Event Verification Form To verify service, please complete this form for each different event and submit with your portfolio. i ° Name of Event: Up" (pen Hy Organization: Ay piclard Chivopeace- & Wellness Center type of service:__ \Nn\yateer Describe your service activities: ~(reted Voitors as hey Came in = (roe, detailed tors of Wwe New sive S0Qve Se =Bake Anwn anor Gnd ahderr areas after visitirs lef Purpose of Event: “The pose was ty shyw new and existng Cheats the new Vocatnd of the pve 15 well a5 Que them hey Onin Ip Sex the Naw p05 6d Sensis Oval pate otservice: VIN stnime: 5:00 endtime:_$:30 Total Hours: | Supervisor Information Name: Or. Marly Nouilbean dnd essica Walls, Position: Chitgpractor_and_ Ovher- Phone: 474= 703-4040 a Mandchinvandwelivass © ayaail.com Signature: pate_ ALF {It j La Student Information Name: ( qe St Signature: Mi Cage