Volunteer Hours Report Form

Please fill out the following form to record service hours earned through departments or organizations outside of DCA committees or events. If you have any questions about this form, please contact the Service Learning Center at kalinoskis@denison.edu.

Name of individual completing form:   
Date of volunteer event:   
Was this an individual volunteer opportunity, or was it a group event?
 Individual  
 Group  
For INDIVIDUAL volunteers, please list the name of the individual that volunteered:   
For GROUP volunteers, please list the names of each student attending. Only one form needs to be completed for a group event:
Please list the number of service hours performed by each individual:   
Please list the campus department/organization through which volunteering occured:   
Please list a faculty/staff member that aided in this volunteer effort and could confirm service hours: