervisor or Volunteer Coordinator* Date *Supervisor signature is not required if VMIS record is attached.
2019_fwcsc_spouse_dependent_scholarship_application__app_.docx