Credit Request Form
If you have the opportunity to participate in a service event not publicized by the NHS Board, you may use this form to inform the board of the event BEFORE it takes place. To clarify, the board will NOT retroactively award credits; rather, it will either accept or deny credit before the event. The member must notify the board via this form at least ONE WEEK before the event takes place, and the member will receive an email with the board's decision and the number of credits awarded. Thank you!
Member name
Event name
Event date
MM
/
DD
/
YYYY
Event start time
Time
:
Event end time
Time
:
Event description
Event organizer name
Event organizer contact (phone or email)
Is this event isolated or recurring?
Clear selection
Does this event need more volunteers? Would you recommend that NHS offer this event to its members? Please explain your response.
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