A Community Service Verification Form is used to verify community related activities of a candidate undertaken on voluntary basis. These activities are done towards social obligation and for the benefit of the society.
Sample Community Service Verification Form
First Name_________________Middle____________________Last Name
Date of Birth_______________________ (DD/MM/YY)
Permanent Address Street_____________________________
Community Work Details:
Name of the Organization affiliated to_____________________________
Community Service Activity Date
From – To
Number of Hours Verified By
Description of each activity in 100 words Max.
Purpose/mission behind the activity
How did the Community benefit?
Write about your Experience and Impressions______________________________
Would you be interested in any other below mentioned services in future? Tick against the ones you prefer. You will be contacted soon.
1. Assisting Community through church related Services – Yes/No
2. Helping at the Hospital Yes/No
3. Tutoring after school Yes/No
Kindly sign and submit at the community office
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