Validation of Service Hours
  for Faculty & Staff Service Projects


1. Do I submit one form for each project?
a. The electronic form below is to track your hours at the same service site. If you volunteered at multiple service sites/projects, please complete the electronic form for each different service site.

2. What counts as service?
a. Direct Service
b. Philanthropy and Fundraising? Yes (ex. Dine out nights or Charity Golf Tournament)
c. Awareness events? Yes (ex. Letter writing Campaign, Hunger Banquet, or Sleep Out)

3. Helpful Tips:
a. Fill out the form completely!
b. Round to the nearest quarter of an hour (ex. 3.75 = 3 hr, 45 min.)
c. Use a sentence or less to explain what you did as a service under Service Activities (ex. Sorted incoming clothing). If possible, identify if the project was direct service, fundraising, or an awareness project.
d. Contact Person cannot be yourself or someone within your group. Please provide a site supervisor or volunteer coordinator that can verify your service.


Volunteer Contact Information:
Volunteer Name:
Employee ID:
Community Agency/Organization Information:
Name of Organization:
Contact Person:
Contact Number:
Contact Email:
Date of Service:
Total Service Hours:
Did you use Drury's Community Connection Leave Policy to volunteer? Yes No
Type of Service Project
(choose all that apply):
Underrepresented Groups
Poverty Situations
Animal Welfare
Senior Citizens
Health Care
Disaster Response
Domestic Violence/Abuse
Special Needs/Disability Services
Human Rights
Description of Service Project:
Date of Service Time In Time Out Hours of Service
Consent and Acknowledgement: Electronic Signature
By checking this box I certify that all volunteer hours reported are accurate and honestly recorded and Drury may confirm this through the agency contact person. Also, I understand that falsification may result in disciplinary action by the university. If you have any questions, please contact Community Outreach and Leadership Development at (417) 873-6803.