LIC Volunteer Hours

LIC volunteer hour forms are due no later than July 22, 2010 BY 4:00PM.

Forms must be submitted electronically to ignashc@mail.gvsu.edu.

Late forms will NOT be accepted.

 

Name ____________________ Theory Class ____________

SNA Member ____ Yes ____No            SNA Position ____________

                                                                   Committee______________                                

 

EVENT                                   DATE         TIMES       TOTAL HOURS

 

Ex. Meijer Kidney Walk              4/30/06        8am-12pm          4          

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                     

                                                                                                                     

                                                                                                                     

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                    

                                                                                                                     

Do NOT write below this line                                                                

LIC Committee Only

Total Hours                      /      3pts Non-SNA member                       pts

                                                 2pts SNA Members

                                                1.5pts SNA Delegate/Alternate

                                                1pts SNA Board Member

SNA Position                                                                                         pts

 

Committee Participation                                                                      pts

 

Attendance                                                                                             pts

 

Miscellaneous                                                                                        pts

 

Total Points                                                                    pts

 

                                                                                                                      

LIC Chair Signature                                       Faculty Advisor Signature