GPS Off-Campus Volunteer Verification FormPlease return this completed form to the Professional Development Department for consideration.

Full Sail University. Building 3300. Suite 142. Winter Park. FL. 32792. Fax. 407.215.9518

Name: _________ Student ID: _________________________

E-mail Address: _____________________________________________ Program: ___________________________

Organization Name: ________________________________________________________________________________

Brief Description of Organization: ____________________________________________________________________

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Have you ever turned in a GPS Volunteer Verification Form for this venue/organization before? YES NO

If you answered yes to the first question, did you turn in the Form within the past 12 months? YES NO

Was this work in any way related to your employment, to your job? YES NO

Do you plan on using this volunteer work for your classes (i.e. in any portfolios or for a class project)? YES NO

Hours Contributed: _____________________________ Date(s) Contributed: ______________________________

Description of Contribution (please be as specific as possible): _____________________________________________

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Name of Volunteer Contact: _________________________________________________________________________

Position within Organization: ________________________________________________________________________

E-mail Address: _________________________________________ Telephone Number: ______________________

***Signing this form verifies that this student has completed these volunteer hours and services.***

________________________________________________________________ _________________________________ Volunteer Contact Signature Date

***Signing this form verifies that all the information listed above is true and correct.***

________________________________________________________________ _________________________________ Student Signature Date