"Student Scholarship Recipient Activity Commitment Fulfillment Form - Academy of Arts and Academics"

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Download "Student Scholarship Recipient Activity Commitment Fulfillment Form - Academy of Arts and Academics"

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A3-P3 STUDENT SCHOLARSHIP RECIPIENT
ACTIVITY COMMITMENT
FULFILLMENT FORM
This is to certify that I, ___________________________________________, have fulfilled
(Print Name of Student/P3 Scholarship Recipient)
my commitment to give back to the A3-P3 Community as per Scholarship Agreement by:
_____
Working at A3 Autzen Fall Recycling Fundraiser
Date(s) worked:
________________________________________________
________________________________________________
________________________________________________
_____
Assisting at a P3 monthly meeting (setting up, taking down, clean up)
Date(s) worked:
________________________________________________
________________________________________________
_____
Assisting at a P3-sponsored functions or events (please specify):
Raffle Baskets set up and sales
A3 Wear set up and sales
Event & Location:
________________________________________________
Date(s) worked:
________________________________________________
Thank you,
Verified:
____________________________________
_________________________________
Signature
Signature
(Student/Scholarship Recipient)
(A3 Staff or P3 Representative)
Submit completed form to any P3 Leadership representative.
615 Main St. Springfield, OR 97478 | (541) 744-6728 • FAX: (541) 744-6713
A3-P3 STUDENT SCHOLARSHIP RECIPIENT
ACTIVITY COMMITMENT
FULFILLMENT FORM
This is to certify that I, ___________________________________________, have fulfilled
(Print Name of Student/P3 Scholarship Recipient)
my commitment to give back to the A3-P3 Community as per Scholarship Agreement by:
_____
Working at A3 Autzen Fall Recycling Fundraiser
Date(s) worked:
________________________________________________
________________________________________________
________________________________________________
_____
Assisting at a P3 monthly meeting (setting up, taking down, clean up)
Date(s) worked:
________________________________________________
________________________________________________
_____
Assisting at a P3-sponsored functions or events (please specify):
Raffle Baskets set up and sales
A3 Wear set up and sales
Event & Location:
________________________________________________
Date(s) worked:
________________________________________________
Thank you,
Verified:
____________________________________
_________________________________
Signature
Signature
(Student/Scholarship Recipient)
(A3 Staff or P3 Representative)
Submit completed form to any P3 Leadership representative.
615 Main St. Springfield, OR 97478 | (541) 744-6728 • FAX: (541) 744-6713