Document 11984327

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Office of Scholarships & Financial Aid
University of North Carolina Wilmington
601 S. College Road Wilmington NC 28403-5951
910-962-3177 Telephone
910-962-3851 Fax
finaid@uncw.edu
SOAR Ambassador Community Service Participation Form
Please complete all fields of this form and return to the Program Coordinator within five days of attendance.
If your event requires prior approval, please attach an email or written documentation from the Program
Coordinator granting approval.
Name:
Student ID: 850
SOAR Ambassador Year :
Event Name:
Sponsoring Department:
Date & Time of event:
Location:
In the box below, describe the community service event in which you participated and discuss how this event
contributes to building leadership skills for your future:
Date:
Program Official Name (printed) :
Title & Department:
Program Official Signature :
I acknowledge that the content listed above is accurate.
Student Signature:_
Date:
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