CAMC Foundation Nursing / Allied Health / Medical Student Scholarship

CAMC Employment Center
CAMC Foundation Nursing/Allied Health/Medical Degree Scholarships
Attention: April Yoak
Post Office Box 1547
Charleston, WV 25326

Community Service Verification Form

Name of Individual Submitting Community Service Verification  

 

 

 

Community Service Organization  

 

 

 

Date of Event (if continuous community service, please list number of months/years)  

 

 

 

Purpose of Event  

 

 

 

Signature of Community Event Coordinator/Sponsor  

Please attach any additional information verifying community service.