Validation of Service Hours
  for Academic Service-Learning Projects

Class Information:
Name of Class:
Professor Name: *
Professor Phone: *
Email Address of Professor: *
Agency/Organization Information:
Name of Organization:
Contact Person: *
Contact Number: *
Contact Email: *
Dates of Service:
Description of Academic
Service-Learning Project: *
Names of Students Participating Drury ID Drury Email 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. If you have any questions, please contact Leadership & Volunteer Development at (417) 873-6803.