Volunteer Hours Verification Request Form

Volunteer Hours Verification Request Form

You must allow 2 business days (Mon-Thur) to process your request before a letter or verification will be provided. Please be accurate and thorough in your answers as this helps us locate your records more quickly.
Full Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Fill in the dates you served your hours at KCM. ***NOTE, We can only verify hours that you signed in/out for at the time of your service.
Month/Day/Year
Date your letter or verification is needed by (Mon-Thurs only):

MonthDayYear
2 digit month, 2 digit day, 4 digit yearMust allow 2 business days (Mon-Thurs)
Please provide any other info we need to know. Ex: Verification is to be completed online (weblink) etc.
Should be Empty: