Crandall Community Practicum Form

Crandall Community Practicum Volunteer Record

(CCP) Volunteer Record

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First Name:*

Last Name:*

Student ID #:*

Student email:*

Mailbox#:

Program of Study:*

Year of Study:*

Volunteer activity/position:*

Ministry or Community Organization:*

Dates of Volunteer Service for given semester

Dropdown list*

Start:*

End:*

Did you receive approval for completing your CPP in this setting?

Yes

How many hours did you volunteer with this organization during the above-mentioned time period?

Total hours:*

Supervisor Information

Name of Supervisor:*

Title:

Phone # or email:*

Concerns about the performance or conduct of any Crandall student should be brought directly to the CCP Director (jon.ohlhauser@crandallu.ca or 858-8970 ext 298).

333 Gorge Road
Moncton, New Brunswick
Canada

506-858-8970