Community Service Verification Form Instructions

This form is only for first-time recipients of the Scholarship.

You are required to perform community service during the first year you receive the scholarship.

This service may include the option of meeting with high school classes to share your experiences (good and bad) such as living conditions, study habits, classes and possibly advice. Other options include volunteering time in the Toledo/Siletz areas, including work without pay during the Summer Festival, officiating during summer league, or volunteering at a public library.

Each student is required to have their community service verified by an authorized adult who is involved with the program or school where the service was performed.

Download the Community Service form. To ensure your information is properly received, please use Acrobat Reader to complete as indicated and submit below.

Scholarship ID