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Polk county community service hours form 2026

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The document is a Volunteer Work Verification Form from the University of North Dakota's Occupational Therapy Department, intended for students to record and verify their volunteer hours at a facility, requiring a supervisor's signature.

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Click ‘Get Form’ to open the polk county community service hours form in the editor.
Begin by entering your name in the designated field at the top of the form. This identifies you as the volunteer.
Next, provide the name and address of the facility or organization where you completed your community service. Ensure this information is accurate for verification purposes.
In the section labeled 'Number of Hours in each area', list the total hours volunteered across different categories such as PD, Psych, Gero., Peds., etc. Be specific to ensure clarity.
Finally, have your supervisor or volunteer coordinator sign in the provided space to verify your hours. This signature is crucial for validation.

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