Record of Volunteer Work
| This is a form that can be printed, completed, and mailed in to: Don Day, University Outreach and Extension, 1012 N. Highway UU, Columbia, MO 65203. It can not be completed on-line at this time. | |
Internet Master Record of Volunteer Work |
Name of Internet Master:__________________________________________________________
| Date | Description of Service and Location | # Teaching Hours | # Total Hours | Audience | ||||||
| # White | # Black | # Hispanic | # Asian | # Am. Indian | # Male | # Female | ||||
Please record only those volunteer hours that include Internet related activities in which you participated as a result of your involvement with the University Extension Internet Master Program.
Please return to: Don Day, University Outreach and Extension, 1012 N. Highway UU, Columbia, MO 65203
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For more information, contact: Don Day - daydr@missouri.edu Mark Stewart - stewartm@missouri.edu Revised 09/30/99 |