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Get Northeastern State University Volunteer and Service Hours Verification Form

listed student has completed for our organization. Hours were served between / Organization Representative Name Title / and hours of community service / / Organization Representative Signature Date Phone Number STUDENT MUST COMPLETE THIS PORTION Student Name Student Signature Date N Semester Phone Number Division of Student Affairs 601 North Grand Avenue, Tahlequah, OK 74464 Administration (p) 918.444.2120 (f) 918.458.2340 Student Activities (p) 918.444.2526 (f) 918.458.2541 .

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