Time

Record of Volunteering

Volunteers name: ____________________________________ I/C No.: ___________________

School: _____________________________________________

Host Non-Profit Organization: _____________________________________________________
Address: _____________________________________________ Phone: ___________________

Host Non-Profit Organization Person In-Charge: ______________________________________

Date Volunteers Activities
Hours
Running
Host Non-Profit
Completed Total
Org. Person In-
charges Signature

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Volunteers signature: ____________________________________ Date: __________________

Host Non-Profit Organizer: ________________________________ Date: __________________
Print Name & Signature

Please return the signed and completed Youth Power Volunteer forms to the respective school teacher in-charge
by November 14, 2013. To qualify for Youth Power Volunteer Recognition Incentive scheme, you have to complete
at least 15 volunteering hours or more.

Verified by: _________________________________________________ Date: ___________________

Print Name & Signature
Teacher In-charge

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