Form

LDC 2022 Record of Volunteer Service

American Red Cross Leadership Development Camp 2022

RECORD OF VOLUNTEER SERVICE FORM FOR RETURNING CAMPERS

AFTER COMPLETING AN LDC 2022 CAMPER APPLICATION, campers wishing to return to camp are required to submit evidence of volunteer service that has occurred since last summer's camp.

Please submit a record of 6 hours of volunteer service.

Complete the form below and submit it. We cannot consider you for camp until we receive BOTH your application and this record of service.

For questions or issues with this form or the application process, please contact LDC.CincinnatiARC.OH@redcross.org

Camper Name

Camper E-mail Address

Camper Phone Number

Please list ALL completed service below, including any hours that were completed with the American Red Cross.

Volunteer Hours Submission #1

Date of service

Number of hours

Organization where volunteer hours were served

Brief Description of Activity

Organization Representative Name

Organization Representative Email Address

Organization Representative Phone Number

Volunteer Hours Submission #2

Date of service

Number of hours

Organization where volunteer hours were served

Brief Description of Activity

Organization Representative Name

Organization Representative Email Address

Organization Representative Phone Number

Volunteer Hours Submission #3

Date of service

Number of hours

Organization where volunteer hours were served

Brief Description of Activity

Organization Representative Name

Organization Representative Email Address

Organization Representative Phone Number

Use this space to enter information on any additional service events you need to show to reach your required number of service hours. You may also add comments about your volunteer service.

A FINAL NOTE

We are glad you want to return to camp!

Once you submit this record of volunteer service, we will be able to verify your service hours with the organization(s) indicated above and to review your application (please make sure you have also submitted your application!). Look for an e-mail from LDC in the next two weeks.

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