Phi Omega Delta Sorority INC.
Community Service Verification Form
Name
First Name
Rebirth Name
Last Name
Chapter Name
Beta
Eta
Epsilon
Gamma
Delta
Kappa
Iota
Lambda
Mu
Nu
Theta
Zeta
Sorority Email
example@example.com
Phone Number
-
Area Code
Phone Number
Chapter or Individual Hours
Chapter
Individual
Sorority Event
Chapter Member Name in attendance
Back
Next
Volunteer Information:
Name of Event
Donation
N
Yes-monetary donation
Yes- Item donation
Amt of Donation
Items or Monetary
Date of Service
-
Month
-
Day
Year
Date
Time In
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Time Out
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Point of Contact Name
First Name
Last Name
Title/Company
Contact PH. NUMBER
Contact Person Email
example@example.com
Comments:
Information on what you did at the service
I attest all information is factual and accurate.
Submit
Should be Empty: