Students who receive the West Virginia Invests Grant must complete two hours of community service approved by the
institution during the term in which funds are received. Visit wvinvests.org for more information.
• Community Service hours completed before or after the term do not count toward the two-hour requirement.
• Failure to complete and document the completion of the community service requirement may result in cancelation of
the award for the term awarded and the student becoming ineligible for the WV Invests Grant.
This form must be completed and signed by the student then signed off by the organization the
student is completing community service with. Once completed and signed, submit to the financial
aid office at your institution.
West Virginia Invests Grant Program
Community Service Form
TO BE COMPLETED BY THE STUDENT:
___________________________________ ______________________________ __________________________
Last Name First Name Student ID
___________________________________________ ___________________________________________
E-mail Phone Number
___________________________________________ ___________________________________________
College Name Date(s) of Service
___________________________________________ ___________________________________________
Organization Organization Contact Person
___________________________________________ ___________________________________________
Organization Contact E-mail Organization Contact Phone Number
_______________________________________________________________________________________________
Organization Address
Detail the activity/event and your role: ________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
By signing below, I verify I completed ______ hours of unpaid community service as listed above and it meets the
institution’s guidelines for community service.
___________________________________________
Student Signature
TO BE COMPLETED BY ORGANIZATION CONTACT PERSON:
I certify the student listed on this form performed the above activities for the hours reported at my organization.
___________________________________________
Organization Contact Signature
TO BE COMPLETED BY COLLEGE:
___________________________________________ ___________________________________________
College Representative Signature Approved by College (date)
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signature
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