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Individual Log

 
(*) denotes required information.

* First Name:
* Last Name:
* Banner Number (@ number)
Organization:
* Phone:
* Email:
 
Please complete the information below in its entirety. All information is needed to document your activity.
 
* Organization where I volunteered
* Dates of service
* Contact Person
* Contact email
* Contact Phone
* Number of Hours Completed
 
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