External Volunteering Form

An official letter or certificate from the company is required when submitting this form.
All Forms must be submitted to Student Life for processing.

Student Information:
Student Name: ________________________________________ Student ID:____________________________________________
Student Major: ________________________________________ College:  CoH  CoE  CoB  CoAD
Student Email:_________________________________________Mobile:________________________________________________
Total number of hours worked:___________________________ Total number of days worked:______________________________

List of duties and responsibilities during your work:

1. _______________________________________________________________________________________________________
2. _______________________________________________________________________________________________________
3. _______________________________________________________________________________________________________
4. _______________________________________________________________________________________________________
5. _______________________________________________________________________________________________________

List of examples of tasks accomplished during your work:

1. _______________________________________________________________________________________________________
2. _______________________________________________________________________________________________________
3. _______________________________________________________________________________________________________
4. _______________________________________________________________________________________________________
5. _______________________________________________________________________________________________________

Company Information:
Company Name: ________________________________________ Type of Business:_______________________________________
Start Date: _____________________________________________ End Date:_____________________________________________
Company Number:_______________________________________Company Email:________________________________________
Supervisor’s Name:______________________________________ Supervisor’s Email:______________________________________

Supervisor Signature: ____________________________________Date: _________________________________________________

Company Stamp

All students taking AMB class can collect up to 5VP=10 working hours under At-tawasul
Seniors who do not have AMB classes can collect up to 10VP=20 working hours under At-tawasul
DSA/SL/SP2019/D#1