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Crandall University
Crandall Community Practicum Volunteer Record
(CCP) Volunteer Record
* Please note when filling out online forms, it is best to use Mozilla Firefox or Internet Explorer as a browser. Other browsers may not work as well.
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First Name:
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Last Name:
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Student ID #:
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Student email:
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Mailbox#:
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Program of Study:
*
Year of Study:
<Select>
1
2
3
4
5
6
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Number of organizations volunteered with?
1
2
3
4
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Organization #1
Ministry or Community Organization:
*
Dates of Volunteer Service for given semester
*
Semester:
<Select>
Spring
Fall
Winter
*
Start:
*
End:
*
Did you receive approval for completing your CPP in this setting?
*
Yes
No
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Volunteer activity/position:
*
How many hours did you volunteer with this organization during the above-mentioned time period?
*
Total hours:
*
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 (dale.stairs@crandallu.ca or 858-8970 ext 121).
*
Organization #2
Ministry or Community Organization:
*
Dates of Volunteer Service for given semester
*
Semester:
<Select>
Spring
Fall
Winter
*
Start:
*
End:
*
Did you receive approval for completing your CPP in this setting?
*
Yes
No
*
Volunteer activity/position:
*
How many hours did you volunteer with this organization during the above-mentioned time period?
*
Total Hours:
*
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 (dale.stairs@crandallu.ca or 858-8970 ext 121).
*
Organization #3
Ministry or Community Organization:
*
Dates of Volunteer Service for given semester
*
Semester:
<Select>
Spring
Fall
Winter
*
Start:
*
End:
*
Did you receive approval for completing your CPP in this setting?
*
Yes
No
*
Volunteer activity/position:
*
How many hours did you volunteer with this organization during the above-mentioned time period?
*
Total Hours:
*
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 (dale.stairs@crandallu.ca or 858-8970 ext 121).
*
Organization #4
Ministry or Community Organization:
*
Dates of Volunteer Service for given semester
*
Semester:
<Select>
Spring
Fall
Winter
*
Start:
*
End:
*
Did you receive approval for completing your CPP in this setting?
*
Yes
No
*
Volunteer activity/position:
*
How many hours did you volunteer with this organization during the above-mentioned time period?
*
Total Hours:
*
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 (dale.stairs@crandallu.ca or 858-8970 ext 121).
*
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