Community Partner Verification

Thank you for giving our students the opportunity to work with you. Can you please provide verification below?

Name Name First Last
Email and/or Phone Number
Organization/Program/Project/Event
Please list the students first and last name(s) who worked with you this semester and place the hours they worked at the end of their name(s).

If you are verifying for more than one student, list all their names here.
Draw your signature into the box below. You are verifying that the information provided above is accurate and the student(s) did, in fact, complete reported hours with you and your organization.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.