Community Service Verification Form

Community Service Verification Form

Dillard University Athletics



Students completing community service hours with the athletics department should complete this form. We will verify the service and provide you with a signed copy to submit to Student Affairs.

  • Name of Student
  • Name of Supervisor
  • Address of Department or Orgnaization where work was done.
     
  • Date service began / / Pick a date.
  • Time service began :
  • Date service ended / / Pick a date.
  • Time service ended :