Gender: High School: Expected Graduation Year: Mailing Address: City: Zip: Home Phone: Cell: Email: ***Seniors qualify to for the Labor and School Community Service Scholarship. Please contact United Way office for instructions.*** I have previously received my Varsity Letter in Community Service I have previously received my Varsity Letter for a different activity I have never received my High School’s Varsity Letter for any activities I attest that I performed the documented hours of community service included in the attached verification forms and met all the qualifications as outlined by United Way of Washtenaw County on the web site. To my knowledge, these hours are valid and count toward my earning the Letter in Community Service. Student Signature: Date: Parent/Guardian Please read the passage below and sign giving your child permission to participate in this award program. I hereby assign to United Way of Washtenaw County all rights to video and audio recordings and all photographs of my child made in connection with Letter in Community Service activities. I hereby authorize editing, duplication, reproduction, copyright, exhibition, broadcast and/or other use and distribution of such recordings or quotations for purposes deemed suitable by United Way of Washtenaw County. I also waive any right to approve or disapprove the finished products. Parent/Guardian Name: Parent Guardian Signature: Date: We would like the opportunity to keep you informed of our programs, and would like to add you to our mailing list (which is not shared with others). If you prefer not to be added please check the box below. Please do not add me to the mailing list Varsity Letter in Community Service Community Service Verification Form Deadline for application May 15, 2018 A copy of this form must be completed for each agency/organization/school/club for which you have performed service, so duplicate this page as necessary. (i.e. only one form is needed with the total # hours spent with Key Club). Remember to apply enough postage when mailing your application; standard postage is often not adequate.
Volunteering as a student athletic trainer (if not required for a class) Assisting at sporting events, concerts, theater productions (if not required for a class) Tutoring peers These are just a few ideas; there are many ways to volunteer in your school. If you have questions about counting hours for a school related activity, contact us. I volunteered on a mission trip through my church, how do I count these hours? If you volunteer on a mission trip or other volunteer vacation, the hours are calculated as follows: During the school year: 10 hours per day During the summer: 15 hours per day If you have documentation proving that you served more than these hours per day, you may submit it with your application and will be credited with these hours if we are able to verify them with your provided contact. I volunteered as a camp counselor, how do I those hours? If you volunteer as a camp counselor, the hours are calculated as follows: During the school year: 10 hours per day During the summer: 15 hours per day If you have documentation proving that you served more than these hours per day, you may submit it with your application and will be credited with these hours if we are able to verify them with your provided contact. Can I count hours from club meetings? If you participate in a school club, you may count any hours that are spent organizing and implementing a service project. If you are in a club that uses meeting times to discuss other club business, you may not count those hours. Only hours spent planning and participating in a service project will count as community service hours. I have to complete community service so that I can graduate, can I count these hours towards my Varsity Letter? Any community service or volunteer hours done to meet a graduation requirement DO NOT count towards your Varsity Letter in Community Service. Volunteer hours that are counted for the Varsity Letter are to be done above and beyond what is required for graduation. I have to complete community service hours for a class, can I count these hours? All community service or volunteer completed as a requirement for a class, DO NOT count towards your Varsity Letter in Community Service. Volunteer hours that are counted for the Varsity Letter are to be done above and beyond what is required for a class.