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Human Rights Club Volunteer Verification Form

Name: _________________________
Date(s) of Service: _________________________
Number of Service Hours: _______
Location of Service: _________________________

Brief Description of Service Activities Completed:


__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Signature of Volunteer Advisor: ______________________________________________________

Please keep in mind that all Human Rights Club Members need to volunteer at least once with
the club at an in-school event IN ADDITION TO at least three club-independent hours outside of
school OR at least once with the club at an out-of-school event!

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