Individual Volunteer Event Report Form

Your Information:

Full Name:
Your E-mail
LU ID:
Volunteer site/agency Name:
Volunteer site/agency Address
Volunteer site/agency City
Volunteer site/agency State
Volunteer site/agency Contact
Volunteer site/agency Phone/E-mail
Name of event (if applicable)
Describe your volunteer activity

Date:
Hours worked (by 1/4th hours):
Type of work
Student organization to credit (if applicable)